Exam Name: Healthcare Management: An Introduction
Certification Provider: AHIP
Corresponding Certification: AHIP Certification
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Instant Download AHIP : AHM-250
Check Updated on: Sep 12, 2026
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The price of the AHM-250 exam is 220 USD for AHIP members and 280 USD for non-members.
Reference: https://www.ahip.org/courses/healthcare-management-an-introduction-ahm250
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AHIP AHM-250 Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Evolution of US Healthcare Delivery and Financing | 15% | - From prepaid plans to accountable care organizations (ACOs) - Historical development of health insurance |
| Topic 2: Health Plan Organizations and Models | 20% | - HMO, PPO, POS, and managed indemnity plans - Structure and types of health insurance providers - Consumer-directed plans: HSAs, HRAs, FSAs |
| Topic 3: Health Plan Operations | 20% | - Claims administration and processing - Information technology and health plan systems - Underwriting and rating principles |
| Topic 4: Regulatory Compliance and Ethics | 15% | - Legislative updates including 21st Century Cures Act - Ethical standards and industry conduct - Federal and state regulations |
| Topic 5: Provider Network Management | 15% | - Network design and contracting - Provider compensation models - Quality and performance measurement |
| Topic 6: Government Healthcare Programs | 15% | - Medicaid and CHIP programs - Medicare program structure and coverage - Affordable Care Act and regulatory impact |
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