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Reference: https://www.ahip.org/courses/health-plan-finance-and-risk-management-ahm520
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| Section | Objectives |
|---|---|
| Topic 1: Health Plan Funding Models | - Fully funded vs self-funded plans |
| Topic 2: Government Program Financial Risks | - Medicare/Medicaid vs commercial population risks |
| Topic 3: Reserving Methodologies | - Types and application of reserves |
| Topic 4: Financial Statements & Claims Analysis | - Claim-related components of financial statements |
| Topic 5: Strategic Financial Planning | - Role of financial planning in health plan strategy |
| Topic 6: Risk Management & Assumption | - Risk identification and control mechanisms - Stop-loss insurance vs stop-loss reinsurance |
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