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AHM-520 Exam topics

Candidates must know the exam topics before they start of preparation. Because it will really help them in hitting the core. Our AHM-520 exam dumps will include the following topics:

  • Differences between fully funded and self-funded health plans.
  • Important factors and methods associated with underwriting and rating healthcare benefits.
  • Different Types of risks health plans face and approaches they use to manage them.
  • Method of analyzing and interpreting the results of a health plan's financial statements through the use of financial ratios.
  • Main risks and cost factors associated with the delivery and financing of health-care services under Medicare and Medicaid contracts.
  • Methods to use financial information to develop a health plan's strategic plan and manage the health plan's cash and capital effectively.
  • Factors of health plans consider when developing and pricing healthcare products.
  • Fundamental accounting principles associated with a health plan's financial information.

Who should take the AHM-520 exam

  • Financial executives working with clients looking to maximize their health dollars
  • Teachers at the school level who teach health care administration
  • Medical management employees working in hospitals, health systems, and, health insurance plans
  • Case administrators and medical directors who inquire a broader administrative background
  • Employees who work for health care providers or health insurance plans and want to get the educational background to proceed with a management position in the industry
  • Agents and brokers who expert in life and health insurance

Reference: https://www.ahip.org/courses/health-plan-finance-and-risk-management-ahm520

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AHIP AHM-520 Exam Syllabus Topics:

SectionObjectives
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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