- Exam Code: AHM-520
- Exam Name: Health Plan Finance and Risk Management
- Certification Provider: AHIP
- Corresponding Certification:AHIP Certification
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Certification Path
The Health Plan Finance and Risk Management AHM-520 Exam certification path includes only one AHM-520 certification exam.
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:
- Fundamental accounting principles associated with a health plan's financial information.
- Factors of health plans consider when developing and pricing healthcare products.
- Main risks and cost factors associated with the delivery and financing of health-care services under Medicare and Medicaid contracts.
- Important factors and methods associated with underwriting and rating healthcare benefits.
- Methods to use financial information to develop a health plan's strategic plan and manage the health plan's cash and capital effectively.
- Differences between fully funded and self-funded health plans.
- Method of analyzing and interpreting the results of a health plan's financial statements through the use of financial ratios.
- Different Types of risks health plans face and approaches they use to manage them.
Reference: https://www.ahip.org/courses/health-plan-finance-and-risk-management-ahm520
Health Plan Finance and Risk Management AHM-520 Exam
Health Plan Finance and Risk Management AHM-520 Exam is designed by the Academy of Health Care Administration (AHM) and sponsored by the US Health Insurance Plans and the Blue Cross Blue Shield Association. AHM is a self-study examination based program. AHM-520 Exam validates candidate has the ability to get a comprehensive look at the Health Insurance Plan Fund. This exam also verifies the candidate has a strong understanding of financial management techniques, funds, risk management, provider payment, project risk, pricing, care, and rating methods.
Who should take the AHM-520 exam
- Agents and brokers who expert in life and health insurance
- Medical management employees working in hospitals, health systems, and, health insurance plans
- Teachers at the school level who teach health care administration
- Case administrators and medical directors who inquire a broader administrative background
- Financial executives working with clients looking to maximize their health dollars
- 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
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AHIP AHM-520 Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Risk Management in Health Plans | - Utilization and cost control strategies
|
| Topic 2: Health Plan Payment and Reimbursement Systems | - Provider payment methodologies
|
| Topic 3: Health Plan Financial Fundamentals | - Cost accounting in health plans
|
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