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:
- 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.
- Fundamental accounting principles associated with a health plan's financial information.
- Methods to use financial information to develop a health plan's strategic plan and manage the health plan's cash and capital effectively.
- Different Types of risks health plans face and approaches they use to manage them.
- Factors of health plans consider when developing and pricing healthcare products.
- Important factors and methods associated with underwriting and rating healthcare benefits.
- Differences between fully funded and self-funded health plans.
Reference: https://www.ahip.org/courses/health-plan-finance-and-risk-management-ahm520
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Who should take the AHM-520 exam
- Case administrators and medical directors who inquire a broader administrative background
- Financial executives working with clients looking to maximize their health dollars
- 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
- 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: Government Program Financial Risks | - Medicare/Medicaid vs commercial population risks |
| Topic 2: Financial Statements & Claims Analysis | - Claim-related components of financial statements |
| Topic 3: Strategic Financial Planning | - Role of financial planning in health plan strategy |
| Topic 4: Health Plan Funding Models | - Fully funded vs self-funded plans |
| Topic 5: Risk Management & Assumption | - Risk identification and control mechanisms - Stop-loss insurance vs stop-loss reinsurance |
| Topic 6: Reserving Methodologies | - Types and application of reserves |






