AHIP AHM-520 - Health Plan Finance and Risk Management

AHIP AHM-520 Actual PDF
  • Exam Code: AHM-520
  • Exam Name: Health Plan Finance and Risk Management
  • Updated: Sep 09, 2026
  • Q & A: 215 Questions and Answers
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About AHIP AHM-520 Exam

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How much AHM-520 Exam Cost

The price of the AHM-510 exam is 220 USD for AHIP members and 280 USD for non-members.

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
  • Case administrators and medical directors who inquire a broader administrative background
  • Agents and brokers who expert in life and health insurance
  • 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
  • Medical management employees working in hospitals, health systems, and, health insurance plans

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

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AHM-520 test dumps incorporate a wide variety of testing features and capabilities with the ease of use. Due to decades of efforts of the AHIP experts, AHM-520 test dumps &training are valid and accuracy with high hit rate. When the exam questions are updated or changed, AHM-520 experts will devote all the time and energy to do study & research, then ensure that AHM-520 test dumps have high quality, facilitating customers. Besides, when there are some critical comments, AHIP will carry out measures as soon as possible, and do improvement and make the AHM-520 test training more perfect. When you buy AHM-520 test dumps, you will find the contents are very clear, and the main points are easy to acquire. If you have doubts, the analysis is very particular and easy understanding. Moreover, there are some free demo for customers to download, you can have a mini-test, and confirm the quality and reliability of AHM-520 Health Plan Finance and Risk Management test dumps. In addition, AHM-520 test PDF dumps are supporting to be printed, which can meet different customers' needs.

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What is the duration of the AHM-520 Exam

  • Number of Questions: 215
  • Format: Multiple choices, multiple answers
  • Length of Examination: 90 minutes

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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:

  • Factors of health plans consider when developing and pricing healthcare products.
  • Methods to use financial information to develop a health plan's strategic plan and manage the health plan's cash and capital effectively.
  • 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.
  • Differences between fully funded and self-funded health plans.
  • Important factors and methods associated with underwriting and rating healthcare benefits.
  • 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.

AHIP AHM-520 Exam Syllabus Topics:

SectionObjectives
Topic 1: Health Plan Financial Fundamentals- Health insurance revenue streams and premium structures
  • 1. Premium development basics
    • 2. Membership and enrollment impact on revenue
      - Cost accounting in health plans
      • 1. Administrative vs medical expense allocation
        • 2. Medical cost classification
          Topic 2: Risk Management in Health Plans- Utilization and cost control strategies
          • 1. Provider reimbursement models (capitation, FFS, bundled payments)
            • 2. Managed care cost containment tools
              - Insurance risk concepts
              • 1. Risk pooling and transfer mechanisms
                • 2. Underwriting principles in managed care
                  Topic 3: Health Plan Payment and Reimbursement Systems- Value-based payment models
                  • 1. Shared savings models
                    • 2. Pay-for-performance programs
                      - Provider payment methodologies
                      • 1. Capitation and risk adjustment basics
                        • 2. Fee-for-service reimbursement

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