AHIP AHM-520 Q&A - in .pdf

  • AHM-520 pdf
  • Exam Code: AHM-520
  • Exam Name: Health Plan Finance and Risk Management
  • Updated: Jul 24, 2026
  • Q & A: 215 Questions and Answers
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  • Exam Code: AHM-520
  • Exam Name: Health Plan Finance and Risk Management
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  • Updated: Jul 24, 2026
  • Q & A: 215 Questions and Answers
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  • Value Pack Total: $119.98  $79.99
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AHIP AHM-520 Q&A - Testing Engine

  • AHM-520 Testing Engine
  • Exam Code: AHM-520
  • Exam Name: Health Plan Finance and Risk Management
  • Updated: Jul 24, 2026
  • Q & A: 215 Questions and Answers
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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.

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 Payment and Reimbursement Systems- Provider payment methodologies
  • 1. Fee-for-service reimbursement
    • 2. Capitation and risk adjustment basics
      - Value-based payment models
      • 1. Pay-for-performance programs
        • 2. Shared savings models
          Topic 2: Risk Management in Health Plans- Insurance risk concepts
          • 1. Underwriting principles in managed care
            • 2. Risk pooling and transfer mechanisms
              - Utilization and cost control strategies
              • 1. Provider reimbursement models (capitation, FFS, bundled payments)
                • 2. Managed care cost containment tools
                  Topic 3: 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. Medical cost classification
                        • 2. Administrative vs medical expense allocation
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