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AHIP AHM-520 : Health Plan Finance and Risk Management

AHM-520

Exam Code: AHM-520

Exam Name: Health Plan Finance and Risk Management

Updated: May 27, 2026

Q & A: 215 Questions and Answers

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AHIP AHM-520 Exam Syllabus Topics:

TopicDetails
Topic 1
  • Recognize different reserving methodologies used by health insurance providers
  • Analyze the role of strategic financial planning in setting a health insurance provider’s future direction
Topic 2
  • Discover how to identify claim related components of health insurance providers’ financial statements
Topic 3
  • Distinguish between fully funded and self-funded plans and the increasing role of self-funding in the marketplace
Topic 4
  • Gain an understanding of risk, decisions regarding risk assumption, and how health insurance providers control risk
Topic 5
  • Learn about the financial risks for health insurance provider organizations that provide health care services to Medicare and
  • or Medicaid populations compared to risks within the commercial population

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

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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.

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