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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:
- 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.
- 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.
- Fundamental accounting principles associated with a health plan's financial information.
- Different Types of risks health plans face and approaches they use to manage them.
- Method of analyzing and interpreting the results of a health plan's financial statements through the use of financial ratios.
- Important factors and methods associated with underwriting and rating healthcare benefits.
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The benefit in Obtaining the AHM-520 Exam Certification
- Candidates can learn unique complexities associated with health plans and being the update in knowledge with the latest trends, developments, and practices.
- Candidates can get knowledge and skills that help them to succeed in the rapidly changing and evolving healthcare industry.
- By passing, AHM-520 exam candidate can add a new dimension to his career experience and distinguish himself as a person who is knowledgeable about the environment, products, operations, and issues of the health insurance plan industry.
- By passing in Health Plan Finance and Risk Management AHM-520 Exam, Candidates can be participating in a new and exciting course. Candidate's participation will signify their commitment to professionalism.
- By passing the AHM-520 exam will give candidates a sense of personal accomplishment and the respect of colleagues in their organization and throughout the industry.
Reference: https://www.ahip.org/courses/health-plan-finance-and-risk-management-ahm520
Certification Path
The Health Plan Finance and Risk Management AHM-520 Exam certification path includes only one AHM-520 certification exam.
AHIP AHM-520 Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Topic 1: Claims Analysis and Utilization Management | - Claims data analysis
|
| Topic 2: Regulatory and Compliance Framework | - Healthcare regulations
|
| Topic 3: Provider Payment Models | - Traditional and alternative reimbursement
|
| Topic 4: Medical Loss Ratio and Compliance | - Medical Loss Ratio concepts
|
| Topic 5: Health Plan Financial Structures | - Financial reporting
|
| Topic 6: Actuarial Principles and Forecasting | - Forecasting methods
|
| Topic 7: Risk Assessment and Risk Management | - Risk identification and evaluation
|
