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AHIP Updated AHM-520 Exam Blueprint, Syllabus and Topics

Health Plan Finance and Risk Management

Last Update Oct 15, 2025
Total Questions : 215

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AHIP AHM-520 Exam Overview :

Exam Name Health Plan Finance and Risk Management
Exam Code AHM-520
Actual Exam Duration 90 minutes
Expected no. of Questions in Actual Exam 60
Official Information https://www.ahip.org/course/health-plan-finance-and-risk-management-ahm-520/
See Expected Questions AHIP AHM-520 Expected Questions in Actual Exam
Take Self-Assessment Use AHIP AHM-520 Practice Test to Assess your preparation - Save Time and Reduce Chances of Failure

AHIP AHM-520 Exam Topics :

Section Weight Objectives
Objective 1:  
  • Analyze the role of strategic financial planning in setting a health insurance provider’s future direction
Objective 2:  
  • Gain an understanding of risk, decisions regarding risk assumption, and how health insurance providers control risk
Objective 3:  
  • Compare the difference between stop-loss insurance and stop-loss reinsurance from the perspective of health insurance providers
Objective 4:  
  • 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
Objective 5:  
  • Distinguish between fully funded and self-funded plans and the increasing role of self-funding in the marketplace
Objective 6:  
  • Discover how to identify claim related components of health insurance providers’ financial statements
Objective 7:  
  • Recognize different reserving methodologies used by health insurance providers

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