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AHM-520 Exam topics

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• 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.
• 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.
• 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.
• Differences between fully funded and self-funded health plans.
• Important factors and methods associated with underwriting and rating healthcare benefits.

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Certification Path

The Health Plan Finance and Risk Management AHM-520 Exam certification path includes only one AHM-520 certification exam.

Who should take the AHM-520 exam

• Case administrators and medical directors who inquire a broader administrative background
• Medical management employees working in hospitals, health systems, and, health insurance plans
• Teachers at the school level who teach health care administration
• Agents and brokers who expert in life and health insurance
• Financial executives working with clients looking to maximize their health dollars
• 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

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

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