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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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The Health Plan Finance and Risk Management AHM-520 Exam certification path includes only one AHM-520 certification exam.
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- 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.
- Different Types of risks health plans face and approaches they use to manage them.
- Important factors and methods associated with underwriting and rating healthcare benefits.
- Differences between fully funded and self-funded health plans.
- 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.
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AHIP AHM-520 Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Medical Loss Ratio and Compliance | - Compliance requirements
|
| Claims Analysis and Utilization Management | - Claims data analysis
|
| Actuarial Principles and Forecasting | - Forecasting methods
|
| Risk Assessment and Risk Management | - Risk mitigation strategies
|
| Health Plan Financial Structures | - Revenue sources and premium development
|
| Regulatory and Compliance Framework | - Governance and reporting
|
| Provider Payment Models | - Value-based payment
|
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