AHIP AHM-520 : Health Plan Finance and Risk Management

  • Exam Code: AHM-520
  • Exam Name: Health Plan Finance and Risk Management
  • Updated: May 30, 2026     Q & A: 215 Questions and Answers

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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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AHIP AHM-520 Exam Syllabus Topics:

TopicDetails
Topic 1
  • Compare the difference between stop-loss insurance and stop-loss reinsurance from the perspective of health insurance providers
Topic 2
  • 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 3
  • 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
Topic 4
  • Discover how to identify claim related components of health insurance providers’ financial statements

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

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