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Reference: https://www.ahip.org/courses/health-plan-finance-and-risk-management-ahm520
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- Number of Questions: 215
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AHIP AHM-520 Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Risk Management & Assumption | - Risk identification and control mechanisms - Stop-loss insurance vs stop-loss reinsurance |
| Strategic Financial Planning | - Role of financial planning in health plan strategy |
| Financial Statements & Claims Analysis | - Claim-related components of financial statements |
| Government Program Financial Risks | - Medicare/Medicaid vs commercial population risks |
| Health Plan Funding Models | - Fully funded vs self-funded plans |
| Reserving Methodologies | - Types and application of reserves |
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