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AHIP AHM-520 Exam Questions

Exam Name: Health Plan Finance and Risk Management
Exam Code: AHM-520 FAHM
Related Certification(s): AHIP Managed Healthcare Professional Certification
Certification Provider: AHIP
Actual Exam Duration: 90 Minutes
Number of AHM-520 practice questions in our database: 215 (updated: Nov. 14, 2024)
Expected AHM-520 Exam Topics, as suggested by AHIP :
  • Topic 1: 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 2: 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 3: Discover how to identify claim related components of health insurance providers’ financial statements
  • Topic 4: Gain an understanding of risk, decisions regarding risk assumption, and how health insurance providers control risk
  • Topic 5: Distinguish between fully funded and self-funded plans and the increasing role of self-funding in the marketplace
  • Topic 6: Compare the difference between stop-loss insurance and stop-loss reinsurance from the perspective of health insurance providers
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Royal

5 days ago
I just passed the AHIP Health Plan Finance and Risk Management exam! The Pass4Success practice questions were invaluable. One question that gave me pause was about the principles of underwriting and how they apply to different types of health plans. I wasn't sure about the specifics, but I got through it.
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Aileen

9 days ago
Thanks to Pass4Success, I felt well-prepared for questions on financial solvency regulations. Know the key ratios and regulatory bodies involved.
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Gwen

10 days ago
Wow, that AHIP exam was tough! Grateful for Pass4Success - their questions really matched the actual test.
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Celeste

20 days ago
Passed the AHIP exam, and I couldn't have done it without Pass4Success. There was a particularly tough question on the exam about the various types of health plan reserves and their purposes. I wasn't entirely confident in my answer, but I still managed to pass.
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Carey

26 days ago
The exam tests understanding of actuarial principles in premium setting. Review factors influencing premium rates and pricing strategies.
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Mariko

1 months ago
I am thrilled to share that I passed the AHIP Health Plan Finance and Risk Management exam. The Pass4Success practice questions were spot on. One challenging question asked about the key components of a health plan's financial statement. I had to think hard about the differences between assets and liabilities.
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Lai

1 months ago
Expect calculations involving medical loss ratio (MLR). Study the components and regulatory requirements for MLR reporting.
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Art

1 months ago
AHIP certification achieved! Couldn't have done it without Pass4Success. Their materials were spot-on for quick prep.
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Kirk

2 months ago
Just finished the AHIP exam and passed! The Pass4Success practice questions were a lifesaver. There was a tricky question about the different types of risk management strategies, specifically focusing on the differences between hedging and insurance. I was a bit unsure, but I still managed to pass.
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Raina

2 months ago
Just passed the AHIP Certified: Health Plan Finance and Risk Management exam! Grateful for Pass4Success's relevant practice questions. Be prepared for questions on risk adjustment methodologies in health insurance.
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Glory

2 months ago
I recently passed the AHIP Health Plan Finance and Risk Management exam, and I must say, the Pass4Success practice questions were incredibly helpful. One question that stumped me was about the methods for calculating risk-adjusted return on capital. I wasn't entirely sure which method was most appropriate in a given scenario, but I managed to get through it.
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Stevie

2 months ago
Just passed the AHIP Health Plan Finance exam! Pass4Success was a lifesaver with their relevant practice questions. Thanks!
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Corrina

3 months ago
Passing the AHIP Health Plan Finance and Risk Management exam was a significant achievement for me, and I attribute my success to the practice questions provided by Pass4Success. The exam covered topics such as different reserving methodologies used by health insurance providers and the financial risks for health insurance provider organizations that provide health care services to Medicare and/or Medicaid populations. One question that I recall from the exam was related to the strategic financial planning in setting a health insurance provider's future direction. Despite my uncertainty about the answer, I managed to pass the exam.
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Franchesca

4 months ago
Thrilled to have passed the AHIP exam! A major focus was on actuarial concepts in health insurance. Expect questions on premium rate setting and reserving methods. Brush up on your understanding of medical loss ratios and their calculations. The exam also tested knowledge of value-based care models and their financial impacts. Pass4Success's practice tests were spot-on – they definitely fast-tracked my exam readiness!
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Marva

4 months ago
My experience taking the AHIP Health Plan Finance and Risk Management exam was challenging but rewarding. With the assistance of Pass4Success practice questions, I was able to successfully pass the exam. One question that I remember from the exam was about analyzing the role of strategic financial planning in setting a health insurance provider's future direction. Although I had some doubts about my answer, I was able to overcome them and pass the exam.
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Yuki

4 months ago
Successfully completed the AHIP Risk Management certification! Be prepared for scenarios on identifying and mitigating various types of health plan risks. Understanding reinsurance concepts is crucial. The exam also covered regulatory compliance – know key healthcare laws and their financial implications. Pass4Success's exam questions were invaluable for my quick preparation. So grateful for their help!
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Jannette

5 months ago
Just passed the AHIP Health Plan Finance exam! A key focus was on risk adjustment methodologies. Expect questions on HCC coding and its impact on revenue. Study the different risk adjustment models thoroughly. Thanks to Pass4Success for the spot-on practice questions that helped me prepare efficiently!
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Dianne

5 months ago
I recently passed the AHIP Health Plan Finance and Risk Management exam with the help of Pass4Success practice questions. The exam covered topics such as different reserving methodologies used by health insurance providers and the role of strategic financial planning in setting a health insurance provider's future direction. One question that stood out to me was related to 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. Despite being unsure of the answer, I managed to pass the exam.
upvoted 0 times
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Tish

5 months ago
Just passed the AHIP Health Plan Finance exam! A key topic was risk adjustment models. Expect questions on HCC coding and its impact on revenue. Study the different risk adjustment methodologies. The exam also focused on financial forecasting techniques. Practice interpreting financial statements and projecting future costs. Thanks to Pass4Success for the spot-on practice questions – they really helped me prepare efficiently!
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Free AHIP AHM-520 Exam Actual Questions

Note: Premium Questions for AHM-520 were last updated On Nov. 14, 2024 (see below)

Question #1

Geena Falk is eligible for both Medicare and Medicaid coverage. If Ms. Falk incurs a covered expense, then:

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Correct Answer: B

Question #2

The Amethyst Health Plan uses a budgeting approach that requires each line of business within Amethyst's operation to justify its continued operation. Amethyst begins with the premise that no resources will be allocated for the following period unless each dollar to be spent is justified and is shown to be within departmental plans and corporate goals and objectives. The budgeting approach used by Amethyst is known as:

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Correct Answer: C

Question #3

The Norton Health Plan used blended rating to develop a premium rate for the Roswell Company, a large employer group. Norton assigned Roswell a credibility factor of 0.7 (or 70%). Norton calculated Roswell's manual rate to be $200 and its experience claims cost as $180. Norton's retention charge is $3. This information indicates that Roswell's blended rate is:

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Correct Answer: B

Question #4

In a comparison of small employer-employee groups to large employer-employee groups, it is correct to say that small employer-employee groups tend to:

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Correct Answer: B

Question #5

One way that a health plan can protect itself against case stripping is by requiring:

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Correct Answer: C

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