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AHIP AHM-520 : Health Plan Finance and Risk Management

AHM-520

Exam Code: AHM-520

Exam Name: Health Plan Finance and Risk Management

Updated: Aug 20, 2026

Q & A: 215 Questions and Answers

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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.

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.

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

AHIP AHM-520 Exam Syllabus Topics:

SectionObjectives
Government Program Financial Risks- Medicare/Medicaid vs commercial population risks
Risk Management & Assumption- Stop-loss insurance vs stop-loss reinsurance
- Risk identification and control mechanisms
Reserving Methodologies- Types and application of reserves
Strategic Financial Planning- Role of financial planning in health plan strategy
Financial Statements & Claims Analysis- Claim-related components of financial statements
Health Plan Funding Models- Fully funded vs self-funded plans

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