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AHIP AHM-520 Exam

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: May. 07, 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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Free AHIP AHM-520 Exam Actual Questions

Note: Premium Questions for AHM-520 were last updated On May. 07, 2024 (see below)

Question #1

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 #2

The Jade Health Plan used a profitability index (PI) to rank the following capital proposals:

Proposal PI

A 0.45

B 1.05

This information indicates that, of these two projects, Jade would most likely select:

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Correct Answer: C

Question #3

In order to achieve its goal of improved customer service, the Evergreen Health Plan will add three new customer service representatives to its existing staff, install a new switching station, and install additional phone lines. In this situation, the cost that would be classified as a sunk cost, rather than a differential cost, is the expense associated with:

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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

In order to achieve its goal of improved customer service, the Evergreen Health Plan will add three new customer service representatives to its existing staff, install a new switching station, and install additional phone lines. In this situation, the cost that would be classified as a sunk cost, rather than a differential cost, is the expense associated with:

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Correct Answer: B


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