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AHIP AHM-520 Exam Questions
- 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
Free AHIP AHM-520 Exam Actual Questions
Note: Premium Questions for AHM-520 were last updated On Dec. 21, 2024 (see below)
The following information was presented on one of the financial statements prepared by the Rouge Health Plan as of December 31, 1998:
Rouge's current ratio at the end of 1998 was approximately equal to:
Geena Falk is eligible for both Medicare and Medicaid coverage. If Ms. Falk incurs a covered expense, then:
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:
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:
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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