AHIP AHM-520 Exam Dumps and Updated Info

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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:

Expected AHM-520 Exam Topics, as suggested by AHIP :

Module 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
Module 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
Module 3: Discover how to identify claim related components of health insurance providers’ financial statements
Module 4: Gain an understanding of risk, decisions regarding risk assumption, and how health insurance providers control risk
Module 5: Distinguish between fully funded and self-funded plans and the increasing role of self-funding in the marketplace
Module 6: Compare the difference between stop-loss insurance and stop-loss reinsurance from the perspective of health insurance providers

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AHIP AHM-520 Exam Dumps

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Q1. Costs that can be defined by behavior are most commonly classified as fixed costs, variable costs and semi-variable costs. Examples of fixed costs include:

A.Rent, insurance expense, and depreciation on computer equipment

B. Rent, claims processing costs, and selling expenses

C. Claims processing costs, telephone expense, and depreciation on computer equipment

D. Premium processing, rent, and selling expenses

Q2. For a given healthcare product, the Magnolia Health Plan has a premium of $80 PMPM and a unit variable cost of $30 PMPM. Fixed costs for this product are $30,000 per month. Magnolia can correctly calculate the break-even point for this product to be:

A.274 members

B. 375 members

C. 600 members

D. 1,000 members

Q3. Geena Falk is eligible for both Medicare and Medicaid coverage. If Ms. Falk incurs a covered expense, then:

A.Medicaid will be Ms. Falk's primary insurer

B. Medicare will be Ms. Falk's primary insurer

C. Either Medicare or Medicaid will be Ms. Falk's primary insurer depending on her election

D. Medicare and Medicaid will each be responsible for one-half of Ms. Falk's covered expense

A.Bottom-up budgeting

B. Top-down budgeting

C. Zero-based budgeting

D. Master budgeting

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