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AHIP AHM-520 Exam

Certification Provider: AHIP
Exam Name: Health Plan Finance and Risk Management
Duration: 90 Minutes
Number of questions in our database: 215
Exam Version: Sep. 21, 2022
AHM-520 Exam Official Topics:
  • 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

The questions for AHM-520 were last updated On Sep. 21, 2022

Question #1

The Sesame health plan uses a method of accumulating cost data that enables the health plan to satisfy financial reporting requirements for compiling financial statements and corporate tax returns. Although this method assists Sesame's managers in studying which types of costs are rising and falling over time, it does not explain which areas of Sesame incur each cost. This method, which is the most basic level of cost accumulation, is known as accumulating costs by

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Correct Answer: B

Question #2

In order to analyze costs for internal management purposes, the Banner health plan uses functional cost analysis. One characteristic of this method of cost analysis is that it

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Correct Answer: A

Question #3

The following information was presented on one of the financial statements prepared by the Rouge health plan as of December 31, 1998: When calculating its cash-to-claims payable ratio, Rouge would correctly divide its:

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Correct Answer: B

Question #4

The goal of the investment department at the Wayfarer Health Plan is to maximize investment return. The investment department executes investments on time and at a low cost. However, these transactions often result in low returns or risks that are deemed too high for Wayfarer. With regard to effectiveness and efficiency, it is correct to say that Wayfarer's investment department is:

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Correct Answer: B

Question #5

Variance analysis is the study of the difference between expected results and actual results. Variances can be positive or negative. A positive variance is typically considered:

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Correct Answer: C

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