AHM-520

AHIP AHM-520 - Study Material - Health Plan Finance and Risk Management

Health Plan Finance and Risk Management covers health care finance and budgeting, health care economics, and how health care services are delivered.

Β· Updated November 9, 2026
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Latest updated date

November 9, 2026

What is in the AHM-520 Premium File?

Single Choices

215 Questions

Volume A

99 Questions

Volume B

116 Questions

Health Plan Finance and Risk Management FAQ's

Introduction of AHIP AHM-520 Exam!

AHIP AHM-520 is a certification exam for health insurance professionals. It is designed to assess the knowledge and skills of individuals who work in the health insurance industry. The exam covers topics such as health insurance regulations, health care reform, health care financing, and health care delivery systems.

What is the Duration of AHIP AHM-520 Exam?

The AHIP AHM-520 exam is a two-hour exam.

What are the Number of Questions Asked in AHIP AHM-520 Exam?

There are a total of 75 questions on the AHIP AHM-520 exam.

What is the Passing Score for AHIP AHM-520 Exam?

The passing score required for the AHIP AHM-520 exam is 70%.

What is the Competency Level required for AHIP AHM-520 Exam?

The AHIP AHM-520 exam is designed to assess the knowledge and skills of individuals who are seeking to become certified as a Health Insurance Professional. The exam covers topics such as health insurance plans, benefits, and regulations. To pass the exam, individuals must demonstrate a comprehensive understanding of the material and demonstrate a competency level of at least 80%.

What is the Question Format of AHIP AHM-520 Exam?

The AHIP AHM-520 exam consists of multiple choice, true/false, and fill-in-the-blank questions.

How Can You Take AHIP AHM-520 Exam?

AHIP AHM-520 exam is only available online. The exam is accessed through a secure website and must be completed within a 3-hour time period. A valid email address is required to register for the exam. After registering and paying the exam fee, an email will be sent containing instructions on how to access the exam. Candidates must also have internet access and a compatible web browser.

What Language AHIP AHM-520 Exam is Offered?

The AHIP AHM-520 exam is offered in English.

What is the Cost of AHIP AHM-520 Exam?

The cost of the AHIP AHM-520 exam is currently $199.

What is the Target Audience of AHIP AHM-520 Exam?

The AHIP AHM-520 Exam is intended for individuals who are currently employed in the healthcare industry in the US, with a background in health insurance and managed care, including health plan administration, medical management, or health policy. It is not intended for new entrants to the field.

What is the Average Salary of AHIP AHM-520 Certified in the Market?

The average salary for those with an AHIP AHM-520 certification is not available. Salaries for those with an AHIP AHM-520 certification can vary greatly depending on the individual's experience, industry, location and other factors.

Who are the Testing Providers of AHIP AHM-520 Exam?

AHIP (America’s Health Insurance Plans) is an organization that provides certification exams on a variety of healthcare topics, including AHM-520. AHIP does not provide testing directly, but rather works with third-party organizations that offer certification exams. Examples of organizations offering AHIP certification exams include Prometric, Kryterion, and Pearson VUE.

What is the Recommended Experience for AHIP AHM-520 Exam?

The recommended experience for the AHIP AHM-520 Exam is a minimum of two years of experience in health insurance, including Medicare and Medicaid, preferably in a managed care setting. Additionally, a working knowledge of Managed Care Organization (MCO) operations and a basic understanding of healthcare finance and economics is highly recommended prior to taking the exam.

What are the Prerequisites of AHIP AHM-520 Exam?

The AHIP AHM-520 Exam requires that candidates have a minimum of three years of experience in health care, health insurance, health care finance, or related fields. Candidates should also have successfully completed AHIP's Health Insurance Fundamentals (AHM-510) course.

What is the Expected Retirement Date of AHIP AHM-520 Exam?

The AHIP AHM-520 exam is the current version of the Health Plan Finance and Risk Management exam, and AHIP has not announced a retirement date for it. When AHIP introduces a newer version, the retirement date for the older version is published on the AHIP certification site.

What is the Difficulty Level of AHIP AHM-520 Exam?

The AHIP AHM-520 exam is considered to be of moderate difficulty. It is recommended that you have a good understanding of the topics covered in the AHIP AHM-520 course material before attempting the exam.

What is the Roadmap / Track of AHIP AHM-520 Exam?

The AHIP AHM-520 Exam is a certification track/roadmap for healthcare professionals who want to become certified in healthcare industry topics such as healthcare policy, health care finance, and health care law. The exam covers topics related to the Affordable Care Act, Medicare, Medicaid, and other health insurance topics. The exam is offered by the American Health Insurance Plans (AHIP) and is designed to test the knowledge of healthcare professionals on the topics mentioned above.

What are the Topics AHIP AHM-520 Exam Covers?

The AHIP AHM-520 exam covers topics related to the health care industry, including health care finance, health care economics, and health care delivery. 1. Health Care Finance: This topic covers the financial aspects of health care, including the financing of health care, budgeting, and financial analysis. 2. Health Care Economics: This topic covers the economic principles that govern the health care industry, including supply and demand, cost and benefit analysis, and health care pricing. 3. Health Care Delivery: This topic covers the delivery of health care services, including the organization and delivery of health care services, quality improvement, and risk management. 4. Regulatory and Reimbursement: This topic covers the regulatory and reimbursement aspects of health care, including the role of government and private payers in health care, and the impact of health care reform. 5. Health Information Technology: This topic covers the use of technology in health care, including

What are the Sample Questions of AHIP AHM-520 Exam?

1. What are the key components of the Patient Protection and Affordable Care Act (PPACA)? 2. Describe the role of the Health Insurance Marketplace in providing health insurance coverage? 3. How do the regulations of the PPACA affect the cost of health insurance? 4. What types of health insurance plans are available to individuals and families under the PPACA? 5. How do the rules and regulations of the PPACA affect the cost of health care services? 6. What are the benefits of the PPACA for employers and employees? 7. What are the requirements for health insurance plans under the PPACA? 8. How have the regulations of the PPACA impacted the health care industry? 9. What are the implications of the PPACA for providers and payers? 10. How can employers and employees best use the Health Insurance Marketplace to obtain affordable health insurance coverage?

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