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Governance, Legal Issues, Medicare & Medicaid (AHM510)

Effective governance and an understanding of the legal issues that underpin our nation’s government health care programs are essential to the effort to deliver better health care experiences. To help you better-serve your members and clients, AHIP’s Governance, Legal Issues, Medicare & Medicaid (AHM510) online course will arm you with an in-depth understanding of these areas and much more.

Course Details

26-hour course length
1 exam


$220 AHIP Members
$280 Non-Members
Enroll Now

Enrollment takes place at a third-party website. When you arrive, log in or create an account and browse our online catalog.

Contact AHIP With Questions

At a Glance

  • Students have up to 180 days to complete course
  • Counts toward FAHM® professional designation
  • Flexible, self-paced online format
  • Mobile-friendly
  • Technical support available by phone or email

What You’ll Learn

  • Explore factors shaping the health insurance industry, its formation, types of insurance, and structure
  • Understand how health insurance providers use reorganization, reengineering, and strategic planning to improve performance
  • Examine legal issues faced by health insurance providers in a post-reform environment
  • Understand the legal issues surrounding ERISA, pharmacy benefits, and wellness
  • Delve into federal and state regulatory requirements that affect health insurance providers
  • Learn the role of the federal government as a purchaser of health care benefits
  • Dig deep into the role of health insurance providers in providing services to both Medicare and Medicaid enrollees
  • Analyze how fraud and abuse affect health care’s cost and quality
  • Explore how health insurance providers use organizational control systems to build internal structures that meet external demands for accountability
  • Review relevant terms, industry issues, case scenarios and concepts

Who Should Take This Course

  • Agents and brokers
  • Case managers
  • Financial planners
  • Health insurance provider staff
  • Medical directors
  • Medical management staff

For even greater ROI, contact our experts at or call the Support Team at 866.234.6909. We can create a custom blend of courses, test prep classes, and group sessions that make the most sense for you and your budget.

Interested in getting the AHIP member rate for this course? Learn about becoming an Individual Member and sign up here!

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