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Health Plan Finance and Risk Management (AHM520)

As the nationwide conversation about health care affordability continues to grow, it’s more essential than ever to have a solid understanding of our industry’s financial structure and how to sustainably manage risk. The newly updated Health Plan Finance and Risk Management (AHM520) online course includes more of what you need to know right now to do your job even better.

Course Details

21-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

  • Analyze the role of strategic financial planning in setting a health insurance provider’s future direction
  • Gain an understanding of risk, decisions regarding risk assumption, and how health insurance providers control risk
  • Compare the difference between stop-loss insurance and stop-loss reinsurance from the perspective of health insurance providers
  • 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
  • Distinguish between fully funded and self-funded plans and the increasing role of self-funding in the marketplace
  • Discover how to identify claim related components of health insurance providers’ financial statements
  • Recognize different reserving methodologies used by health insurance providers

Who Should Take This Course

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

For even greater ROI, contact our experts at TrainingSolutions@ahip.orgor 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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