Amazon
Avaya
Checkpoint
Cisco®
CompTIA
CrowdStrike
EC-Council
EXIN
Fortinet
Google
ISC
ISC2
ITIL®
Juniper
Microsoft
MuleSoft
Okta
Oracle
Palo Alto Networks
Salesforce
All Vendors
  1. Home
  2. AHIP
  3. AHM-520

AHIP AHM-520 Exam (page: 1)
AHIP Health Plan Finance and Risk Management
Updated on: 11-Nov-2025

Viewing Page 1 of 44
AHM-520 PDF 215 Questions

Users of the Fulcrum Health Plan financial information include:
The independent auditors who review Fulcrum's financial statements Fulcrum's controller (comptroller)
Fulcrum's plan members
The providers that deliver healthcare services to Fulcrum plan members Fulcrum's competitors

Of these users, the ones that most likely can correctly be classified as external users with a direct financial interest in Fulcrum are the

  1. Independent auditors, the plan members, the providers, and the
  2. Competitors only
  3. Independent auditors, the controller, and the providers only
  4. Controller and the competitors only
  5. Plan members and the providers only

Answer(s): D



The Eclipse Health Plan is a not-for-profit health plan that qualifies under the Internal Revenue Code for tax-exempt status. This information indicates that Eclipse

  1. Has only one potential source of funding: borrowing money
  2. Does not pay federal, state, or local taxes on its earnings
  3. Must distribute its earnings to its owners-investors for their personal gain
  4. Is a privately held corporation

Answer(s): B



The Challenger Group is a type of management services organization (MSO) that purchases the assets of physician practices, provides practice management and administrative support services to participating providers, and offers physicians a long-term contract and an equity position in Challenger. This information indicates that Challenger is a type of health plan

  1. Known as
  2. An integrated delivery system (IDS)
  3. A medical foundation
  4. A provider-sponsored organization (PSO)
  5. A physician practice management (PPM) company

Answer(s): D



A key factor that distinguishes the various types of health plans is the type and amount of risk that a health plan assumes with respect to the delivery and financing of healthcare benefits. An example of a type of health plan that typically assumes the financial risk of delivering and financing healthcare benefits is a

  1. Third party administrator (TPA)
  2. Utilization review organization (URO)
  3. Preferred provider organization (PPO)
  4. Pharmacy benefit management (PBM) plan

Answer(s): C



The following statements are about pure risk and speculative risk--two kinds of risk that both businesses and individuals experience. Select the answer choice containing the correct statement.

  1. Healthcare coverage is designed to help plan members avoid pure risk, not speculative risk.
  2. Only pure risk involves the possibility of gain.
  3. An example of speculative risk is the possibility that an individual will contract a serious illness.
  4. Only speculative risk contains an element of uncertainty.

Answer(s): A



Viewing Page 1 of 44



Share your comments for AHIP AHM-520 exam with other users:

Ashok Kumar 1/2/2024 6:53:00 AM

the correct answer to q8 is b. explanation since the mule app has a dependency, it is necessary to include project modules and dependencies to make sure the app will run successfully on the runtime on any other machine. source code of the component that the mule app is dependent of does not need to be included in the exported jar file, because the source code is not being used while executing an app. compiled code is being used instead.
Anonymous


Merry 7/30/2023 6:57:00 AM

good questions
Anonymous


VoiceofMidnight 12/17/2023 4:07:00 PM

Delayed the exam until December 29th.
UNITED STATES


Umar Ali 8/29/2023 2:59:00 PM

A and D are True
Anonymous


vel 8/28/2023 9:17:09 AM

good one with explanation
Anonymous


Gurdeep 1/18/2024 4:00:15 PM

This is one of the most useful study guides I have ever used.
CANADA