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AHM-520 AHIP Health Plan Finance and Risk Management Free Practice Exam Questions (2025 Updated)

Prepare effectively for your AHIP AHM-520 Health Plan Finance and Risk Management certification with our extensive collection of free, high-quality practice questions. Each question is designed to mirror the actual exam format and objectives, complete with comprehensive answers and detailed explanations. Our materials are regularly updated for 2025, ensuring you have the most current resources to build confidence and succeed on your first attempt.

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Total 215 questions

The following examples describe situations that expose an individual or a health plan to either pure risk or speculative risk:

Example 1 — A health plan invested in 1,000 shares of stock issued by a technology company.

Example 2 — An individual could contract a terminal illness.

Example 3 — A health plan purchased a new information system.

Example 4 — A health plan could be held liable for the negligent acts of an employee.

The examples that describe pure risk are

A.

Examples 1 and 2

B.

Examples 1 and 4

C.

Examples 2 and 3

D.

Examples 2 and 4

One true statement about capital and surplus ratios for health plans is that

A.

This ratio is calculated by dividing a health plan's total liabilities by its capital and surplus

B.

A health plan's capital and surplus position would be likely to weaken because of reserve valuation changes that reduce the health plan's reserves

C.

The primary purpose of these ratios is to compare a health plan's obligations to its ability to meet those obligations

D.

An increase in the value of a health plan's capital and surplus ratio most likely indicates that the health plan's financial position has strengthened

The Puma health plan uses return on investment (ROI) and residual income (RI) to measure the performance of its investment centers. Two of these investment centers are identified as X and Y. Investment Center X earns $10,000,000 in operating income on controllable investments of $50,000,000, and it has total revenues of $60,000,000. Investment Center Y earns $2,000,000 in operating income on controllable investments of $8,000,000, and it has total revenues of $10,000,000. Both centers have a minimum required rate of return of 15%.

One difference between the RI method and the ROI method is that

A.

The RI method demands greater goal congruence from Puma's managers than does the ROI method

B.

The RI method favors Puma's small investment centers more than does the ROI method

C.

Only RI can lead to decisions that improve Puma's short-term profits at the expense of its long-term objectives

D.

Only RI is useful to Puma for comparing investment centers of different sizes

The following statements are about the option for health plan funding known as a self-funded plan. Select the answer choice containing the correct response:

A.

In a self-funded plan, an employer is relieved of all risk associated with paying for the healthcare costs of its employees.

B.

Self-funded plans are subject to the same state laws and regulations that apply to health insurance policies.

C.

Employers electing to self-fund a health plan are required to pay claims from a separate trust established for that purpose.

D.

An employer electing to self-fund a health plan has the option of purchasing stop-loss insurance to transfer part of the financial risk to an insurer.

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Total 215 questions
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