AHIP AHM-520 Exam Dumps

Get All Health Plan Finance and Risk Management Exam Questions with Validated Answers

AHM-520 Pack
Vendor: AHIP
Exam Code: AHM-520
Exam Name: Health Plan Finance and Risk Management
Exam Questions: 215
Last Updated: October 8, 2026
Related Certifications: Managed Healthcare Professional
Exam Tags: AHIP Health Governace
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Free AHIP AHM-520 Exam Actual Questions

Question No. 1

The Caribou health plan is a for-profit organization. The financial statements that Caribou prepares include balance sheets, income statements, and cash flow statements. To prepare its cash flow statement, Caribou begins with the net income figure as reported on its income statement and then reconciles this amount to operating cash flows through a series of adjustments. Changes in Caribou's cash flow occur as a result of the health plan's operating activities, investing activities, and financing activities.

The main purpose of Caribou's balance sheet is to

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Correct Answer: C

Question No. 2

The NAIC has developed a risk-based capital (RBC) formula for all health plans that accept risk. One true statement about the RBC formula for health plans is that it

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Correct Answer: A

Question No. 3

The Brookhaven Company is the parent company of two subsidiaries: an HMO and an insurance company. The headings on Brookhaven's financial statements read "Consolidated Financial Statements of Brookhaven Company." From the following answer choices, select the response that correctly indicates, under the entity concept, whether the HMO and the insurance company are accounted for as separate entities and whether the subsidiaries' financial results would be included in Brookhaven's consolidated financial statements.

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Correct Answer: A

Question No. 4

The Violin Company offers its employees a triple option of health plans: an HMO, an HMO with a point of service (POS) option, and an indemnity plan.

Premiums are lowest for the HMO option and highest for the indemnity plan. Violin employees who anticipate that they will be individual low utilizes of healthcare services are most likely to enroll in the

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Correct Answer: B

Question No. 5

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

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Correct Answer: C

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