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Assess the CertsIQ’s updated AHM-520 exam questions for free online practice of your Health Plan Finance and Risk Management (AHM520) test. Our AHM 520 dumps questions will enhance your chances of passing the AHIP Certification certification exam with higher marks.

Exam Code: AHM-520
Exam Questions: 215
Health Plan Finance and Risk Management (AHM520)
Updated: 20 Aug, 2025
Question 1

The Marble Health Plan sets aside a PMPM amount for each specialty.

When a PCP in Marble's provider network refers a Marble plan member to a specialist and the specialist provides medical services to the member, the specialist begins to receive a share of those funds on a monthly basis. Marble determines the monthly payment for each specialist by dividing the number of active patients for that specialty by the total specialty pool for that month.

This form of payment, which is similar to a case rate, is known as:

Options :
Answer: C

Question 2

With regard to the financial statements prepared by health plans, it can correctly be stated that:

Options :
Answer: B

Question 3

In order to determine a health plan's quick liquidity ratio, a financial analyst would divide the health plan's:

Options :
Answer: C

Question 4

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:

Options :
Answer: D

Question 5

The Fairway health plan is a for-profit health plan that issues stock. The following data was taken from Fairway's financial statements:

Current assets.....$5,000,000 -

Total assets.....$6,000,000 -

Current liabilities.....$2,500,000

Total liabilities.....$3,600,000

Stockholders' equity.....$2,400,000

Fairway's total revenues for the previous financial period were $7,200,000, and its net income for that period was $180,000.

Assume that the healthcare industry average for the debt-to-equity ratio is 0.90.

The following statement(s) can correctly be made about Fairway's debt to equity ratio:

Options :
Answer: B

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