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- By passing the AHM-250 exam will give candidates a sense of personal accomplishment and the respect of colleagues in their organization and throughout the industry.
- By passing, AHM-250 exam candidate can add a new dimension to his career experience and distinguish himself as a person who is knowledgeable about the environment, products, operations, and issues of the health insurance plan industry.
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The Healthcare Management: An Introduction AHM-250 Exam certification path includes only one AHM-250 certification exam.
Reference: https://www.ahip.org/courses/healthcare-management-an-introduction-ahm250
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AHIP AHM-250 Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Regulatory Compliance and Ethics | 15% | - Legislative updates including 21st Century Cures Act - Ethical standards and industry conduct - Federal and state regulations |
| Health Plan Operations | 20% | - Information technology and health plan systems - Underwriting and rating principles - Claims administration and processing |
| Government Healthcare Programs | 15% | - Affordable Care Act and regulatory impact - Medicaid and CHIP programs - Medicare program structure and coverage |
| Provider Network Management | 15% | - Quality and performance measurement - Network design and contracting - Provider compensation models |
| Evolution of US Healthcare Delivery and Financing | 15% | - Historical development of health insurance - From prepaid plans to accountable care organizations (ACOs) |
| Health Plan Organizations and Models | 20% | - HMO, PPO, POS, and managed indemnity plans - Structure and types of health insurance providers - Consumer-directed plans: HSAs, HRAs, FSAs |

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