Healthcare Management: An Introduction AHM-250 Exam
Healthcare Management: An Introduction AHM-250 Exam is designed by the Academy of Health Care Administration (AHM) and sponsored by the US Health Insurance Plans and the Blue Cross Blue Shield Association. AHM is a self-study examination based program. AHM-250 Exam validates candidates have the knowledge to survey of health insurance plans, their fundamentals, philosophy, and terminology. This exam also verifies the candidates have a strong understanding of the types of health insurance plans, their products, major operational areas of health plans, the impact of legislation, regulation on health plan and have deep knowledge of ethical problems affecting the health plan industry.
Reference: https://www.ahip.org/courses/healthcare-management-an-introduction-ahm250
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Who should take the AHM-250 exam
- Case administrators and medical directors who inquire a broader administrative background
- Agents and brokers who expert in life and health insurance
- Employees who work for health care providers or health insurance plans and want to get the educational background to proceed with a management position in the industry
- Medical management employees working in hospitals, health systems, and, health insurance plans
- Financial executives working with clients looking to maximize their health dollars
- Teachers at the school level who teach health care administration
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The Healthcare Management: An Introduction AHM-250 Exam certification path includes only one AHM-250 certification exam.
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AHIP AHM-250 Exam Syllabus Topics:
| Section | Objectives |
|---|---|
| Provider Compensation, Underwriting, and Claims Administration | |
| Health Plan Types (HMOs, PPOs, POS, etc.) | |
| Health Plan Benefits, Networks, and Consumer-Directed Plans | |
| Basic Concepts of Health Insurance Provider Organizations | |
| Evolution of Health Care Delivery and Financing | |
| Regulatory and Legislative Issues (e.g., ACA, Medicare, Medicaid) | |
| Quality Management and Performance Measures | |
| Ethical Issues in Health Plans |






