Exam Name: Healthcare Management: An Introduction
Certification Provider: AHIP
Corresponding Certification: AHIP Certification
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Updated: Sep 08, 2026
No. of Questions: 367 Questions & Answers with Testing Engine
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Who should take the AHM-250 exam
- Case administrators and medical directors who inquire a broader administrative background
- Financial executives working with clients looking to maximize their health dollars
- 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
- Teachers at the school level who teach health care administration
Reference: https://www.ahip.org/courses/healthcare-management-an-introduction-ahm250
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What is the duration of the AHM-250 Exam
- Length of Examination: 90 minutes
- Format: Multiple choices, multiple answers
- Number of Questions: 367
AHIP AHM-250 Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Regulatory Compliance and Ethics | 15% | - Ethical standards and industry conduct - Federal and state regulations - Legislative updates including 21st Century Cures Act |
| Topic 2: Health Plan Organizations and Models | 20% | - Consumer-directed plans: HSAs, HRAs, FSAs - HMO, PPO, POS, and managed indemnity plans - Structure and types of health insurance providers |
| Topic 3: Health Plan Operations | 20% | - Underwriting and rating principles - Claims administration and processing - Information technology and health plan systems |
| Topic 4: Government Healthcare Programs | 15% | - Affordable Care Act and regulatory impact - Medicare program structure and coverage - Medicaid and CHIP programs |
| Topic 5: Evolution of US Healthcare Delivery and Financing | 15% | - Historical development of health insurance - From prepaid plans to accountable care organizations (ACOs) |
| Topic 6: Provider Network Management | 15% | - Network design and contracting - Quality and performance measurement - Provider compensation models |
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