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Healthcare Management: An Introduction
Last Updated: Oct 3, 2024
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367 Questions and Answers for the AHIP AHM-250 exam
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AHIP Healthcare Management: An Introduction Syllabus
- Review relevant terms, industry issues, care scenarios, and concepts/ Understand the basic concepts of health insurance provider organizations
- Delve into legislative and regulatory issues affecting the health insurance industry, including the Affordable Care Act (ACA) and the 21st Century Cures Act
- Understand role of government-sponsored programs, including Medicare and Medicaid, in providing coverage to large segments of the population
- Explore the concepts of rating, underwriting, and claims administration in health insurance provider environments/ Recognize HSAs’ and HRAs’ roles in today’s consumer-centric environment
- Examine the interplay of information technology with essential functions of health insurance provider operations/ Distinguish among HMOs, PPOs, POSs, and managed indemnity
- Gain a practical understanding of the evolution of health care delivery and financing in the United States, from pre-paid plans to ACOs
- Learn the importance of network structure and management in delivering quality healthcare/ Identify different types of health insurance provider organizations