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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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| Section | Weight | Objectives |
|---|---|---|
| Government Healthcare Programs | 15% | - Medicare program structure and coverage - Affordable Care Act and regulatory impact - Medicaid and CHIP programs |
| Evolution of US Healthcare Delivery and Financing | 15% | - Historical development of health insurance - From prepaid plans to accountable care organizations (ACOs) |
| Regulatory Compliance and Ethics | 15% | - Federal and state regulations - Ethical standards and industry conduct - Legislative updates including 21st Century Cures Act |
| Health Plan Operations | 20% | - Claims administration and processing - Information technology and health plan systems - Underwriting and rating principles |
| 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 |
| Provider Network Management | 15% | - Provider compensation models - Quality and performance measurement - Network design and contracting |
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