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AHIP AHM-530 Exam Syllabus Topics:

TopicDetails
Topic 1
  • Map out how health insurance providers select, contract with, and compensate specialists and health care facilities
  • Learn the process for network provider selection
Topic 2
  • Gain a detailed understanding of the scope and organization of the network management function within health insurance provider organizations
Topic 3
  • Explore how health insurance providers ensure their provider networks remain adequate to meet member needs
  • Understand how network strategies improve access, quality, and cost-effectiveness

Reference: https://www.ahip.org/courses/network-management-ahm530

Network Management AHM-530 Exam

Network Management AHM-530 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-530 Exam validates candidate has knowledge about the network management function in health insurance plans. This exam also verifies the candidate has a strong understanding of network development strategies such as risk management, recruiting, selection and contracting and network maintenance strategies such as managing provider performance and feedback.

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