Brief Introduction
Pass the AHIP certification on the first attempt. 217 questionsDescription
Exam content :
The evolution of health care delivery and financing in the United States from prepaid plans to ACOs
Basic concepts of health plans
How to distinguish among HMOs, PPOs, POSs, and managed indemnity
Where HSAs and HRAs fit into today’s consumer centric environment
Different types of provider organizations
The importance of network structure and management in delivering quality healthcare.
The interplay of information technology with essential functions of health plan operations
Concepts of rating, underwriting, and claims administration in health plan environments
Important legislative and regulatory issues affecting the health plan industry including the Affordable Care Act (ACA) and the 21st Century Cures Act
The role of government-sponsored programs including Medicare and Medicaid in providing coverage to large segments of the population
*** This course does not content the study material. This course contains 217 questions ***