Consumers

Consumers

The greatest challenge surrounding “Consumerism” for health plans and employers is to understand what consumer products and tools they should offer that best fits their business strategy, operational capabilities, and their consumers’ needs. Consumer products are much different than traditional plan products and require their own unique operational needs. Many plans cannot afford not to offer a consumer-related product for fear of losing market share or being adversely selected. Rapidly evolving consumer tools help consumers evaluate their health plan’s benefits, provider quality, and cost. Once these new tools are implemented, consumers need to be activated and involved in improving their health. Plans may offer a consumer product, but lack the strategy to activate the consumer. Reden & Anders can help you develop, buy, or build a consumer product that best fits your market, business needs, and operational capabilities. Our decision support solutions can help as you research and

Reden & Anders, a strategic partner to help you develop a clear consumerism strategy to position the right product to the right market.


Solutions:


Care Management Solutions
We help provide insight and analysis on alternative solutions that address health, care, and costs relevant to all life stages (e.g., employed/unemployed, pre-retirement, 65+ and post-retirement). We lead the industry in developing innovations in coaching—wellness, chronic care, “value” coaching—along with other programs aimed at improving health status through the care continuum. Our tools will help your organization:
  • Enable earlier identification of chronically-ill patients (e.g., ETGs®, ERGs®, and PRGs®)
  • Measure the impact on claims costs of consumer choices and behavior
  • Project the anticipated impact to claims costs from innovations in treatment.
Our evidence-based analyses and performance measurement techniques will help guide your care management decisions (e.g., program value and vendor selection).
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Consumer Engagement Solutions
Reden & Anders will provide tools and expertise to engage consumers to take responsibility for their health. Our communication, decision-support, and incentive strategies have helped stakeholders:
  • Develop effective activation programs
  • Create education modules to improve health literacy
  • Tailor outreach programs to achieve desired enrolment selection
  • Install web-based consumer empowerment tools, including Treatment Cost Estimator™, Plan Cost Estimator™, and ProviderLookup Online
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Consumer Product Solutions
Reden & Anders will help support your activities to increase penetration of consumer-directed plan offerings and consumerism features across all plan types. We have been advising stakeholders from the beginning of the movement as it relates to product portfolio strategies that achieve financial, market, and consumer responsibility goals. Our benefit pricing tools are based on perhaps the largest database of consumer-directed claim cost experience that includes related HSA/HRA account experience. We will leverage our experience and resources to help you improve existing and develop new product/service offerings that match “the right products to the right markets.”
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Network and Provider Management Solutions
Let Reden & Anders be the catalyst to drive innovation in your provider network management activities. Our tools and resources will enable your organization to accelerate the development of price and quality transparency initiatives. We have assisted stakeholders in the development of pay-for-performance and tiered-network programs. We also have driven the development of customized networks that simultaneously produce an optimal balance on specific network attributes such as:
  • Access—leveraging our GeoAccess® and DisruptionAnalysis® tools
  • Quality—leveraging our EBM Connect™ and Symmetry ETG® tools
  • Utilization
  • Affordability or cost
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