Medicare Services

Reden & Anders Medicare compliance consultants can help you ensure that your company business practices are in accordance with applicable regulations, laws, policies, and procedures.

Reden & Anders’ clinical consultants provide expertise in quality management, utilization management, disease management, and care management.

Reden & Anders’ expertise in financial management and operational execution helps ensure the optimal implementation and execution of your plans. We can provide financial modelling, business planning, and revenue optimization and compile and submit the appropriate claims data to the Centers for Medicare and Medicaid Services. We can assist with financial reporting, reserve estimates, and trend analysis. Reden & Anders also provides services related to RAPS data, risk score analysis, and impact on reserve.

Reden & Anders consultants work closely with you to evaluate your current Medicare market position, take optimal advantage of emerging opportunities, design new product strategies, and refine existing products. We focus on the financial viability of your offerings and work with you to develop operational, clinical, and marketing strategies. Reden & Anders can help you prepare applications for CMS filings for states, and implement successful product launches for Medicare Advantage, Medicare Supplement products, and Prescription Drug Plans.

Reden & Anders provides detailed financial analytics for provider contracts including facility, physician, and ancillary services. Many Medicare health plans utilize the fee-for-service Medicare provider contract as the basis for their own provider contracts. These provider contracts often contain complex structures that can be difficult to analyze. We have the tools and expertise to effectively investigate these complex contracts and provide meaningful analyses.