As cost pressures on employers increase, it is more important than ever for account stakeholders to understand how premium dollars are being utilized. To remain customer-focused and attract and maintain key employer accounts, health plans must provide timely, valuable information on the utilization, cost, and quality experience of those accounts. Reden & Anders and Ingenix support both internal business demands and external reporting requirements and provide account reporting solutions you can make available to your key account stakeholders.

Our actuarial consulting services help you more reliably predict and better manage business risks. Through these services, you can more effectively match revenues and expenses; forecast future demand for your services; negotiate risk-adjusted contracts; and develop financially viable products, services, and delivery systems.

Our services help you with regulatory filings and legislative compliance. Reden & Anders experts provide compliance support for the various laws and regulations applicable to health care finance and delivery. We can consult regarding corporate responsibility and governance; patient safety and quality of care; privacy, data security, and HIPAA compliance; ethics; risk management; and health care cost containment. In addition, we can help you analyze the benchmark approaches to compliance strategies in health care.

Our Cost and Utilization Analysis services and tools can help you determine the right incentives to achieve appropriate utilization and effective cost controls.

Reden & Anders Medicare consultants and actuaries can answer your questions, address any issues, and help you prepare successful bids for Prescription Drug and Medicare Advantage plans.

Our Financial Management services and tools help you develop strategies and products that achieve financial goals, manage business risks, and deliver ROI. In addition, we help you make improvements for medical cost structures, business operations, product development, marketing, trend planning, and health intelligence systems.

Reden & Anders Medicare consultants work closely with you to determine your current Medicare market position and 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 file applications and implement successful product launches for Medicare Part D, Medicare Advantage, Medicare Supplement, Medicare + Choice, and Prescription Drug Plans.

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

Our depth and breadth of industry expertise, analytical tools, and pricing models can help you successfully price plans and products—or profitably respond to them.

Reden & Anders experts can demonstrate the benefits of formalized product planning and development processes. Excellent product development planning is an ongoing activity, not a periodic event. We can help see that your entire product line is profitable and worth emphasizing and nurturing for further growth and financial return.

Gain insight into your organization’s key trend drivers, focus on solving problems, and spend less time sorting through data. We can help analyze plan claims data and quickly identify where health care cost categories deviate from established statistical process control limits on a national or market-by-market basis.

The Reden & Anders Trend Mitigation services and tools can help you minimize costs and maximize savings.

Our health underwriting consultants’ expertise is supported by a full suite of rules-based tools and forecasting and pricing models that boost the efficiency, effectiveness, and results of underwriting and rating.