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Actuarial Consulting Solutions |
| 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. |
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Services & Tools:
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Actuarial Consulting
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Our actuarial consulting services help you predict and manage business risks, match revenues and expenses, and forecast demand. We help negotiate risk-adjusted contracts and develop products, services, and delivery systems. |
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Actuarial Toolbox
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Reden & Anders built a strong reputation in the health care industry by developing sophisticated tools and models that deliver value-added services to our clients. These tools are packaged together in the Reden & Anders Actuarial Toolbox™. |
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CDH Pricing Model
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Unless new consumer-driven health (CDH) products include the right incentives and consumer educational tools to affect the high utilization patterns of employees, the total cost of providing health care benefits is unlikely to change. |
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Contract Rate Model
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Reden & Anders helps you to calculate the average contract size (members per contract) and the average age-gender factor by contract type based on the inputted distribution of employees by age-gender-contract cohort. |
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Demand Forecasting Model
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The Demand Forecasting Model prepares forecasts of future health care demand by DRG, by product line (HMO, PPO, indemnity, Medicare, etc.), and by geographic location. For each product line, you can compare your current market share to current total demand to assess areas of investment for expansion. |
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Drug Pricing Model
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The Reden & Anders Drug Pricing Model provides users with the ultimate tool for evaluating the impact on net prescription drug expense. This model develops per-member-per-month (pmpm) expense estimates on both a gross and net basis by re-adjudicating actual claims. |
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Excess-of-Loss Rating Model
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The Reden & Anders Excess-of-Loss Rating Models develop excess-of-loss premium rates for various populations with two tools; the Hospital Model calculates rates for hospital-only and global coverages and the Physician Model calculates rates for professional coverages. |
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Medical Expense Model
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The Reden & Anders Medical Expense Models provide users with the ultimate tool for developing forecasts of per member per month (PMPM) medical expenses under a multitude of assumptions. Payers and providers alike will appreciate the flexibility in assessing changes in specialty medical expense budgets due to changing utilization, reimbursement, benefits, and population demographics. |
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Medical Pricing Model
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The Reden & Anders Medical Pricing Model provides the user with the ability to project net covered medical expenses (after member cost sharing) and develop benefit plan relativities for complex benefit structures. |
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Medicare 5% Sample
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The Reden & Anders Medicare 5% Sample Experience Trend Reports provide information on utilization, charge, Medicare allowed per service, and per member per month expense for service categories provided at the facility or by physicians. |
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Payer Consulting
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We help health plans—payers, insurance companies, managed care organizations—develop targeted strategies that more effectively attain financial goals and manage business risks, strategies that also improve medical cost structures, business operations, product development, provider contracting, and business information systems. |
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Reserve Development Model
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The Reden & Anders Reserve Development Model is a Microsoft® Visual Basic-based model that delivers quick calculation of estimated incurred claims and resulting unpaid claim reserves. Projections of incurred claims can be developed under a multitude of assumptions. |
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Questions?
To discuss how we can help your organization, please contact us:
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info@reden-anders.com or
(800) 765-6042 |
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