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Pricing Support |
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Services & Tools:
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Benefit Plan Pricer
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The Reden & Anders Benefit Plan Pricer was developed to provide users with a quick way to evaluate the differences between several deductible and coinsurance plan design options. |
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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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CDH Rating Methodology
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The Reden & Anders Consumer-Directed Health Rating Methodology helps you evaluate the short- and long-term cost impact. |
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Commercial Rating Assistance
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Our experienced health underwriting consultants understand that the micro-decisions made during the underwriting and rating process can powerfully impact the macro-performance of your organization. |
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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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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 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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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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Pricing and Underwriting
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The expertise of our underwriting consultants is supported by an arsenal of rules-based tools and forecasting and pricing models that boost the efficiency, effectiveness, and results of underwriting and rating. Broad services include operational reviews, pricing and management, risk analysis, and numerous analytical tools for rating individuals and groups. |
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Rating Development
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The expertise of our underwriting consultants is supported by an arsenal of rules-based tools and forecasting and pricing models that boost the efficiency, effectiveness, and results of underwriting and rating. Broad services include operational reviews, pricing and management, risk analysis, and numerous analytical tools for rating individuals and groups. |
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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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