Payers

Medicare Solutions

Recent legislation has created new opportunities and issues for populations covered by Medicare and the health plans serving them. Further, the growing ranks of older adults and retirees are prompting a host of new challenges for many industry segments. We offer a comprehensive line of Medicare consulting services, actuarial tools, and data to help you leverage this critical area, including financial/marketplace feasibility analyses, assistance with regulatory filings, reimbursement/premium strategies, medical expense utilization, and cost benchmarking.

Categories:


Clinical Management
Reden & Anders’ clinical consultants provide expertise in quality management, utilization management, disease management, and care management.
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Financial Management and Operational Execution
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 to assist with subsidy collection.
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Medicare Bid Services
Reden & Anders consultants and actuaries can answer your questions, address outstanding issues, and help you prepare successful bids for Medicare Advantage and Prescription Drug plans.
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Product Strategy, Development, and Launch Services
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.
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Provider Network Management
Reden & Anders consultants can assist you in developing and evaluating provider networks and contracts for new plans and support network expansion of existing plans.
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Regulatory Compliance
Reden & Anders Medicare compliance consultants can help your company business practices function in accordance with applicable regulations, laws, policies, and procedures.
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