Payers

ReimbursementAnalysis™ Solutions

ReimbursementAnalysis is a detailed, consultative analysis providing a comparison of contracted reimbursement rates for payers. Reden & Anders consultants use ReimbursementAnalysis to provide payers with specific, actionable, competitive, and financial data for negotiating provider contracts. Using ReimbursementAnalysis results helps level the playing field in provider negotiations.

ReimbursementAnalysis can help you:

  • Identify providers with the most opportunity to effect contract negotiations
  • Develop an in-depth knowledge of key providers and let them know you understand their business
  • Validate or contradict assertions made by providers in contract negotiations
  • Identify leverage points to help you move towards best-in-class or market competitive rates

Services & Tools:


Actuarial Consulting
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
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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Decision Support Tools
Reden & Anders is a national actuarial and clinical consulting firm specializing in financial and business decision support for the health care industry. As a result, we have a first-hand understanding of the varied issues and opportunities facing public sector health programs today—and those likely to appear tomorrow.
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Fee Analyzer
The Reden & Anders Fee Analyzer is a tool which provides users with an efficient method to evaluate physician fee schedules. Evaluations can be performed against the widely used Medicare benchmark fee schedule as well as against any other fee schedule.
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Provider Contracting Analysis
Reden & Anders experts can assist you with provider profiling and credentialing in conjunction with selective contracting of providers from networks to give your enrollees access to high quality treatment at competitive costs.
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