Public Sector

Reden & Anders can help forecast the short- and long-term needs of different public sector program populations. We work with you to develop targeted clinical and quality strategies to enable you to strengthen care and cost outcomes using industry accepted measures of quality and performance.

Consumer Solutions provides the data, tools, and consulting expertise necessary for integrating health plan and program design, activation planning, and evaluation and measurement as well as the technology tools to support consumer health decisions.

The use of data and hard evidence provides employers with more accurate and consistent information to manage costs and develop workforce health strategies. Our Data and Information Management Solutions combine deep data, potent analytic tools, and rigorous methodology to help you identify, monitor, fix, and continually reduce controllable aspects of health care—all in the normal course of your business.

Reden & Anders can help public sector plan sponsors manage short- and long-term plan costs with solutions that benefit both beneficiaries and providers. Additionally, we help program sponsors comply with the administrative and regulatory requirements of these programs.

Health Management Solutions offer the tools and resources to help health plan sponsors understand, predict, and influence consumer health and productive behaviors across the entire health continuum, including primary prevention, risk reduction, and effective disease management.

Reden & Anders helps you make the most of your Medicaid relationships. The inherent risks and special needs associated with the Medicaid population can make it a challenge to improve access, quality, and cost-effectiveness while striving to achieve clinical and financial goals. Further, complex Medicaid requirements and regulations vary by state. We offer a comprehensive line of consulting services, actuarial tools, forecasting and pricing models, and databases to help you make more-informed decisions, streamline required filings, understand and achieve state-by-state compliance, and financially assess proposals and contracts. We have extensive experience with the acute care services of the Temporary Assistance for Needy Families (TANF)- and Supplemental Security Income (SSI)-related populations as well as long-term care services for the Medicaid population. With offices and staff members across the country, we can easily access resources familiar with your state's requirements.

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.

The Reden & Anders and Ingenix team assists and supports the building of tiered provider networks by stratifying providers based upon efficiency and compliance with industry-standard care guidelines. We work with the public sector plan sponsors and all affected constituencies to facilitate measurement acceptance and continual provider network improvement.