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Health Risk Solutions |
| Reden & Anders provides health risk services to help you control medical and financial risk. |
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Services & Tools:
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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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Benchmarking Tools
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With benchmarking tools that evaluate your data against national, regional, and industry statistics, you can better manage costs, design more equitable reimbursement contracts, drive performance improvements, and identify opportunities to boost quality of care. |
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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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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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Risk Management Consulting
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Risk management is a major part of your business. Yet the risks are greater than ever in today’s health care delivery system. Negative care and cost results are increasingly possible. |
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Trend Management Tools
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Reden & Anders trend management experts can help you reveal your medical cost drivers, accurately identify health care cost trend drivers, and pinpoint outlier trends that require additional analysis. Our medical cost analytic applications can run complex statistical analyses on your health care data, and represent the findings in a user-friendly, graphical format. |
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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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