|
|
Program Data Management |
| Program data management can help you identify the most costly conditions for the health plan and for specific employer groups. We help tailor medical management programs to fit your organizations and bridge the gap between various components such as case management, disease management, and pharmacy management. |
|
|
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. |
| |
|
|
|
Benchmark Utilization Data
|
|
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. |
| |
|
|
|
Benchmarking Tools
|
|
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. |
| |
|
|
|
Data Management Outsourcing
|
|
The Reden & Anders team of specialists can extract key information from the large data sets maintained by health insurers. Our actuaries and information systems analysts are experienced in converting data from multiple systems into a "scrubbed" data set. From there, we will put the information to work for you tracking and reporting cost patterns, quality, utilization, demographics, and much more. |
| |
|
|
|
Medical Expense Benchmarking & Analysis
|
|
With margins razor thin in the increasingly competitive health care market, it is important for health plans, insurers, and at-risk providers to understand how their experience compares to realistic and achievable industry benchmarks. |
| |
|
|
|
Network & Clinical Care Management
|
|
By working with you to develop targeted clinical and quality strategies, Reden & Anders consultants can help you to strengthen care and cost outcomes as well as measures of quality and performance. |
| |
|
|
|
Trend Management Tools
|
|
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. |
| |
|
|
|
|
|
Questions? To discuss how we can help your organization, please contact us: info@reden-anders.com or (800) 765-6042 |
|
|
|
|
|
|