Public Sector

Medicare Advantage Bidding Services

Reden & Anders has expertise gained from assisting more than 100 Medicare Advantage and Prescription drug Plan contractors prepare their annual bid proposals to submit to CMS. Typically, these projects begin in January and are completed in early June to meet CMS submission deadlines.

Reden & Anders can also assist you with the development and completion of the Medicare Advantage competitive bids for both Part C and Part D services.


Comprehensive services

The Medicare Advantage Bid process includes collecting and evaluating plan data, including identification of data collection problems and Developing base year expenses and trends and reconciling expenses to reported financial statements.

Value

  • Project contract year expenses and revenues using Reden & Anders models and tools based on historical Medicare Advantage plan experience. Projections reflect consideration of changes relating to benefit plan design, provider reimbursement, changes in demographic and risk profile of the covered population, and utilization trend, risk, and trend.
  • Interactive consultative process to program sensitivity analysis and evaluate effect on financial results.
  • Providing final bid worksheets and development of documentation meeting CMS guideline expectations.

Develop contract year expense and revenue

We will help you develop your contract year expense and revenue via Reden & Anders models and tools, using the base year Medicare Advantage experience for benefit design and provider contracting decisions.

Prepare accurate documentation

Finally, we assist in d rafting bid worksheets for your review and provide final bid worksheets and development documentation.