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Product Planning and Development Solutions |
| Reden & Anders experts can demonstrate the benefits of formalized product planning and development processes. Excellent product development planning is an ongoing activity, not a periodic event. We can help see that your entire product line is profitable and worth emphasizing and nurturing for further growth and financial return. |
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Services & Tools:
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Actuarial Consulting
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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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Benefits Modeling
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Reden & Anders Benefits Modeling is a powerful analytical tool and a model; allowing employers to confidently predict plan cost differences, establish desirable plan changes, and identify the affect on employees. |
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CDH Pricing Model
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Unless new consumer-driven health (CDH) products include the right incentives and consumer educational tools to affect the high utilization patterns of employees, the total cost of providing health care benefits is unlikely to change. |
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CDH Product Design Consulting
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Consumer-driven health plans and consumer-choice products are changing the way people use and pay for health care. Every facet of health care must respond accordingly. We can help you see how these changes impact your organization. |
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CDH Rating Methodology
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The Reden & Anders Consumer-Directed Health Rating Methodology helps you evaluate the short- and long-term cost impact. |
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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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Excess-of-Loss Rating Model
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The Reden & Anders Excess-of-Loss Rating Models develop excess-of-loss premium rates for various populations with two tools; the Hospital Model calculates rates for hospital-only and global coverages and the Physician Model calculates rates for professional coverages. |
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Hospital Reimbursement Modeling
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The Reden & Anders Hospital Reimbursement Model provides employers with a powerful tool for evaluating varying reimbursement arrangements for inpatient hospital services.
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Market Assessments
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Attaining broad organizational goals often depends on assessing the market and re-thinking how things are done and how functional areas are organized. |
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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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Medical Pricing Model
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The Reden & Anders Medical Pricing Model provides the user with the ability to project net covered medical expenses (after member cost sharing) and develop benefit plan relativities for complex benefit structures. |
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Medicare Consulting Services
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Legislation has created new opportunities and issues for people and populations covered by Medicare. We offer a comprehensive line of consulting services, actuarial tools, and data to help you leverage this critical area. |
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Payer Consulting
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We help health plans—payers, insurance companies, managed care organizations—develop targeted strategies that more effectively attain financial goals and manage business risks, strategies that also improve medical cost structures, business operations, product development, provider contracting, and business information systems. |
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Regulatory Compliance Consulting
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Reden & Anders assists with Regulatory Compliance Consulting and advisory services for most aspects of compliance. In the complicated regulatory environment, compliance management is essential either due to statutory requirements or as a requirement of global best practice and corporate governance. Our services include compliance documentation, regulatory assistance, compliance audits, and compliance training. |
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Reserve Development Model
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The Reden & Anders Reserve Development Model is a Microsoft® Visual Basic-based model that delivers quick calculation of estimated incurred claims and resulting unpaid claim reserves. Projections of incurred claims can be developed under a multitude of assumptions. |
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Specialty Benefits Consulting
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Our consultants and leading-edge information tools can help you manage disease and care management program vendors, pharmacy benefit managers, laboratory services, home infusion, and other health care vendors and specialized benefits providers. |
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Strategic and Operational Consulting
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Attaining broad organizational goals often depends on rethinking how things are done and how functional areas are organized and work together. In Strategic & Operational Consulting, we blend our health care and finance expertise to provide actionable advice on strategic business issues. |
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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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