Public Sector

Network Contracting Assistance

Network contracting and evaluation is under scrutiny due to the ever increasing cost of providing health care benefits. Employer C-level executives are increasingly involved in health-plan decision making to help contain or reduce costs because these decisions impact their bottom line.

Reden & Anders, a strategic partner to help you find, use, and analyze data to identify and evaluate providers that are superior performers.

Stay on top of industry trends
New tools, new technology, and the Centers for Medicare & Medicaid Services’ (CMS) adoption of severity-adjusted Diagnosis-Related Groups (DRGs) and numerous pay-for-performance initiatives will drastically legitimize these cost-saving efforts in the near future. Consumerism will result in cost and quality scores being available to patients or members, and CMS’ involvement will result in standardized quality and severity measures.

Value
• Develop a foundation for effective pay-for-performance initiatives
• Evaluate contracts to measure savings
• Meet the demand for transparency in health care cost and quality

Keys to success
Provider contracting and change management are key to a successful pay-for-performance program. We will work with you in developing state-of-the-art programs that can be implemented without massive administrative costs.