Public Sector

Payer Consulting

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.

Our fact-based analytical tools enable you to continuously monitor and improve your quality of care, as well as create strategic plans based on emerging market and member trends.


Strengthen financial, clinical, and business outcomes

Health plans are at a challenging crossroads right now. Increasing health care costs, rising premium rates and other social, demographic, and economic forces are hindering your ability to attain your goals. You need practical, leading-edge advice about industry developments such as consumer-driven health benefits, small-group health plans, and self-insured/self-funded products. At Reden & Anders, our consultants are ready to put their decades of experience—and in-depth knowledge of the industry—to work for you.

Our services for health plans include:

  • Actuarial consulting
  • Underwriting/rating
  • Medical cost trend management
  • Provider and vendor contracting
  • Product strategy, development and launch
  • Strategic and business planning
  • Mergers and acquisitions

See the whole picture

We will look at your organization from many points of view, from the big strategic picture to close-ups of specific functions or opportunity areas. While our ultimate objective will be to help you develop strategies and products that achieve financial goals, manage business risks, and deliver ROI, we also will focus on improvements to medical cost structures, business operations, product development, marketing, trend planning, and health intelligence systems.

Use our experience to advance your plan

Our resources further boost our effectiveness. An experienced research team, the country’s largest database of health plan experience, and a leading-edge arsenal of analytic tools and pricing models add depth and breadth to our consulting services. When you work with Reden & Anders, you work with a team that knows all aspects of health plans, from HMOs, PPOs, and traditional commercial options to consumer-driven plans and other emerging structures to government plans like Medicare and Medicaid.