Public Sector

Provider Contracting Tools

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

Network contracting and evaluation is under scrutiny due to the ever increasing cost of providing health care benefits.


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.

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.

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 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.