|
|
Stratification |
| Our unique segmentation and targeting gives you a more comprehensive understanding populations and target groups across the health continuum. Our stratification services provide comprehensive member identification stratification, allowing you greater precision in individual and appropriate intervention. It integrates prevention, risk reduction, and disease management as well as outreach, to optimize outcomes. |
|
|
Services & Tools:
|
Clinical Consulting
|
|
Our consultants bring expertise to care management and quality improvement, enabling you to boost care while managing costs. Our services enhance health and wellness programs, quality initiatives, and clinical outcomes.
|
| |
|
|
|
Data Management Outsourcing
|
|
The Reden & Anders team of specialists can extract key information from the large data sets maintained by health insurers. Our actuaries and information systems analysts are experienced in converting data from multiple systems into a "scrubbed" data set. From there, we will put the information to work for you tracking and reporting cost patterns, quality, utilization, demographics, and much more. |
| |
|
|
|
Decision Support Tools
|
|
Reden & Anders is a national actuarial and clinical consulting firm specializing in financial and business decision support for the health care industry. As a result, we have a first-hand understanding of the varied issues and opportunities facing public sector health programs today—and those likely to appear tomorrow. |
| |
|
|
|
Medical Expense Benchmarking & Analysis
|
|
With margins razor thin in the increasingly competitive health care market, it is important for health plans, insurers, and at-risk providers to understand how their experience compares to realistic and achievable industry benchmarks. |
| |
|
|
|
Medical Expense Model
|
|
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. |
| |
|
|
|
Medical Management Consulting
|
|
Actuarial expertise and normative data enables Reden & Anders medical management consulting teams to help you establish appropriate utilization benchmarks and identify your organization’s competitive position. |
| |
|
|
|
Population Profiling
|
|
Reden & Anders consultants can assist you with large-scale population profiling and studies. |
| |
|
|
|
|
|
Questions?
To discuss how we can help your organization, please contact us:
.gif)
info@reden-anders.com or
(800) 765-6042 |
|
|
|
|
|
|
