Public Sector

Operational Consulting

Reden & Anders offers state-of-the-art financial and actuarial consulting services and expertise in operational consulting. We can provide valuable consulting services for a number of Medicaid specific operational areas including, but not limited to, medical management, fraud and abuse, and grievance and appeals. The various Medicaid populations require different medical management protocols and grievance and appeals policies and procedures vary from state to state. Our expert staff of clinical and operational consultants can help your organization navigate these areas and develop best practices.

Services & Tools:


Ingenix Health Technology Pipeline
This management tool is one of the few publicly available sources of information that contains both a comprehensive identification of developing health technologies as well as a projected cost impact and suggestions for operational adjustments to minimize costs. It combines the clinical information in the pipeline with financial forecasts so you can anticipate your future medical expenses and plan accordingly.
Learn More

Medicaid Consulting Services
Through our expertise, analytical tools, and pricing models, we help health plans, providers, and other public and private groups design and execute innovative, risk-managed strategies for improving access, quality and cost effectiveness in the state-run Medicaid programs.
Learn More

Trend Forecast Model
The complexities in current health care costs require a new approach to managing trend forecasting. While all payer groups manage their trend forecasting process, the level of depth varies based on size and complexities of each organization.
Learn More