Public Sector

Network Management Solutions

The Reden & Anders and Ingenix team assists and supports the building of tiered provider networks by stratifying providers based upon efficiency and compliance with industry-standard care guidelines. We work with the public sector plan sponsors and all affected constituencies to facilitate measurement acceptance and continual provider network improvement.

Categories:


Credentialing
Streamline the entire credentialing process with Reden & Anders Credentialing—a simpler, more cost-effective way to gather, verify, and manage provider data. Whether you delegate part or all of your credentialing, Reden & Anders Credentialing services and tools provide fast, effective, and comprehensive solutions to satisfy NCQA, URAC, and JCAHO. requirements.
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Network Analysis Solutions
Rely on Reden & Anders’ expertise for your critical operations and planning needs including market segmentation and network analysis.
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Pay-for-Performance Plan Design Solutions
Reden & Anders can help you examine health plan strategies, planning, development, and implementation of pay-for-performance programs.
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Provider Performance Measurement Solutions
We help you move quickly and avoid confusing or wasteful measurement efforts and enable you to recognize and reward clinical excellence based on precise streams of measurement and accountability.
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Reimbursement Analysis Solutions
Using your historical claims data, Reden & Anders can help you assess the reimbursement and financial performance of each contract.
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