Managed Care Organizations

Improve Quality While Keeping Costs In Check

With Relias solutions for MCOs, you can monitor and improve provider habits, patient health and your bottom line.

INVESTING IN YOUR PROVIDERS TO MEET YOUR POPULATION NEEDS

Relias bridges the gap between MCOs, their provider network, and patient members using data analytics, quality monitoring and targeted education to align with and meet organizational goals. We help you close care and cost gaps. By investing in their providers’ success, our clients see better health outcomes, increased patient satisfaction, and reduced cost.

GET BETTER INSIGHTS
AND BETTER OUTCOMES

Better standardized care delivery keeps care quality high and costs from rising. Relias helps identify providers with metrics outside of best practices, and engage them to bring benchmarks in line.

Single Source of Truth for MCOs

Pressure to deliver better care while reducing costs demands MCOs manage population health, assess performance, and benchmark universally.

Social Determinants & Satisfaction

Ensure that your providers understand different social health factors and how they influence patient treatment and management to provide improved whole-person care.

Behavioral Health in the Emergency Department

Avoid sub-optimal outcomes and quality of care, along with longer stays, more transfers, avoidable readmissions, and higher costs.

White Paper :

Provider Investment Plan for Value-Based Success
A framework for value-based success with a Provider Investment Plan by Tom Friedman.

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Get A Personalized Product Demo That Meets Your Needs

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STAY COMPLIANT
WITH SHIFTING MANDATES

Keep compliant with requirements for CMS, while keeping staff informed about new regulation developments. You will also benefit from automated tools to deliver, track, and report regulatory compliance

CE/CME and CMS Compliance Training

Relias provides the most current CMS regulatory training through an easy-to-use online platform – with cost savings over traditional methods.

Relias Clinical Solutions

Target costly behaviors that cause variation with assignable groups of courses that begin and end with assessments to gauge the knowledge gained by your clinicians.

TREATING AND MANAGING COMPLEX, HIGH-RISK PATIENTS

Train your clinicians, staff, and physicians in the correct diagnosis and treatment of high-risk, complex patients and those with chronic, co-occurring behavioral and physical health conditions.

Managing Chronic Disease

Build care teams who are prepared and educated on correctly identifying and managing complex patients, and avoid incorrect diagnoses or unnecessary readmissions.

Population Health Management

Understand what is driving cost and quality variation across a population, identify high-risk patients, address underperforming care settings, and create an accountable culture.

Practice Performance Management

Relias Practice Performance leverages the power of analytics to align providers with health plan goals and empowers them to lead value-based care transformation.

Checklist :

Successfully Manage Costly Chronic Diseases
Assess your current management and get tips to do better.

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ADDRESS OPIOID PRESCRIBING, MISUSE, AND ABUSE

Relias is your partner in an opioid crisis response - our Opioid Risk Solution paired with targeted provider education will identify and reduce risk in prescribing behavior and patient care.

Relias Opioid Risk Stratification

Create a registry of patients identified at risk for opioid misuse or dependence, drill down on member info, and monitor prescriber and pharmacy habits.

Targeted Prescriber Opioid CMEs

Measure care value and enable providers with a solution that immediately identifies opioid care gaps and highlights opportunities that decrease cost and risk.

White Paper :

Roadmap to Fighting the Opioid Epidemic
Best practices for use disorder identification, intervention, and treatment

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