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With Relias solutions for MCOs, you can monitor and improve provider habits, patient health and your bottom line.
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.
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.
Pressure to deliver better care while reducing costs demands MCOs manage population health, assess performance, and benchmark universally.
Ensure that your providers understand different social health factors and how they influence patient treatment and management to provide improved whole-person care.
Avoid sub-optimal outcomes and quality of care, along with longer stays, more transfers, avoidable readmissions, and higher costs.
Provider Investment Plan for Value-Based Success A framework for value-based success with a Provider Investment Plan by Tom Friedman.
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
Relias provides the most current CMS regulatory training through an easy-to-use online platform – with cost savings over traditional methods.
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.
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.
Build care teams who are prepared and educated on correctly identifying and managing complex patients, and avoid incorrect diagnoses or unnecessary readmissions.
Understand what is driving cost and quality variation across a population, identify high-risk patients, address underperforming care settings, and create an accountable culture.
Relias Practice Performance leverages the power of analytics to align providers with health plan goals and empowers them to lead value-based care transformation.
Successfully Manage Costly Chronic Diseases Assess your current management and get tips to do better.
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.
Create a registry of patients identified at risk for opioid misuse or dependence, drill down on member info, and monitor prescriber and pharmacy habits.
Measure care value and enable providers with a solution that immediately identifies opioid care gaps and highlights opportunities that decrease cost and risk.
Roadmap to Fighting the Opioid Epidemic Best practices for use disorder identification, intervention, and treatment
Designed to meet the needs of Managed Care Organizations.
Our training platform manages and tracks regulatory compliance so you don’t have to.
Engage and equip staff to contribute more quickly and effectively.
Remedies to retain your best talent, at every stage, all in one place.
to find out more about our training and resources.