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Payers and Insurers

Payers and Health Plans

Assuring provider success through high-quality education

Bridging the gap between payers and providers using targeted education,
to align and meet organizational goals

Successful payers and insurers differentiate themselves by investing in their providers’ success,
which drives better health outcomes, increases patient satisfaction, and reduces unnecessary costs.


Driving Positive Patient Outcomes and Satisfaction

Ensure that your providers understand different elements of whole-person care, including social health, to deliver better care.

Social Determinants of Health


Building Internal Expertise Around Integrated Care

Prepare providers in all settings to effectively treat co-occuring physical and behavioral health conditions.

Opioid Abuse

Value-Based Purchasing

Reducing Costs Related to Chronic Diseases

Accurately assess, treat, and manage complex clients with multiple chronic diseases, while working together in effective care teams.

Chronic Diseases

Your Industry

Select your industry to learn more

Medicaid Managed Care Organizations

Accountable Care Organizations

State Medicaid

Commercial Payers and Insurers

Chronic Disease Management

Invest in comprehensive chronic disease management to improve performance while reducing costs

Educate Providers on Individual and Co-Morbid Conditions

With healthcare transitioning more and more to value-based models, invest in areas that impact significant cost drivers and key performance measures. One of those areas is chronic disease management, the single highest cost driver in healthcare for payers, providers, and patients alike.

However, educating on individual chronic diseases is no longer enough with increasingly present behavioral health conditions. Staff and providers, also need to be well-versed in how comorbidity plays a factor into the presenting conditions to treat the whole person.



Up-to-date Compliance Regulatory Training & Reporting

Effectively and consistently deliver provider communication and training


Don't Settle for Traditional Methods for Compliance Tracking

Are you relying on that voluntary “website click” to meet your mandatory CMS requirements? Knowing the steep legal and monetary consequences of compliance failures and errors, what if there was a better way to mitigate the risks, while reporting on attestations?

Easily push out compliance training and essential communication to improve the overall alignment of your network through a dedicated provider LMS. Manage contracts more easily and reduce time intensive and costly methods of keeping providers informed and compliant.

Our new Compliance & Regulatory Training Package consists of comprehensive online courses that cover the mandatory CMS training requirements and the courses are updated and maintained by Relias Learning!


The Art and Science behind Adult Learning

Interactive and engaging courses ensure better learner comprehension and retention

High-Quality, Relevant Training Improves Provider Performance

According to the Father of Adult Learning, Malcolm Knowles, adults learn differently from children. Therefore, to be successful, adult learning must incorporate 4 elements:

  1. Adults need to be involved in their education plan
  2. Prior experiences must be leveraged and referenced
  3. Learning needs to be relevant and applicable
  4. Material must be specific

Using these principles, our courses are designed to be engaging and effective, so that information is retained and immediately applied during care delivery. Relias Learning has also developed innovative tools such as, game elements, micro-learning and simulations.



Relias Clinical Solutions and Learning Paths for Your Providers

Targeted training for improving provider performance

Relias Clinical Solutions and Learning Paths for Payers

Focus your learning programs on activities designed to change provider habits, improve clinical outcomes and reduce cost exposure.

Providers whose practice patterns fall outside of targets and parameters are often associated with the risk for poor outcomes, and can have negative effects on financial performance. Relias Clinical Solutions and paths help payers mitigate this risk by focusing training on gaps in performance and strengths, and assessing improvement.

Clinical Solutions and paths are prescriptive and include pre- and post-assessment to measure growth as well as scenario-based content to test learning. Clinical Solutions and paths target and assesses competencies by focusing on key performance indicators to identify gaps. Training is then assigned in areas of need to providers not performing well in specific areas.

  • Social Determinants of Health (SDoH)
  • Avoidable Readmission Reductions
  • Preventing Opioid Misuse and Abuse
  • Patient Experience


We work with industry-leading partners to create high quality content to ensure our training meets your needs.


Resources for Payers

Browse resources curated for insurers and payers


June 21 , 2018

Health and Human Services Payers Integrated Care Behavioral Health Analytics

Integrated Care in a Value-Based World for Health Systems

In this webinar, we discuss how a rich performance management analytics solution can work in tandem with existing clinical initiatives targeting high-risk populations.


June 07 , 2018

Health and Human Services Payers Integrated Care Acute Care Analytics

Behavioral Health and Substance Use Disorder Presentations in the Emergency Department

The mental health and substance use crisis in the United States has had a major impact on emergency departments, which often act as a safety net for people experiencing a mental health or substance use concern. Watch this on-demand webinar to learn how to get better at community-based treatments.


May 02 , 2018

Health and Human Services Payers Acute Care Analytics Behavioral and Community Health Population Health Management

Why Is It So Hard to Take Care of Ourselves?

Evidence shows that one of the three keys to avoiding unnecessary hospitalizations is taking medications per the doctor’s order. Watch this webinar to learn how care providers can get better in supporting consumer self-care and, specifically, medication adherence.