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state medicaid agencies

State Medicaid Agencies

Improve care planning and delivery for vulnerable populations

Securing Financial Stability and Creating High-Performing Teams

More and more of your vulnerable populations are moving into managed care. Prepare your providers for this change with the right education tools and resources so they can truly understand their patients and provide customized care.

maintaining compliance

Maintaining Compliance Amidst Changing Mandates

Ensure compliance under federal and state regulations, including any changes under the new administration.
treating high risk patients

Treating and Managing Complex, High-Risk Patients

Educate on best practices for actively managing complex, high-risk populations, in order to reduce short and long term costs.
impacting patient satisfaction

Impacting Patient Satisfaction using Social Determinants

Deliver whole-person care by educating staff on all health factors, such as social determinants, to increase patient satisfaction and retention.

Staying Compliant During Transitioning Regulations

Communicate current compliance requirements for CMS and the State, while keeping informed about new regulation developments.

Deliver consistent, reliable compliance training to all levels of state and provider staff

In healthcare, complying with federal and state mandates is always top of mind. New benefit rules or regulations will have an impact on your business and how you and your providers deliver care.                      

Ensure that all provider staff is consistently trained on mandatory requirements to fulfill performance and value-based guidelines. Create a strong compliance culture that promotes both clinical and regulatory expertise. Clinical expertise can identify areas of risk in care delivery, while regulatory expertise can help avoid non-compliance offenses.

Relias provides the most current CMS regulatory training through an easy-to-use online platform- all at a tremendous cost savings over traditional methods. Automate your distribution of training, as well as any provider communications, while tracking compliance and reporting on attestations.

View our new CMS Regulatory Package and learn more about delivering, maintaining, and tracking compliance.

staying compliant during transitioning regulations

Sucessfully Managing High-Cost Populations

Train your providers' staff and physicians to be able to correctly diagnose and treat high-risk, complex patients.

treating complex patients

Build knowledgeable teams who are equipped to treat complex patients

Since the passage of the ACA, healthcare has become available to a wider net of clients, including those with chronic conditions or serious co-occuring physical and behavioral health conditions.

Initiatives targeted towards the newly insured, high-risk patients, have become an avenue for payers to improve care and reduce costs.  Build and train care teams who are thoroughly prepared and educated on correctly identifying and managing complex patients. Avoid spending your already stretched finances on incorrect diagnoses or multiplied readmissions.

Learn more about educating providers on managing complex populations and successfully managing chronic diseases.


Increase Patient Satisfaction Using Knowledge on Social Health Factors

Provide comprehensive education on social health factors that contribute to the treatment and management of members.

Incorporate social and external factors into the member care

Of the multiple factors that influence a person’s health, the healthcare community has mainly focused on family history, diet, and clinic data. Growing research is indicating that there are social factors, such as education and housing, that need to be taken into consideration during patient care.

Ensure that your providers understand different social health factors and how they can influence patient treatment and management. Physicians and staff who are well-trained on the impact of different social factors are able to provide better whole-person care, which includes increased communication and more relational trust-building. Through customized care experiences, patients are more satisfied and likely to stay.

Learn more about improving your care experience through education on different social health factors.

social determinants of health


Helpful payer resources available for download.


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.

White Paper

May 01 , 2018

Health and Human Services Payers Analytics Population Health Management

Predictive Modeling and the Unique Contribution of Relias Analytics

With the new emphasis on population health and accountable care has come increasing interest in the possibility that health care outcomes can be predicted and those most likely to become sick identified and offered prophylactic care. Download this white paper to learn challenges, successes, and how to move from risk-prediction to risk-prevention.

White Paper

February 22 , 2018

Payers MACRA

MACRA Is Here! (And It Will Make or Break Your Reimbursement)

A comprehensive, easy-to-digest white paper to help you navigate the ins and outs of all things MACRA. Learn more about preparing for changes, Medicare Part B Reimbursement, and understanding your options.