State Medicaid Agencies

Improve Quality While Keeping Costs In Check

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

INVESTING IN YOUR PROVIDERS TO
MEET YOUR POPULATION NEEDS

Relias tools help bridge the gap among Medicaid agencies, their provider networks and patient members using data analytics, quality monitoring and targeted education to align and meet organizational goals. Our goal is to provide tools to help you close care and cost gaps. By investing in their providers’ success, our clients see better health outcomes, increased patient satisfaction, and cost reduction.

LEVERAGE BETTER INSIGHTS FOR 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

Pressure to both deliver better care while reducing costs means Medicaid organizations need to manage population health, assess performance, and benchmark with a universal tool.

Social Determinants & Satisfaction

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

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TREATING AND MANAGING COMPLEX, HIGH-RISK PATIENTS

Train your clinicians, staff and physicians to be able to correctly diagnose and treat high-risk, complex patients and those with chronic and 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 multiple readmissions.

Population Health Management

See what’s driving a population’s cost and quality variation, identify high-risk patients, address underperforming care settings and create an accountable culture.

Improve Quality and Reduce the Cost of Care

Support the use of evidence-based interventions with data insights and targeted training to achieve better outcomes.

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 Solution

Create a registry of patients identified as 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.

    Our training is developed in partnership with leaders in the state medicaid agency industry.

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    to find out more about our training and resources.