commercial payers

Commercial Payers and Insurers

Perform and adapt in the ever-changing healthcare market

Empower your Providers to Maximize Performance

The spotlight on healthcare is growing with questions about changes to existing policies. Empower your providers with high-quality education tools and resources, so they can confidently emerge as successful leaders in this turbulent time.

maintaining compliance

Maintaining Compliance Amidst Changing Mandates

Ensure compliance under federal and state regulations, including any changes under the new administration.
improving performance metrics

Improving Performance Metrics for Value-Based Reimbursements

Impact your providers' care delivery using education built around adult learning techniques focused on retention and application.
caring for 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.

Staying Compliant During Transitioning Regulations

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

Deliver consistent, reliable compliance training to all levels of 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 Learning 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.

compliance training

Securing Financial Stability with High-Performing Staff

Configure a network that uses education, including advanced clinical and leadership content, to deliver the highest level of care.

customizeable education

Provide high-quality, customizable education to maximize performance

Your providers' performances impact your business' bottom line. Medical and coding errors, failing to meet care standards, and high readmission rates are costly and can hurt renewals and reputation.

Invest in your providers' success, by ensuring that they are trained on the most current best practices. Having readily available access to relevant content will help staff make more educated decisions during patient treatments. Well-trained providers and care management teams increase patient satisfaction and new membership retention.

Relias Learning provides access to the most advanced clinical and leadership content, compiled from over 1,000 subject matter experts. Our courses are engaging and interactive, resulting in increased knowledge retention for future real-life applications. Deliver tailored, targeted curriculums to your providers, and even upload your own custom courses.

Sucessfully Managing High-Cost Populations

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


treating complex patients


Helpful payer resources available for download.


June 13 , 2017


Managing Medicaid Members with Multiple Chronic Conditions

Learn how to successfully manage Medicaid members who have multiple chronic conditions, including: Incorporating social determinants of health to reduce missing visits and increase provider trust.


May 24 , 2017

Health and Human Services Payers Value Based Purchasing Community Health Analytics

Value-Based Purchasing

Watch this webinar to learn how to overcome the challenges related to business shifts required for value-based purchasing models.


May 04 , 2017

Health and Human Services Payers Opioid Addiction Analytics

Roadmap to Fighting the Opioid Epidemic

This is a worsening and more deadly epidemic that is straining our healthcare system to its limits while devastating families. Learn strategies providers and payers can employ to fight this epidemic.


April 18 , 2017

Health and Human Services Payers Opioid Addiction Analytics

Managing the Opioid Epidemic: 4 Secrets in Plain Sight

Opioid addiction is currently our country’s #1 health epidemic and is quickly becoming a meaningful cost driver with an estimated annual $72.5 billion in medical and prescription costs for healthcare payers and providers.


April 03 , 2017

Payers Social Determinants

Social Determinants: The Role Social Factors Play in Delivering Quality Care

Does your provider staff fully understand the importance and role that social health factors play in care delivery? Download this whitepaper to learn more.


March 23 , 2017

Payers Analytics

How Would Outcomes Change if You Only Knew? The Role of Data Analytics

What would you do differently if you could see the future? How would the health outcomes of those you serve improve if you could predict and trend what is likely to happen next?