Payers and Insurers

Payers / Insurers

Solutions to lead health systems through changing times

Aligning to Your Strategic Needs

Successful plans differentiate themselves by delivering on better care and achieving better outcomes. Working with providers to achieve outcomes, identify high risk/high cost patients and improve coordination of care.

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Performance Measures

Help providers achieve positive outcomes on key measures.

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Integrated Care and Population Management

Improve your organization’s ability to manage complex clients.

Value-Based Purchasing

Value-Based Purchasing

Ensure your providers are prepared and can deliver on your best practices and strategic imperatives.

 

 

New Behavioral Health Package for Emergency Departments

Make sure that your emergency departments are prepared to care
for patients that have behavioral health conditions.

View the package

 

 

Strategic Focus in a Competitive Marketplace

Staying competitive in today’s changing healthcare environment

Managing Change Effectively

In the current environment of changing healthcare, strategic payer organizations can lead the change. By advancing new business and clinical models, we can improve management of high cost, high risk, complex individuals.

Staying on top of changing regulations, payment reform, outcome and effectiveness data reporting and whole health models of care starts with the C-suite however is everyone’s responsibility.

How can you position your organization to not just keep up with but lead the change?

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Alignment of Provider Networks

Communicate effectively and efficiently with your network

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Communication is Key

Are you still communicating with providers through emails and mailings?

Easily push out custom training, essential communication and 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.

In today’s environment of mergers and acquisitions, an LMS can be a key factor in a smooth post-acquisition integration.

Hear how one company used Relias when they merged two companies and have been able to save days of work on audits and reporting. In addition, as more states are requiring payers do provider training, they are able to keep up using online tools.

Managing Complex Clients

Improve provider performance while managing costs

Quality Training Improves Provider Performance

Providers need to be able to use data and predictive modeling to better manage and treat complex clients. Population health management and use of predictive analytics are keys to success in the future of healthcare, are you guiding your providers?

Quality content on topics such as data analytics, value based purchasing, integrated care, care management and crisis services.

Building custom content is easy with Relias’ built in tools. We provide training to help you improve how you develop your own online courses.

 

Course Preview:
Data-Based and Analytical Decision Making in Case Management

 

Partnerships

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

MHPA
ABHW
national council
HIPAA and CFR42 in the Emergency Department
Discusses HIPAA and 42 CFR Part 2, their impact on emergency department personnel, the information they restrict, and how to acquire the information you need.
Psychopharmacology in the Emergency Department
Discusses the major categories of medications that are used in the emergency department, their common and major adverse side effects, and special precautions.
Quick and Effective Strategies for Engaging Family Members in Treatment
Course presents an overview of strategies to engage your patients family members in treatment and improve follow through with discharge recommendations.
Quick and Effective Strategies for Engaging Patients in Treatment
This course provides an overview of strategies you can use to engage patients in treatment prior to their discharge from the ED.
Anxiety - GAD
This module discusses generalized anxiety disorder.
Severe Agitation: Accurate Assessment and Treatment
This module discusses de-escalation strategies and management of the agitated patient.
Effective Collaboration with the Mental Health Consultant
Discusses when, how, and why emergency department personnel should consult with mental health professionals.
Malingering
This module discusses malingering.
Depression and the PHQ-9 in the Emergency Department
Covers how to administer the PHQ-9 and solicit the best possible information from a patient.
Alcohol Intoxication in the Emergency Department
Discuss how to identify intoxicated patients and brief strategies for addressing intoxication in the emergency department.

Resources for Payers

Browse resources curated for insurers and payers

Whitepaper

April 24 , 2017

Payers Social Determinants

Shining a Light on Employee Engagement

Reducing turnover is a persistent challenge for many healthcare organizations. Download this whitepaper to learn how employee engagement can help to overcome it.

Whitepaper

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.

Fact Sheet

February 08 , 2017

Payers Opioid Addiction

Managing the Opioid Epidemic

The opioid epidemic is costing lives and driving healthcare spending. Understand the opioid issue and best practices to avoid abuse with this helpful fact sheet

Fact Sheet

February 02 , 2017

Payers Behavioral Health

Behavioral Health 101 for Emergency Department Physicians and Staff

Are you and your Emergency Department prepared to care for patients with Behavioral Health conditions?

Case Study

December 08 , 2016

Health and Human Services Payers Behavioral Health

Improved Tracking and Reporting of Training, But Most Importantly, Better Accountability at All Levels

Read how Beacon Health Options improved reporting, increased accountability and training followup, and utilized staff time better using Relias.

Case Study

December 08 , 2016

Health and Human Services Payers

Post-Merger Integration of Thousands of Employees was Easier by Using Relias at Every Stage

Read how Beacon Health Options used Relias every step of the way with the integration process; corporate structure, onboarding, all staff training and non-training requirements to integrate thousands of employees after a merger.

Course Preview

October 07 , 2016

Payers

Data-Based and Analytical Decision Making in Case Management

This course provides an overview of innovative ways that data are being applied to improve healthcare costs, quality, and outcomes.

Course Preview

August 16 , 2016

Payers Value Based Purchasing

Value-Based Purchasing

In the rapidly changing atmosphere of healthcare reform, value-based purchasing is emerging as an effective strategy for decreasing healthcare costs, while improving quality outcomes.

Webinar

June 30 , 2016

Health and Human Services Payers Integrated Care PI

5 Key Pieces of Successful Integrated Care Programs

Learn about the forces driving the industry toward integrated care, and tips regarding successful integrated care implementation