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 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.

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

Resources

Helpful payer resources available for download.

Webinar

June 13 , 2017

Payers

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.

Webinar

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.

Whitepaper

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.

Webinar

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.

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.

Webinar

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?