Carol explains certain SaaS-enabled BPO opportunities within the value-based healthcare domain.
Sramana Mitra: Let’s start by introducing our audience to yourself as well as to Relias.
Carol Clayton: I’m a psychologist by training. I worked as the translational neuroscientist at Relias. Relias is a healthcare technology company with footprints specifically in the space of using online tools for training and competency development in the healthcare space. They are evolving their tools and solutions to assist healthcare providers and organizations with better use of data. It also links data to learning so that organizations can be data-driven in looking at their performance within their healthcare vertical.
As they have opportunities to improve in those areas, they are able to better utilize their learning and workforce development tools provided by Relias to train their workforce to be up to date. My role is to help Relias understand what’s happening across other industries in the use of technology, data, and artificial intelligence models and how to bring that learning into the healthcare space so we can build a better mousetrap in terms of our technology and also help sustain and support our customer base in being better at what they do.
Sramana Mitra: Let’s talk about use cases. What kinds of customers are you catering to? How do they use it? How do they get value from what you offer?
Carol Clayton: Relias, at the largest level, is a company that works across the healthcare space. They have a robust set of learning and training modules for the acute care space, the post-acute care market, the behavioral health market, and even ancillary markets such as public safety and child and family services. They are targeting provider organizations for our working value-based arrangement.
Value-based arrangement means a new type of reimbursement model. This is evolving within the healthcare industry to move to paying for quality as opposed to paying for units of service. These provider organizations receive some level of bonus pay. It might even be a shared savings model where they are being asked to deliver on certain performance indicators. Generally, in the space that we are supporting, they tend to be about whole person care.
One of the trends we see in the market is, there is a growing recognition of the impact of behavioral health concerns as well as what’s called social determinants of health, and how those conditions or vulnerabilities negatively impact the ability to have good physical health or to recover from physical demise. Our users are typically using our performance management solution to get better at delivering integrated care, to supporting care coordination model, so that they are attending not only to untreated depression but also treating diabetes, which is a frequent co-morbid overlap.
A typical use case is a provider organization engaged in a value-based contract. Let’s say a behavioral health organization that is serving as a health home for persons with mental illness. Their job is not only to provide the services and support regarding their mental disorder but also to reach out and make sure that all of their care regarding their chronic conditions are met. Our performance management solution helps give them visibility into those opportunities to drive their care actions in the field in terms of outreach to those consumers. Then in addition, they use our learning and training modules for bridging the skill gap and knowledge gap. That would be a very common use case for our customer base.