Manage Performance & Finance
Value-based performance and social care financial operations
Relay connects what your network delivers to what it is measured on and paid for—outcomes, contract measures, authorizations, invoices, adjudication and reconciliation—with estimates and simulations labeled as such.
Who it serves
- Finance and payment operations
- Quality and performance teams
- Contract and value-based care managers
- Executives and network leads
Value-based performance
Contracts, measures and outcomes you can reproduce
Versioned contract terms, measures and scoring rules; populations frozen for each run; social outcome measures evaluated from Relay data; provider-level results and estimates. Settlement is calculated as a simulation.
Value-based performance- Available: Versioned contracts, measures and scoring
- Shared-savings settlement Scenario modeling
Quality & outcomes
Outcomes recorded once, used everywhere
Recording an outcome at referral closure resolves the need, closes the referral, updates the timeline and creates any follow-up task in one step. Quality rules surface members who need attention, and outcome attribution compares cohorts.
- Available: Outcome capture at referral closure
- Available: Quality rules and review queue
- Available: Quality measure gap lists, closed by your staff
- Available: Outcome attribution by cohort
Contract & partner performance
See how each partner and contract is performing
Contract health shows which obligations are met, and partner scorecards show how each organization performs on the referrals it receives.
- Available: Contract health ratings
- Available: Partner scorecards
Financial operations
From authorization to reconciled payment
Authorize services, price them from your fee schedules, adjudicate what was delivered, review invoices, record payments and reconcile them.
Financial operations- Available: Service authorizations and fee schedules
- Available: Adjudication and invoice review
- Available: Payment tracking and reconciliation
Funding & financial position
Know what you owe before the invoices arrive
An append-only liability ledger books accruals when services are authorized. The position view shows unpriced, unfunded and unauthorized work, time to cash, and an IBNR estimate once at least three periods of history exist.
- Available: Liability ledger and position view
- Available: Funder assignment for accruals
- Available: IBNR estimate with a range
Revenue assurance
Catch billing problems before you submit
A pre-submit invoice check covers eligibility on the service date, referral linkage, authorization, proof, need-to-service match and fee-schedule rate. Your organization decides which rules apply and which are enforced.
- Configurable pre-submit invoice rules
- Billing readiness for each delivered unit
How it connects to the rest of Relay
- Coordinate Care
Outcomes and delivered services recorded by care teams are the inputs to measures and payments.
- Operate Your Network
Contracts and fee schedules set what partners may deliver and at what rate.
- Customer Analytics add-on
The optional add-on puts the same results in your own BI tools.
See performance and finance in Relay
Bring a contract or a payment workflow, and we'll show how Relay tracks it end to end.
Request a demo