HELIOS® was designed to make the transition to value-based care seamless through an end-to-end ecosystem for all workflows and processes related to care management. Its modular design allows it to function as a comprehensive system or to integrate and extend existing capabilities.
The value-based care solution improves health outcomes and empowers its clients to meet complex regulatory requirements. The care management platform enables proactive healthcare by promoting the right care at the right time for the right member. This prevents common, avoidable illness complications and leads to healthier members.
HELIOS® helps to improve quality measures and increase quality scores for higher Star Ratings through precision workflow management. HELIOS® helps your team:
A care manager may coordinate healthcare for up to 600 individual members. How do they ensure they are helping the right member, with the right service, at the right time?
With HELIOS®, analytic insights inform configurable, role-based workflows that give users the right care management tools to drive a team-based, member-centric approach to healthcare. Care managers are provided with the most up-to-date and critical information for timely interventions and to manage the health of their populations.
Robust case management capabilities create a tailored solution for members using comprehensive and automated data gathering, that considers physical, behavioral, and social determinants of health.
Risk stratification algorithms and powerful analytics identify high-risk and high-cost members. This allows care managers to assist the members who need it most.
Real-time data drives workflows and triggers to prioritize resources through prescriptive care management to ensure that an intervention happens when an event has occurred.
Automated workflows with custom rules and evidence-based clinical content enable care teams to identify the most optimal and timely next action.
Accurate data and actions at the care team’s fingertips improve efficiency and productivity.
Smart data flow auto-populates information from claims and assessments into the care plan to increase efficiency and reduce administrative efforts and human error.
Rather than spending time gathering relevant information from disparate systems, the care team can focus on specific member needs and tailored interventions.
Non-clinical factors can determine up to 80%* of a member’s health.
Whether your team is heavily leveraging social services, or just starting to widen its focus, HELIOS® lets you easily partner with organizations that are dedicated to improving the health of your populations. Quickly integrate additional care team members through role-based access and provide full interoperability, whether internal or external to your organization.
Leverage third-party community services on HELIOS® to proactively address members’ social determinant concerns.
The key to whole person care is a combination of actionable insights and resource access. Innovative care management platforms must provide all information relevant to a member’s clinical and social determinants of health and then empower care managers to effect change in real time. Using HELIOS®, care managers can identify the members who need help and then connect them to any of the community resources that they require from within the platform.
Everyone engaged with a member’s care can work collaboratively using the seamless HELIOS® ecosystem. Vendors can access orders, exchange information with the care team, and provide service updates. Members can fully utilize the services available to them. Role-based configuration means that everyone’s access is limited to essential information.
Care management becomes more powerful when a care management platform delivers actionable information and access to the appropriate resources.
Your members can easily coordinate all activities with their care team on one platform through a simple mobile application with offline capabilities. Track communication across every engagement channel for easy retrieval from the platform.
The platform provides dedicated portals where vendor partners can access orders, exchange information with the care team, and provide service updates. Vendors are granted limited access to only essential member information.
Complex, integrated care management requires a solution that is capable of handling the inevitable changes in healthcare. HELIOS® is built using an unparalleled framework, with the flexibility to evolve with the needs of our clients.