Chronic Disease Management Solution

Designed to simplify the care management and coordination of those living with chronic conditions while reducing unnecessary utilization and avoidable complications, such as emergency room visits.

Enabling Quality Care For High-Risk, Complex Populations

Effective disease management can provide better outcomes and reduce the costs of caring for those suffering from chronic illnesses. HELIOS® proactively identifies individuals who can benefit from disease management via advanced identification and stratification algorithms. The platform offers first-, second-, and third-level assessments with branching logic and scoring to capture detailed and specialized information regarding the presence and treatment of key diagnoses and comorbidities.

These intelligent assessments then auto-populate a person-centered care plan with built-in clinical decision-making using configurable automations and workflows and evidence-based best practices.

Key Features in HELIOS for Disease Management

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Broad spectrum data integrations

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Automated Diagnosis-based Referral Creation

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Configurable Assessments and Risk Triggers

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Adjustable Scoring and Logic

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Automated, Configurable Workflows

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Tailored Care Plans

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Integrated Educational Content for Improved Care Plan Adherence and Health Literacy

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Self-service and Reporting

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Omnichannel Communication Tools

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Connected Devices and Remote Patient Monitoring Integrations

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Automated Episode Generation, Assignment, and Tasking

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Flexibility to Adapt to Changing Disease Management Programs

Manual Overrides to Enable Further Personalized Goals, Barriers and Interventions

See How HELIOS Can Improve Chronic Disease Management

Effective disease management for the highest complexity individuals frequently necessitates a multidisciplinary care team. HELIOS® leverages multi-source data to build insights that improve the health outcomes for many individuals in your populations while materially lowering the costs of providing care.

Who We Support

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Medicare Advantage

Purpose-built for Medicare Advantage populations to provide personalized, connected care experiences, meet regulatory requirements and maximize financial return, operational efficiency, Star Ratings, and member satisfaction.

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Designed for modern Medicaid programs, HELIOS is the acknowledged leader in Medicaid medical management platforms for supporting whole-person high-quality care, state-specific regulatory compliance, and cost controls, with a proven ROI of more than 80%.

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Health Care Plans

A single solution for everything commercial and community health plans need to provide care management, automate processes, drive operational efficiencies, and streamline enterprise initiatives.

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Health Systems

Improve value-based care benchmarks with combined aligned CM and UM to drive more efficient, effective and accurate care, reduce risk, close care caps, and eliminate inefficiencies and costly errors.

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Accountable Care Organizations (ACOs)

Reach at-risk communities and members easier with advanced population health insights, SDOH criteria and tools, risk-stratification, care gap identification, disease management workflows, and more.

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Home Health Care Organizations

Empower and support care for individuals in the community with a broad range of capabilities for home health and home care management to both payers and providers, and our built-in telehealth tools.

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6 Ways To Enhance Chronic Care Management For Medicare Populations

In 2020, data from the Chronic Conditions Data Warehouse (CCW) found that 31,860,990 Medicare beneficiaries had a chronic condition. Medicare beneficiaries with chronic conditions also had significantly more provider visits, hospital admissions or days/nights in a hospital, and higher prescription medication costs and usage. Learn about the six strategies that can help improve chronic disease management with Medicare populations.

Connect with Us

With the industry shift to value-based care, having a proven solution to support cost-effective operations that fully address the complex needs of LTSS populations has never been more critical. Contact us today to set up time to chat with our team or to get more information about HELIOS for supporting populations with LTSS needs.

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