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
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
Broad spectrum data integrations
Automated Diagnosis-based Referral Creation
Configurable Assessments and Risk Triggers
Adjustable Scoring and Logic
Automated, Configurable Workflows
Tailored Care Plans
Integrated Educational Content for Improved Care Plan Adherence and Health Literacy
Self-service and Reporting
Omnichannel Communication Tools
Connected Devices and Remote Patient Monitoring Integrations
Automated Episode Generation, Assignment, and Tasking
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
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.
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%.
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.
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.
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.
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.
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.