Commercial

Cutting Edge Medical Management for Commercial Plans

VirtualHealth empowers commercial payers to provide an unparalleled end-to-end digital experience for both members and employer groups while ensuring a best-in-class suite of care, disease, and utilization management capabilities for internal staff.

Cutting Edge Medical Management for Commercial Plans

Intelligent Automation and Proven ROI

The HELIOS^® platform brings an industry-best set of RPA tools that have been shown to nearly double workforce productivity through intelligent automation. Imagine if you could service twice the cases with the same staff, all while offering a truly person-centered experience.

A Tailored Approach Demands a Tailored Solution

HELIOS^® is the most configurable platform in the market. How configurable? More than 90% of all capabilities can be tailored using front-end tools and this percentage is increasing with each release. That means clients get a solution that is faster to implement, flexible to change, and fully future-proof.

Omnichannel Communication and Total Member Engagement

Beyond built-in portals for members and caregivers, the HELIOS^® platform offers the broadest range of engagement modalities, from built-in telehealth through HELIOSvisit, to an integrated mobile app, to multi-dimensional correspondence, to secure email and text.

A Centralized Enterprise Command-and-Control

HELIOS^® custom connectors make it possible to aggregate all data silos across the commercial payer enterprise and its provider networks. Consider the power of a complete view of every member with built-in workflows and analytics that capture every driver and every event.

Omnichannel Communication and Total Member Engagement

Zoom In on Members, Zoom Out on Populations

Built-in BI dashboards make it possible to see population level trends while workflow level feedback loops ensure that big picture insights have ground-level impacts. At long last, data scientists and care managers can collaborate effectively.

Utilization Management Reimagined

Imagine a more automated, more integrated, and more user-friendly utilization management system than you have ever seen. Imagine beautifully designed screens and workflows with everything you need and nothing you do not. Imagine, even, truly transparent real-time collaboration between utilization and care management staff. At long last, you can say good-bye to the clunky, kludgy, and manual utilization management systems of yesteryear.

Experience Modern Utilization Management

Putting the Whole Person into Whole Person Care

Care, disease, and utilization management; physical, behavioral and population health; acute, post-acute, and LTSS. Multiple diverse providers, clinicians, and staff. One whole person. One care team.

One platform. HELIOS^® empowers you to do it all - replace the legacy components that have outlived their use, integrate with the infrastructure you want to keep, and assure end-to-end business processes. One platform. Infinite possibilities.

Putting the Whole Person into Whole Person Care

Case Study: PacificSource

We’re excited to bring VirtualHealth’s HELIOS platform to PacificSource. As our organization continues to grow, HELIOS’ ability to scale and match the proactive care we provide our members is vital to the ongoing health of the communities we serve.

Martin Martinez
Vice President of IT-Enterprise Systems
PacificSource

Read the Release