Effective care management for Medicaid can improve outcomes while lowering costs for some of the nation’s most high-risk and needy members. HELIOS ® care management allows its users to support program compliance through a highly configurable system with extensive, specialized, state-specific guidelines.
Engage a seamless process to interface with the state system, optimize workflows, and simplify regulatory reporting. Improve quality incentive ratings by proactively addressing care gaps by using clinical methods and leveraging tools that address social determinants of health.