Accelerate Smarter Care Management

Helios® CM by Elligint Health is a modern care management platform built for value-based care, helping organizations move from fragmented data to coordinated action. 

As part of the Helios medical management platform — which also includes Helios UM, Advanced Analytics, and an extensible Partner Ecosystem — Helios CM equips clinical teams with the tools to act, not just observe.

Role-based dashboards and unified member views bring together data across the care continuum, while intelligent workflows and task orchestration help teams accelerate smarter care. Whether managing rising-risk populations, complex cases, or large-scale population health programs, Helios CM adapts to your strategy, contracts, and operational goals.

Helios® CM

Helios CM brings together the essential capabilities organizations need in a modern care management platform to coordinate care, manage populations, and turn data-driven insights into action.
  • 360° Member Views across clinical, claims, and SDOH data for whole-person care
  • Automated, Configurable Member-Centered Care Plans with goals, interventions, and progress tracking to promote coordination across multidisciplinary care teams
  • Interactive Role-Based Dashboards tailored for care management, behavioral health, field teams, and leadership to surface relevant operational insights
  • Customizable Workflows and Smart Tasking with real-time alerts to coordinate high-impact interventions
  • Predictive Risk Scoring that feeds directly into care coordination, case prioritization, and enrollment workflows to enable timely intervention
  • Master Communication Templates with tracking that support custom branding, multiple languages, and dynamic parameters
  • Disease Management Programs with advanced risk identification, automated episode creation, disease-specific assessments, and integration with connected devices and remote monitoring tools
  • Audit-Ready Workflows and Regulatory Alignment to support compliance requirements
  • Integrated Care and Utilization Management Tracking to increase efficiency and reduce administrative errors

Extend the Power of Helios CM

Helios Text®

Helios Text enables secure outbound text messaging to individual members directly from Helios, with pre-configured and customizable message templates.

  • Secure SMS Messaging directly from within workflows
  • Pre-Built and Customizable Templates for speed and consistency
  • Two-Way History and Delivery Tracking
  • HIPAA-Compliant Communication across member populations
  • Increased Member Engagement promotes adherence to care plans and improved member experience

Helios Visit®

Helios Visit is a built-in telehealth tool that enables secure, HIPAA-compliant video conferencing, audio calls, instant messaging, and two-way file exchange with members from a computer, smartphone, or tablet without any additional software.

  • Secure, HIPAA-Compliant Video Visits
  • Real-Time Chat and File Exchange
  • No App Installation Required
  • Device – and OS – Agnostic Access via smartphone, tablet, or desktop
  • Integrated Across Helios Workflows

Helios UM

Care management works best when authorization workflows, clinical reviews, and care coordination operate within the same system. Helios CM integrates seamlessly with Helios UM, enabling organizations to connect prior authorizations, clinical reviews, appeals, and grievances directly to member care plans and outreach workflows. Together, Helios CM and UM help teams:

  • Accelerate authorization decisions and service delivery
  • Improve collaboration between care management and utilization review teams
  • Maintain regulatory compliance while coordinating member care
  • Reduce administrative friction across medical management operations

Why Leading Payers and Provider Groups Choose Helios

Helios CM is part of the broader Helios medical management platform, giving organizations the flexibility, interoperability, and scalability needed to support evolving value-based care programs. Helios modules can operate independently or together to create a unified medical management environment.

  • Automated, Configurable Care and Utilization Management Workflows supporting Medicare Advantage, Medicaid, and commercial programs with out-of-the-box templates
  • Integrated Care and Utilization Management Automation across authorizations, tasks, appeals and grievances, and compliance workflows
  • Extensive Library of Customizable Assessments with the ability to create new assessments using branching, scoring, mapping, and auto-population logic
  • End-to-End Referral Management and Outreach Tracking to strengthen care coordination and program engagement
  • Flexible Provider and Member Engagement Options, including built-in portals that support communication, referrals, and care program participation
  • NCQA Pre-Validated Population Health Capabilities aligned with evidence-based standards
  • FHIR-Native Interoperability enabling seamless integration with EMRs/EHRs, partner systems, and enterprise data sources
  • Expandable Partner Ecosystem that adds capabilities and AI-driven services such as secure messaging, telehealth, advanced analytics, AI-powered care coordination and predictive intelligence, remote patient monitoring, enhanced patient engagement and member education, clinical intelligence, quality and compliance, and UM capabilities
  • Built for Enterprise Healthcare Environments, with FHIR-native interoperability and seamless integration into existing IT ecosystems without disruption to clinical, administrative, or data infrastructure.
Helios is more than software—it’s a system that grows with you and adapts as your goals evolve.

One Platform. Endless Impact.

  • One system for care and utilization management
  • 90% configurable to align with contracts and processes
  • Real-time operational insights that set priorities and drive action
  • Increased productivity and reduced administrative burden for care teams
  • FHIR-native from Day 1