POPULATION HEALTH MANAGEMENT
Population Health Management Solution
Providing all the data, tools, and resources health plans need for population health management while providing personalized value-based care experiences.
A Flexible Solution For Population Health
HELIOS provides a fully integrated care management and population health platform in a single solution, and works in situations where another system is used for medical management. See below for some of the key features within HELIOS including resources and tools for proactively identifying and addressing social determinants of health (SDOH).
Whole-Person Views
Comprehensive Population Analytics & Reporting
SDOH Data & Analysis Integrations
Smart Targeted Assessments for Social and Behavioral Health
Population & Cohort Level Analysis Capabilities
Partnerships with findhelp, Unite Us, Healthwise, WebMD and More
Configurable, Automated Workflows
Advanced Population Stratification & Risk Scoring
Real-time Data Feeds & Task/Case Assignments
Automated Care Plan Recommendations
Advanced Utilization Management with Interqual and MCG Integrations
Multi-channel Data Integration and Analysis
Pre-built & Customizable Quality Reporting Dashboards
NCQA Prevalidated for Population Health Management
VirtualHealth’s platform has earned the Population Health Management Prevalidation from the National Committee for Quality Assurance (NCQA), demonstrating functionality that meets NCQA population health management-related standards.
Health plans with population health management needs can therefore be confident that HELIOS® will support their objectives with respect to maintaining or gaining NCQA accreditation.
Drive health equity forward with our SDOH partner ecosystem
HELIOS is uniquely set up to provide tools, resources and supports for identifying and addressing critical social determinants of health. Integrations from industry-leading partners including Prealize, findhelp, Unite Us and others can help organizations drive health equity initiatives forward and improve access and quality of care for more members.
Who We Support
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.
Medicaid
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
Optimize your commercial plan with exceptional utilization management, integrated care management, workflow automation, and operational efficiency. The HELIOS platform offers unmatched flexibility for quickly and easily executing strategic initiatives.
Health Systems
Improve value-based care outcomes with comprehensively integrated CM and UM solutions that drive better care, reduce risk, close care gaps, and eliminate 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 home health capabilities along with native telehealth, service planning, and schedule management tools.
WHITE PAPER
Personalized Value-Based Care: Effective Multi-Generational Care Management Strategies
To drive better health outcomes, increase care access, and solve critical social determinants of health (SDOH) issues, payers and providers need to employ a value-based, integrated, and proactive care approach that’s adaptable to each member’s medical needs, preferences, and SDOH. Learn how to address SDOH.
Connect with Us
We understand that choosing medical management technologies can be a big decision. That is why we provide a highly consultative and refined approach that allows you to learn, ask questions, and identify if our HELIOS solutions are a good fit. Click below to set up time to chat with our team or to get more information about any of our HELIOS products.
