Millions of Americans need long term care. In 2015, state and federal Medicaid spending amounted to more than $113 billion dollars for long-term care services and supports and accounted for over 20% of Medicaid’s total financial obligation. With the industry shift to value-based care, it’s critical to have an efficient, cost-effective solution to address the complex needs of your LTSS population and improve service delivery as the population grows in size and diversity.
Maximize program dollars, improve outcomes, and increase the quality of care through a platform that identifies the appropriate setting and services for every member. HELIOS helps administer LTSS-specific assessments, pre-populated service plans, automated authorizations, real-time compliance and dashboards to monitor members for waiver compliance. The platform appropriately coordinates and integrates Medicare, Medicaid, and dual-eligible benefits.
The whole-person view in HELIOS allows for Juan’s care team to fully address his complex needs while appropriately managing service levels and costs. It lets Juan remain independent in his home, enables him to continue seeing the providers he is most comfortable with, and improves his quality of life.