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 long-term care population and improve service delivery as the population grows in size and diversity.
The HELIOS Long-Term Services and Supports (LTSS) solution suite was designed to maintain the independence of older adults and those living with disabilities. HELIOS helps its clients coordinate services and supports with person-centered care coordination that guides members through complex systems and helps them be active members in their community.
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, and real-time dashboards to monitor members for waiver compliance. The platform appropriately coordinates and integrates Medicare, Medicaid, and dual-eligible benefits.
The HELIOS platform for LTSS acts as a single point of entry for all members of the care team and allows for real-time collaboration and communication to improve the recipient’s quality of life. Configurable role-based access allows care managers, case workers, medical providers, third-party service providers, family caregivers, and members to see relevant member data including the member’s clinical information and the integrated care plan. The HELIOS platform allows clients to integrate all member information including assessments, care and service plans, service orders, and service deliveries in a single, integrated system.
The whole-person functionality in HELIOS allows for Juan's care team to work together 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.