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).

Key Features and Benefits

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Whole-Person Views

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Comprehensive Population Analytics & Reporting

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SDOH Data & Analysis Integrations

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Smart Targeted Assessments for Social and Behavioral Health

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Population & Cohort Level Analysis Capabilities

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Partnerships with findhelp, Unite Us, Healthwise, WebMD and More

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Configurable, Automated Workflows

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Advanced Population Stratification & Risk Scoring

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Real-time Data Feeds & Task/Case Assignments

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Automated Care Plan Recommendations

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Advanced Utilization Management with Interqual and MCG Integrations

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Multi-channel Data Integration and Analysis

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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.

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Who We Support

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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.

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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%.

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Health Care Plans

A single solution for everything commercial and community health plans need to provide care management, automate processes, drive operational efficiencies, and streamline enterprise initiatives.

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Health Systems

Improve value-based care benchmarks with combined aligned CM and UM to drive more efficient, effective and accurate care, reduce risk, close care caps, and eliminate inefficiencies and costly errors.

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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.

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Home Health Care Organizations

Empower and support care for individuals in the community with a broad range of capabilities for home health and home care management to both payers and providers, and our built-in telehealth tools.



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.

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