The HELIOS Population Health Management solution helps clients gain insights into their populations to improve care and decrease costs. Pre-validated by the NCQA, HELIOS creates an ecosystem that engages individuals from across the care continuum. The population health platform improves collaboration between all parties in the care continuum and allows users to manage episodes of care and chronic diseases to optimize care delivery. HELIOS gathers, normalizes, and analyzes data to identify and close care gaps, assist users in creating care plans, and measure results of interventions post plan implementation.
The VirtualHealth HELIOS platform aggregates, interprets, and integrates the breadth and depth of data necessary to provide the most comprehensive member view in the market. Data can be ingested from EHRs/EMRs and related health systems and can include lab tests, diagnoses, billing, claims, and encounter data. Automated tasks and reminders efficiently coordinate care activities, keeping care coordinators focused on building member relationships. All data flows into a Master Patient Index to create a whole person view that enables the entire care team to work collaboratively towards improving the health of the populations they serve.
HELIOS provides population health management analytics that help clients understand member populations and proactively identify at-risk or rising-risk members. The platform employs both native and third-party analytics to optimize insights for each client. Robust risk stratification allows members to be sorted using standardized, proprietary, or configurable risk scores based on demographics, socioeconomic characteristics, and medical records. Users can leverage risk stratification to target at-risk populations for timely interventions, reducing high cost utilization and improving outcomes. HELIOS’s longitudinal analysis of population cohorts helps users extract key clinical and social indicators and to understand the impact of applied interventions.
The platform employs both native and third-party analytics to optimize insights for each client. Leverage risk stratification to target at-risk populations for timely interventions, reducing high cost utilization and improving outcomes. Utilize longitudinal analysis of population cohorts to extract key clinical and social indicators and to understand the impact of applied interventions.
HELIOS enables collaboration between members, families, and the wider care team to improve resource utilization, outcomes, and both member and staff satisfaction. Care plan management and risk assessments include social determinants and widen the scope of care team intelligence. Follow members across the care continuum through transitions in care settings to improve outcomes and eliminate gaps in care. Connect disparate data sets to improve timely exchange of health information for clinical review and effectively eliminate duplicative care services.
Engage, activate, and inform members through omni-channel communication. Dedicated portals for members and the entire care team allow for seamless collaboration and coordination.
Quality improvement is an ongoing process. Measure care delivery efforts against value-based goals. Identify gaps and translate data into meaningful and actionable improvements to drive care interventions for a defined population. Reduce complexity of data aggregation in tracking quality metrics and streamline reporting structures into clinically sound and member-centric outcomes.