Enabling a whole-person care approach that benefits members, payors, and providers From member-centered, whole-person care to driving cost savings, better coordination of care, and more efficient processes, this is all part of the connected care ecosystem. Join Robert...
Prior authorization can cause serious issues for members and providers if processes are not properly architected by a healthcare payor. More than nine in 10 physicians (94%) reported care delays while waiting for health care insurers to authorize necessary care, a...
We’re in the age of big data, and one of the challenges healthcare payers have is to make sense of all the data they capture. From pulling actionable insights to identify and close care gaps to quickly providing the quality metrics and reports needed by state and...
Mental health and behavioral health support is a critical need for health plan members. This is especially true for payers handling commercial, individual, and Medicaid populations with members. As of 2024, the National Institutes of Health has found mental health...
A good UX (user experience) is a key player in how quickly a care management platform is adopted and how successfully it’s utilized. Adoption and usage are key concerns for healthcare organizations when choosing a medical management platform. This is especially true...
Use industry-leading rules engines and intelligent workflows for efficiency gains Did you know that HELIOS already has built-in functionality that helps clients automate and streamline care management, utilization management, and case and disease management? This...
Interoperability is currently a big challenge for healthcare organizations using care management and population health technologies. To put it simply, these technologies lack interoperability (or sufficient interoperability). And it’s hurting member care and...
Artificial intelligence (AI) is a trending thing in healthcare, and it’s why HELIOS already has built-in integrations powered by AI that clients can leverage. AI is threaded throughout the HELIOS platform in a variety of ways. Specifically for this blog, we’ll focus...
In the last few years, many payors have worked hard to implement a whole-person care approach or whole-person integrated care model. But what does that even mean? What is the definition of whole-person care? How is whole-person care delivered today? And what are the...
Assessments are a critical component of care and case management programs. Assessments help care and case managers quickly identify the health and social needs of members, flag at-risk individuals, and help teams prioritize and effectively handle their caseloads When...