12+ Million
Managed lives through HELIOS
Up to 93%
Increase in care team efficiency
Up to 92%
Care team productivity gains
37 Million
Total interactions in HELIOS
As the healthcare industry continues its pivot to value-based care, delivering effective care management for members has never been more critical. However, many organizations struggle to make the operational and process changes needed to deliver the right care to the right member at the right time.
Our HELIOS family of technologies create an ecosystem of care within a single unified platform to provide population health, care management, case management, care coordination, utilization management, and disease management for millions of members.
Who We Support
From large-scale community-based populations to facility-based cohorts with intellectual and developmental disabilities (IDD), HELIOS has been leveraged to manage the full continuum of care. We’re proud to serve some of the nation’s largest Medicare and Medicaid payers, as well as community health plans across the country. We also work with specialty care and home health providers who focus on specific health services and needs.
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.
Medicaid
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%.
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.
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.
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.
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.
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