Care Management Platform for Health Plans

A single solution for comprehensive medical management

A cutting-edge medical management platform for commercial health plans and community health plans alike, HELIOS® empowers payors to provide an end-to-end digital experience while ensuring a best-in-class suite of care, disease, and utilization management capabilities for staff.

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

Key Features for Health Plans

Single Unified Platform For CM, DM, Population Health & UM

Whole-Person Views

Comprehensive Population Analytics & Reporting

SDOH Data & Analysis Integrations

Smart Targeted Assessments For Social And Behavioral Health

Population & Cohort Level Analysis Capabilities

Configurable, Automated Workflows

Advanced Population Stratification & Risk Scoring

Real-Time Data Feeds & Task/Case Assignments

Automated Care Plan Recommendations

Advanced Utilization Management with Automated Prior Authorization

Integrations with Leading SDOH, UM & Quality Analytics Partners

Mobile Application for Care Management in the Field

Multi-Channel Data Integration & Analysis

Pre-Built & Customizable Quality Reporting Dashboards

Behavioral Health, Home Health and LTSS Features & Customizations

Disease & Chronic Care Management Tools for Higher Complexity Populations

HELIOS is 90% customizable with an industry-leading intuitive user experience. Health plans across the country can tailor the platform for their specialized care management needs and adapt to diverse populations. From our evidence-based clinical workflows and content to built-in tools, resources and insights for population health, we help payors deliver exceptional care while minimizing inefficiency and boosting staff productivity.


Discover the Power of HELIOS Solutions

Download our quick product guide to learn about our family of HELIOS healthcare solutions. HELIOS is 90% configurable and supports care management, disease management, care coordination, LTSS, behavioral health, utilization management, and data interoperability – all within one single platform.


Better Care Delivery Starts with an SDOH Ecosystem

Watch this webinar to learn how connecting the entire care continuum across a closed-loop SDOH ecosystem will expand access for greater health equity while delivering better outcomes. Listen as industry leaders discuss how to identify social determinants of health, how to break down silos to deliver seamless whole-person care, what a closed-loop SDOH ecosystem is, and how it drives health equity.

What HELIOS Solutions Do You Need?

HELIOS is the most configurable platform in the market. How configurable? More than 90% of the platform can be tailored using front-end tools and this percentage is increasing with each release. That means clients get a solution that is faster to implement, flexible to change, and easy to adapt for growing and evolving populations.

Not sure how HELIOS can meet your specific needs? Take this quick assessment to find out and get access to specialty videos tailored to your use case.

Making the Quadruple Aim A Reality

“We’re excited to bring VirtualHealth’s HELIOS platform to PacificSource. As our organization continues to grow, HELIOS’ ability to scale and match the proactive care we provide our members is vital to the ongoing health of the communities we serve.”

Martin Martinez, Vice President of IT-Enterprise Systems, PacificSource

Connect with Us

We understand that choosing medical management technologies can be a big decision. That is why we provide a highly consultative 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 connect with our team or to get more information about how HELIOS has made it possible for leading organizations to attain improved patient experiences, better outcomes, lower costs, and enhanced clinician satisfaction.

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