MEDICARE & MEDICARE ADVANTAGE
Medicare Advantage Population Health Solution
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
Medicare Plan Types HELIOS Supports
- Association for Community Affiliated Plans (ACAP) member plans
- Medicare / Medicaid
- Medicare Advantage and Part D plans
- Medicare Advantage Chronic Care Special Needs Plans (C-SNP)
- Medicare Advantage Dual-eligible Special Needs Plans (D-SNP)
- Medicare Institutional Special Needs Plan (I-SNP) • SNP Alliance Member Plans
Identify and Meet Medicare Regulatory Requirements
HELIOS is HIPAA and HITECH compliant, NCQA Prevalidated for Population Health Management, and HITRUST CSF certified. It meets or exceeds all applicable regulatory requirements and empowers you to have the medical management data you need for CMS reporting and audit, as well as NCQA, and other external and internal needs and KPIs.
HELIOS is also audited, updated, and optimized throughout the year to ensure it continually meets and exceeds your needs, as well as the requirements of federal and state regulatory bodies.
HITRUST
NCQA
HIPAA
WHITE PAPER
Effectively Managing Care For Medicare Advantage Populations
Better management of Medicare Advantage members requires both a value-based care mindset and a tech-empowered strategic approach. Download our new white paper to discover how to drive efficient and effective improvements in six critical care areas including
PDF GUIDE
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.
Enable the Experiences Your Medicare Advantage Members Want
Today, Medicare Advantage members desire care that is personalized, accessible, and transparent. This means streamlined healthcare experiences that mold to their lifestyle and social factors. Above all, they want to know that quality of care is always the primary objective.
From population health for complex cohorts to integrated management of long-term care and home health, see how HELIOS helps Medicare Advantage plans to provide a comprehensive yet adaptable care management program across the entire care continuum.
What Our Customers Say
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
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