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Text Content

 * Who We Serve
   * * * Medicare & Medicaid Advantage
       * Medicaid
       * Health Plans
       * Health Systems
       * Accountable Care Organizations
       * Home Healthcare
     * * 
     
     * * DISCOVER HELIOS FOR ADVANCED CM, UM & INTEROPERABILITY
         
         The only 90% configurable platform that supports CM, UM, and FHIR®
         interoperability, discover how HELIOS can help you meet evolving
         requirements for prior authorization, and interoperability, all while
         improving your overall CM, UM, and data exchange initiatives and
         outcomes.
         
         Learn More
 * Solutions
   * * * Care Management
       * Utilization Management
       * Data Interoperability
       * SMS / Text
       * Telehealth
       * Mobile Application
     * * 
     
     * * DISCOVER HELIOS FOR ADVANCED CM, UM & INTEROPERABILITY
         
         The only 90% configurable platform that supports CM, UM, and FHIR®
         interoperability, discover how HELIOS can help you meet evolving
         requirements for prior authorization, and interoperability, all while
         improving your overall CM, UM, and data exchange initiatives and
         outcomes.
         
         Learn More
 * Our Approach
   * * * Our Vision
       * Our Process
       * HELIOS Certified
     * * 
     
     * * DISCOVER HELIOS FOR ADVANCED CM, UM & INTEROPERABILITY
         
         The only 90% configurable platform that supports CM, UM, and FHIR®
         interoperability, discover how HELIOS can help you meet evolving
         requirements for prior authorization, and interoperability, all while
         improving your overall CM, UM, and data exchange initiatives and
         outcomes.
         
         Learn More
 * Resources
   * * * Blogs
       * White Papers & Guides
       * Webinars & Videos
     * * 
     
     * * DISCOVER HELIOS FOR ADVANCED CM, UM & INTEROPERABILITY
         
         The only 90% configurable platform that supports CM, UM, and FHIR®
         interoperability, discover how HELIOS can help you meet evolving
         requirements for prior authorization, and interoperability, all while
         improving your overall CM, UM, and data exchange initiatives and
         outcomes.
         
         Learn More


GET A DEMO
 * Who We Serve
   * Medicare & Medicaid Advantage
   * Medicaid
   * Health Plans
   * Health Systems
   * Accountable Care Organizations (ACOs)
   * Home Healthcare
 * Solutions
   * Care Management
   * Utilization Management
   * Data Interoperability
   * SMS / Text
   * Telehealth
   * Mobile Application
 * Our Approach
   * Our Vision
   * Our Process
   * HELIOS Certified
 * Resources
   * Blogs
   * White Papers & Guides
   * Webinars & Videos
 * GET A DEMO
 * 

 * Who We Serve
   * Medicare & Medicaid Advantage
   * Medicaid
   * Health Plans
   * Health Systems
   * Accountable Care Organizations (ACOs)
   * Home Healthcare
 * Solutions
   * Care Management
   * Utilization Management
   * Data Interoperability
   * SMS / Text
   * Telehealth
   * Mobile Application
 * Our Approach
   * Our Vision
   * Our Process
   * HELIOS Certified
 * Resources
   * Blogs
   * White Papers & Guides
   * Webinars & Videos
 * GET A DEMO
 * 


DELIVERING HEALTHCARE SOLUTIONS DESIGNED FOR VALUE-BASED CARE


WHAT TO KNOW ABOUT CMS-0057-F: QUICK FACTS & NEXT STEPS

Here’s what you need to know about the finalized CMS interoperability and prior
authorization rule CMS-0057-F, and the three big steps to take in 2024 because
of it.

Get the Details


HARNESSING AI IN HELIOS

Learn about how HELIOS is harnessing AI for predictive analytics, automated
decisioning and prior authorization, and more.

Learn More


DISCOVER HELIOS' INTEROPERABILITY PRODUCT

Discover the power of FHIR® compatibility and faster data interoperability.
Download this quick information sheet to learn more about the key features and
benefits of HELIOShub.

Learn More


OUR MISSION IS CARE

We’re not trying to reinvent healthcare. Our mission is to provide the
leading technology you need for exceptional care, disease, and utilization
management, and healthcare interoperability. Our advanced workflows and
automations, paired with unmatched 90% configurability, enable your teams to
focus on what matters – your members.

We believe that medical management technology should be intuitive, effective,
and easy to use. With our member-centric platform HELIOS® , you can offer each
individual you serve the most proactive and personalized level of care possible.

Our Vision

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A SINGLE SOLUTION FOR CM, UM & INTEROPERABILITY

Prior Auth. FHIR APIs. Configurable Workflows. Industry-Leading CM/UM Platform.

Meet CMS-0057-F requirements now with our next-generation HELIOS platform. The
only care and utilization management platform with 90% configurability
out-of-the-box, HELIOS gives you a single solution to advance medical
management. Leverage advanced AI-driven prior authorization automation and
decisioning, configurable workflows, and plug-and-play FHIR interoperability. 

Learn More


PROVEN RESULTS


12+ MILLION

Managed lives through HELIOS


UP TO 93%

Ability to improve care team efficiency


UP TO 92%

Care team productivity gains


HELIOS PRODUCT FAMILY

Everything you need in a single, intuitive, highly configurable solution. HELIOS
has been leading the industry in user experience and cloud-based healthcare
management for over a decade.

Explore the breadth of fully integrated HELIOS product offerings, including our
market-leading care management, utilization management, data interoperability,
telehealth, engagement, and mobile solutions

Learn More

Our best-in-class, highly-configurable intuitive platform solution for
healthcare payors needing to support care management, disease management,
population health management, and more.

Advanced utilization management solution that streamlines utilization reviews,
appeals, and grievances, offers automated prior authorization capabilities,
improves data accuracy and confidence, and drives cost-saving efficiencies.

Our built-in telehealth tool, HELIOSvisit enables fully secure and
HIPAA-compliant videoconferencing, audio calls, instant messaging, and two-way
file exchange with members from a computer, smartphone, or tablet without any
additional software downloads.

HELIOStext enables convenient, secure outbound text message communications to
individual members directly from HELIOS or HELIOSgo, with pre-configured and
customizable message templates.

The mobile app version of HELIOS platform, HELIOSgo is uniquely designed for
easier in-the-field and on-the-go care management and coordination, and
specifically tailored for complex care management, LTSS, home health and
behavioral health needs.

With HELIOShub payors can quickly and easily make all of their data FHIR®
compatible, while also simplifying their tech stack, reducing costs, and
improving team efficiency and data accuracy.


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.


WHAT OUR CUSTOMERS SAY

At ICP, we have a very specific vision for continuing to elevate the
high-quality support we offer both our members and our care teams, and
VirtualHealth has been instrumental in powering new efficiencies and data-driven
workflows to achieve this vision. From day one of our implementation, the
experts at VirtualHealth have demonstrated a keen understanding for the needs of
our market and we are already seeing tremendous results from the partnership.



Karen Vanaskie, DNP, MSN, RN, Chief Clinical Officer



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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CONNECT WITH US

We understand that choosing medical management technologies can be a significant
decision. That is why we provide a highly consultative and refined approach that
allows you to explore all of the capabilities of HELIOS and understand how we
both implement and support clients.

Chat with our team for more information about any of our HELIOS products.

GET IN TOUCH


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