DISEASE MANAGEMENT

Chronic Disease Management Solution

Designed to simplify the care management and coordination of those living with chronic conditions while reducing unnecessary utilization and avoidable complications, such as emergency room visits.

Enabling Quality Care For High-Risk, Complex Populations

Effective disease management can provide better outcomes and reduce the costs of caring for those suffering from chronic illnesses. HELIOS® proactively identifies individuals who can benefit from disease management via advanced identification and stratification algorithms. The platform offers first-, second-, and third-level assessments with branching logic and scoring to capture detailed and specialized information regarding the presence and treatment of key diagnoses and comorbidities.

These intelligent assessments then auto-populate a person-centered care plan with built-in clinical decision-making using configurable automations and workflows and evidence-based best practices.

Broad spectrum data integrations

Automated Diagnosis-based Referral Creation

Configurable Assessments and Risk Triggers

Adjustable Scoring and Logic

Automated, Configurable Workflows

Tailored Care Plans

Integrated Educational Content for Improved Care Plan Adherence and Health Literacy

Self-service and Reporting

Omnichannel Communication Tools

Connected Devices and Remote Patient Monitoring Integrations

Automated Episode Generation, Assignment, and Tasking

Flexibility to Adapt to Changing Disease Management Programs

Manual Overrides to Enable Further Personalized Goals, Barriers and Interventions

See How HELIOS Can Improve Chronic Disease Management

We understand that choosing medical management technologies can be a big decision. That is why we provide a highly consultative and refined 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 chat with our team or to get more information about any of our HELIOS products.

Who We Support

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

Optimize your commercial plan with exceptional utilization management, integrated care management, workflow automation, and operational efficiency. The HELIOS platform offers unmatched flexibility for quickly and easily executing strategic initiatives.

Health Systems

Improve value-based care outcomes with comprehensively integrated CM and UM solutions that drive better care, reduce risk, close care gaps, and eliminate 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 home health capabilities along with native telehealth, service planning, and schedule management tools.

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6 Ways To Enhance Chronic Care Management For Medicare Populations

In 2020, data from the Chronic Conditions Data Warehouse (CCW) found that 31,860,990 Medicare beneficiaries had a chronic condition. Medicare beneficiaries with chronic conditions also had significantly more provider visits, hospital admissions or days/nights in a hospital, and higher prescription medication costs and usage. Learn about the six strategies that can help improve chronic disease management with Medicare populations.

Connect with Us

We understand that choosing medical management technologies can be a big decision. That is why we provide a highly consultative and refined 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 chat with our team or to get more information about any of our HELIOS products.