Who We Serve
Helping Payers & ACOs Win in Value-Based Care
Elligint Health partners with Medicare & Medicaid payers and mid-market ACOs, providing predictive analytics, real-time insights, and expert support to reduce costs, improve outcomes, and navigate complex regulations—giving them a competitive edge in value-based care.
As the healthcare industry continues its pivot to value-based care, delivering effective care management for members, physicians, and health plans 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 payors, 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.
Health Plans
Optimize your commercial plan with exceptional utilization management, integrated care management, workflow automation, and operational efficiency.
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 contract management.
Health Systems
Improve value-based care contract management with comprehensive workflows to drive better care, reduce risk, close care gaps, and eliminate costly errors.
Accountable Care Organizations (ACOs)
Maximize clinician time with advanced population health insights, SDOH documentation and analysis, risk-stratification, care gap identification, disease management workflows, and more.
Community Organizations
Empower and support care for individuals in the community and in homes with a broad range of capabilities including native telehealth, service planning, and schedule management tools.
Helios® is an all-in-one medical management platform trusted by top payers and providers. It streamlines care coordination, population health, utilization management, and FHIR interoperability in a single solution. Now, with Elligint Health’s advanced analytics, Helios delivers even deeper insights to improve patient care and outcomes.
Key Advantages of Helios
Clients have deployed Helios to reduce unnecessary ER visits and avoidable hospitalizations, improve health equity, manage chronic conditions, administer community resources for social determinants of health, align with national quality strategy, and improve utilization management programs.
One Unified Platform for CM, DM and UM
Helios is a single, easy-to-use, cloud-based platform for care management, disease management, and utilization management.
Mobile App for Care Management in the Field
Helios Go brings all the best-in-class features and intuitive design of the Helios platform to care managers in the field.
Rapid FHIR Interoperability
Solve interoperability challenges by leveraging Helios Hub to achieve FHIR standard requirements.
Behavioral Health Solutions
Helios provides comprehensive assessments and collaborative workflows that empower teams to proactively address both medical and behavioral needs.