VirtualHealth offers the HELIOS platform, a care management solution that integrates automated prior authorizations and FHIR interoperability to enhance healthcare delivery. It addresses inefficiencies in care coordination and utilization management, enabling healthcare payors to improve member engagement and operational productivity.
Funding
Funding not disclosed
Founders
Product
Problem
Healthcare payors face challenges in efficiently managing care, coordinating utilization, and ensuring data interoperability across disparate systems. Inefficient processes lead to increased costs, reduced care team productivity, and difficulties in meeting evolving compliance requirements.
Solution
VirtualHealth's HELIOS platform offers a comprehensive care management solution that streamlines workflows and enhances healthcare delivery. The platform integrates automated prior authorizations, configurable workflows, and FHIR interoperability to improve care team efficiency and data accuracy. By providing a single, unified solution for care management, utilization management, and data exchange, HELIOS enables payors to optimize resource allocation, reduce operational costs, and deliver proactive, personalized care to members. The platform's 90% configurability allows healthcare organizations to tailor the system to their specific needs and workflows.
Target Audience
The primary target audience includes healthcare payors, managed care organizations, and other healthcare providers seeking to improve care management, utilization management, and data interoperability.
Features
- Configurable workflows for care management, disease management, and population health management
- Automated prior authorization capabilities with AI-driven decisioning
- FHIR-enabled data interoperability for seamless data exchange with other systems
- Integrated telehealth functionality with secure videoconferencing and messaging
- Mobile app (HELIOS go) for on-the-go care management and coordination
- Secure text messaging (HELIOS text) for convenient member communication
- Data hub (HELIOS hub) for making data FHIR compatible