VirtualHealth Revolutionizes Utilization Management With Integrated Platform

By AIT News Desk On Apr 8, 2020

The leader in care management is bringing unprecedented user experience and automation to the world of utilization management

VirtualHealth, provider of HELIOS, the leading SaaS care management platform, announced the launch of a fully integrated, ground-breaking utilization management product. The innovative design places user experience and intelligent automation front and center while offering health plans unparalleled efficiency coupled with intuitive workflows.

VirtualHealth’s HELIOS #UtilizationManagement functionality puts user experience and intelligent automation front and center while offering health plans unparalleled efficiency. #HealthIT #CareManagement

The launch marks the first time a comprehensive utilization management solution is being offered as part of an ecosystem purpose-built for whole-person care. HELIOS facilitates the seamless flow of data – including medical, behavioral, social, and service – among a health organization’s otherwise siloed users and departments. By providing a fully integrated platform with a 360-degree member and staff view, HELIOS enables health plans to reduce the administrative burden associated with all facets of clinical operations and medical management.

The new HELIOS utilization management capabilities reimagine the end-to-end process and user journeys to deliver intuitive workflows across intake, routing, assessment, disposition, approval, correspondence, and configurable rules and templates. Clinical guidelines are made seamlessly available to users via certified real-time integrations with industry-leading content providers such as MCG.

“Today, utilization management is too often being performed on decades-old technology, creating inefficiencies and affecting staff performance,” said Adam Sabloff, VirtualHealth CEO. “We have been working thoughtfully on this challenge and we’re excited to finally welcome these critical workflows into the 21st century, empowering care managers and UM specialists to work together across the full spectrum of healthcare service delivery. It’s a win for health plans, it’s a win for providers and, most importantly, it’s a tremendous win for members.”

HELIOS takes otherwise siloed information from the health plan, provider organization and healthcare third parties and facilitates the end-to-end utilization review process from intake to review to determination to communication to data share, removing the administrative burdens of having to move between applications or submit and re-submit information. With the ability to use both evidence-based and custom guidelines in concert with unparalleled automation and intelligent process flows, both health plan users and providers on HELIOS enjoy fewer clicks, higher productivity, and greater transparency, allowing them to focus on providing better care to more members.