VirtualHealth, the HELIOS care management platform provider, has reportedly launched a fully integrated utilization management product. The product’s innovative design focuses on intelligent automation center and user experience while providing health plans great efficiency along with intuitive workflows.
The launch of this product is the first time a comprehensive utilization management solution is delivered as part of a complete ecosystem that is specifically built for whole-person care. HELIOS offers seamless data flow – including behavioral, medical, behavioral, service, and social – in a health enterprise’s otherwise siloed departments and users.
by offering a fully integrated platform that has a 360-degree staff and member view, HELIOS allows health plans to decrease the administrative burden linked with all facets of medical management and clinical operations.
The new HELIOS utilization management capabilities understand the user journeys and end-to-end procedures to serve intuitive workflows in routing, intake, assessment, approval, disposition, correspondence, configurable templates, and rules. Clinical guidelines are also made available to users through certified real-time integrations together with market-leading content providers like MCG.
Adam Sabloff, CEO of VirtualHealth stated that currently utilization management is too often being conducted on technology that is decades-old, affecting staff performance and creating inefficiencies.
Sabloff further added that the company has been operating thoughtfully on this issue and is thrilled to finally launch these crucial workflows in the 21st century, strengthening UM specialists and care managers to collaborate with each other on the complete spectrum of healthcare service delivery. This is a win for health plans, for providers and, more importantly, this is a great win for the members.
HELIOS acquires otherwise siloed data from the health plan, healthcare third parties, provider organization and delivers end-to-end utilization review procedure starting from intake and moving towards review, determination, communication, and data share, eliminating the administrative burdens of needing to move between different applications or even submit and re-submit data.