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features
design
support

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Description

Achieving significant advancements in both clinical and administrative outcomes, Evolent Care Partners, a healthcare system in the Midwest, has earned the distinction of being ranked third nationally for both total shared savings and the percentage of savings against benchmarks. By providing independent primary care physicians with essential capital and resources, Evolent Care Partners empowers them to engage in and thrive under two-sided payer contracts while mitigating their financial exposure. New Century Health enhances cost-effectiveness and quality of care in oncology and cardiology by leveraging clinical evidence to inform care decisions, a process that enjoys support from both payers and providers alike. Furthermore, Evolent Health Services streamlines health plan operations through a suite of comprehensive services backed by a modern, integrated platform and a genuine model of strategic partnership. Additionally, the organization encourages exploration of insights and news related to value-based care, population health, health plan administration, and various topics concerning the transformation of healthcare. Through these initiatives, Evolent aims to foster a more efficient and effective healthcare landscape.

Description

Although clinical health is essential, better outcomes require a higher level of care. HELIOS provides a 360deg view that encompasses all aspects of a member’s health. The care team can collaborate to determine the best interventions and reduce avoidable readmissions by using a holistic view of the member. VirtualHealth's HELIOS platform allows for unparalleled collaboration and coordination between the member and their care team. It also provides visibility across the entire healthcare organization. Our clients can achieve more than traditional care management by connecting their entire care team to one integrated ecosystem. This allows them to drive greater efficiency, transparency and cost reduction.

API Access

Has API No 

API Access

Has API Yes 

Screenshots View All

Screenshots View All

Integrations

OpenPM Yes 
Unite Us No 

Integrations

OpenPM No 
Unite Us Yes 

Pricing Details

No price information available.
Free Trial No 
Free Version No 

Pricing Details

Pricing is dependent on population size and features selected by client. Pricing typically includes up-front implentation and configuration plus a PMPM license once live.
Free Trial No 
Free Version No 

Deployment

Web-Based Yes 
On-Premises No 
iPhone App No 
iPad App No 
Android App No 
Windows No 
Mac No 
Linux No 
Chromebook No 

Deployment

Web-Based Yes 
On-Premises No 
iPhone App Yes 
iPad App Yes 
Android App Yes 
Windows No 
Mac No 
Linux No 
Chromebook No 

Customer Support

Business Hours Yes 
Live Rep (24/7) Yes 
Online Support Yes 

Customer Support

Business Hours No 
Live Rep (24/7) No 
Online Support No 

Types of Training

Training Docs Yes 
Webinars No 
Live Training (Online) Yes 
In Person Yes 

Types of Training

Training Docs Yes 
Webinars Yes 
Live Training (Online) Yes 
In Person Yes 

Vendor Details

Company Name

Evolent Health

Founded

2002

Country

United States

Website

www.evolenthealth.com

Vendor Details

Company Name

VirtualHealth

Founded

2014

Country

United States

Website

www.virtualhealth.com/helios-platform.html

Product Features

Benefits Administration

COBRA Administration Yes 
Claims Management Yes 
Deduction Management Yes 
Disability Insurance Administration Yes 
Employee Benefits Administration No 
FMLA Administration No 
FSA Administration Yes 
Flexible Spending Accounts No 
For Brokers No 
For Employers No 
HIPAA Compliant Yes 
Health Insurance Administration Yes 
Life Insurance Administration Yes 
Online Benefits Enrollment Yes 
Premium Billing No 
Provider Management Yes 
Retiree Administration No 
Retirement Plan Management No 

Claims Processing

Adjustor Management No 
Case Management No 
Claim Resolution Tracking Yes 
Co-Pay & Deductible Tracking Yes 
Compliance Management No 
Customer Management Yes 
Electronic Claims Yes 
Forms Management No 
Paper-Based Claims Yes 
Payor Management Yes 
Policy Administration Yes 

Product Features

Patient Case Management

Activity Tracking Yes 
Assessment Notes Yes 
Billing & Invoicing No 
Calendar Management Yes 
Candidate Identification No 
Case List Management Yes 
Eligibility Verification Yes 
HIPAA Compliant Yes 
Medical History Records Yes 
Patient Records Yes 
Referral Management Yes 
Treatment Planning Yes 

Population Health Management (PHM)

Analytics No 
Cost-of-Care Analysis Yes 
Data Storage No 
EMR/EHR Integration Yes 
Patient Engagement Yes 
Patient Identification Yes 
Patient Risk Stratification Yes 
Patient-Reported Outcomes No 
Payment Bundling No 
Predictive Alerts Yes 
Test & Treatment Reminders Yes 
Utilization Tracking Yes 

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