VirtualHealth: Redefining Healthcare Delivery and Care Management in the Value-Based Era

In a healthcare landscape increasingly driven by the pursuit of value-based care, the need for advanced, integrated solutions has never been more critical. At the forefront of this transformation is VirtualHealth, a technology company that has built its reputation on delivering innovative care management platforms designed to meet the evolving needs of healthcare providers and payors. The company’s flagship product, HELIOS®, represents a comprehensive, member-centric ecosystem that streamlines care management, utilization management, and interoperability, all within a single, highly configurable platform. VirtualHealth’s journey began with a clear vision: to accelerate the healthcare industry’s transition to value-based care by creating a seamlessly connected care ecosystem. The company recognized that as healthcare becomes more complex, with increasing demands for better outcomes and cost efficiency, there was a growing need for a platform that could support these goals. HELIOS was developed as the embodiment of this vision—a solution that leverages real-time data, automated workflows, and a robust partner network to enable proactive, personalized care.

The company’s mission is rooted in the belief that healthcare technology should not only be powerful and effective but also intuitive and easy to use. This philosophy is evident in the design of HELIOS, which offers up to 90% configurability out-of-the-box, allowing healthcare organizations to tailor the platform to their specific needs without the burden of complex programming or costly customizations. By simplifying the technology, VirtualHealth empowers care teams to focus on what matters most: delivering exceptional care to their members.

HELIOS: A Comprehensive Solution for Modern Healthcare Challenges

At the heart of VirtualHealth’s offering is the HELIOS platform, a fully integrated care management system that serves as a unified solution for care management (CM), utilization management (UM), and interoperability. The platform’s design reflects a deep understanding of the challenges facing healthcare organizations today, particularly the need to manage diverse and often complex populations across various care settings.

One of the standout features of HELIOS is its ability to support whole-person care. The platform integrates physical and behavioral health management, recognizing that addressing both aspects of a patient’s well-being is essential for achieving optimal outcomes. With HELIOS, care teams can leverage comprehensive assessments and collaborative workflows to deliver care that is both proactive and personalized.

Breaking Down the Silos: Interoperability at the Core

Interoperability has long been a stumbling block in healthcare, with many organizations struggling to manage outdated or fragmented data that hinders effective care coordination. VirtualHealth has made interoperability a cornerstone of HELIOS, ensuring that the platform can aggregate and distribute data across care teams in real-time. This capability is particularly important in a value-based care model, where timely and accurate information is key to delivering the right care at the right time.

HELIOS is designed to comply with the latest interoperability standards, including FHIR (Fast Healthcare Interoperability Resources), making it easier for healthcare organizations to integrate the platform with their existing systems. The HELIOS ecosystem also includes HELIOShub, a tool that simplifies the process of making all data FHIR-compatible, reducing the complexity of managing multiple systems and improving overall efficiency.

The Power of Partnership: A Connected Ecosystem

VirtualHealth understands that the success of value-based care depends not only on technology but also on the strength of partnerships across the healthcare continuum. To this end, the company has built a network of strategic partnerships that support every aspect of care delivery, from auditing and compliance to health education and community-based services. These partnerships are integral to the HELIOS platform, enabling it to offer a comprehensive set of tools and resources that address social determinants of health (SDOH), improve health equity, and drive better care outcomes. For example, HELIOS integrates predictive analytics and health education resources, helping care teams identify and address the social and environmental factors that can impact a patient’s health.

VirtualHealth’s commitment to partnership extends to its support for various healthcare organizations, including Medicare and Medicaid payors, commercial health plans, health systems, accountable care organizations (ACOs), and home health care providers.

The HELIOS Product Family: A Suite of Integrated Solutions

HELIOS is more than just a care management platform—it is a comprehensive ecosystem that includes a range of integrated solutions designed to meet the diverse needs of healthcare organizations. The HELIOS product family includes:

• HELIOScare: The core care management solution that supports population health, disease management, and care coordination.
• HELIOSum: An advanced utilization management solution that streamlines prior authorization, appeals, and grievances, while improving data accuracy and cost efficiency.
• HELIOSvisit: A built-in telehealth tool that enables secure, HIPAA-compliant videoconferencing, audio calls, and instant messaging, without the need for additional software.
• HELIOStext: A secure outbound text messaging tool that allows care teams to communicate with members directly from the HELIOS platform.
• HELIOSgo: A mobile app version of HELIOS, designed for care management in the field, particularly for complex care management, LTSS, and behavioral health.
• HELIOShub: A tool that simplifies data interoperability and ensures FHIR compatibility, making it easier for organizations to comply with CMS requirements and improve data management.

Each of these solutions is designed with the same principles of configurability, ease of use, and integration, ensuring that healthcare organizations can deploy the tools they need quickly and efficiently.

Looking Ahead: The Future of Value-Based Care with VirtualHealth

As the healthcare industry continues to evolve, VirtualHealth is well-positioned to lead the charge in value-based care. The company’s focus on creating a connected, member-centric care ecosystem aligns perfectly with the goals of modern healthcare organizations, which are increasingly looking for ways to deliver better care at lower costs. VirtualHealth’s commitment to innovation and partnership will be critical as the company continues to expand its offerings and support more healthcare organizations in their value-based care journeys. With HELIOS as its flagship product, VirtualHealth is not just helping organizations adapt to the changing healthcare landscape—it is empowering them to thrive in it.

In an industry where the stakes are high and the challenges are numerous, VirtualHealth stands out as a beacon of progress, delivering solutions that make a tangible difference in the lives of patients and the efficiency of care teams. As value-based care becomes the norm rather than the exception, VirtualHealth’s role in shaping the future of healthcare will only grow more significant. 

Adam Sabloff, Founder and Chief Executive Officer

“VirtualHealth understands that the success of value-based care depends not only on technology but also on the strength of partnerships across the healthcare continuum”