Accelerate Smarter Care Management
Helios® CM by Elligint Health is care management software built for health plans, providers, and value-based care organizations managing complex, high-risk populations — turning fragmented data into coordinated, whole-person action across every care team and setting.
What is Helios CM?
Helios CM is a cloud-based care management software that brings together the essential capabilities organizations need to coordinate care, manage populations, and turn data-driven insights into action.
Proven Results for Payers and Providers
One client reported an 85% productivity gain for care teams after implementing Helios, our care management software. Resources and case studies are available to see exactly how organizations are putting Helios CM to work.
Who Helios CM Serves
Care management looks different for every organization. Helios CM configures to the populations, contracts, and regulatory requirements you manage, not the other way around.
Health Plans & Payers
Talk with us about streamlining prior authorization, automating utilization review, and coordinating care across teams without adding headcount.
Value-Based Care Organizations
Ask how Helios aligns performance, quality, and cost across value-based contracts and provider networks.
MLTSS Programs
Find out how Helios coordinates HCBS services, long-term supports, and state-specific waiver requirements in a single system of record.
Government and Community Programs
Learn how Helios supports Medicaid managed care, public health initiatives, and community-based care coordination.
Extend the Power of Helios CM
Helios Text and Helios Visit extend Helios CM, our care management software, with secure, built-in tools for member messaging and telehealth — no separate software required. And because Helios CM and Helios UM run on the same platform, care management software and utilization management work as one connected system, not two.
Helios Text®
Helios Text enables secure outbound text messaging to individual members directly from Helios, with pre-configured and customizable message templates.
- Secure SMS Messaging directly from within workflows
- Pre-Built and Customizable Templates for speed and consistency
- Two-Way History and Delivery Tracking
- HIPAA-Compliant Communication across member populations
- Increased Member Engagement promotes adherence to care plans and improved member experience
Helios Visit®
Helios Visit is a built-in telehealth tool that enables secure, HIPAA-compliant video conferencing, audio calls, instant messaging, and two-way file exchange with members from a computer, smartphone, or tablet without any additional software.
- Secure, HIPAA-Compliant Video Visits
- Real-Time Chat and File Exchange
- No App Installation Required
- Device – and OS – Agnostic Access via smartphone, tablet, or desktop
- Integrated Across Helios Care Management Software and Workflows
Helios UM
Care management software works best when authorization workflows, clinical reviews, and care coordination operate within the same system. Helios CM integrates seamlessly with Helios UM, enabling organizations to connect prior authorizations, clinical reviews, appeals, and grievances directly to member care plans and outreach workflows. Together, Helios CM and UM help teams:
- Accelerate authorization decisions and service delivery
- Improve collaboration between care management and utilization review teams
- Maintain regulatory compliance while coordinating member care
- Reduce administrative friction across medical management operations
Why Leading Payers and Provider Groups Choose Helios
Helios CM is care management software built to give organizations the flexibility, interoperability, and scalability needed to support evolving value-based care programs, as part of the broader Helios medical management platform. Helios modules can operate independently or together to create a unified medical management environment.
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Automated, Configurable Care and Utilization Management Workflows
Supporting Medicare Advantage, Medicaid, and commercial programs with out-of-the-box templates.
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Integrated Care and Utilization Management Automation
Across authorizations, tasks, appeals and grievances, and compliance workflows.
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End-to-End Referral Management and Outreach Tracking
To strengthen care coordination and program engagement.
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Extensive Library of Customizable Assessments
With the ability to create new assessments using branching, scoring, mapping, and auto-population logic.
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NCQA Pre-Validated Population Health Capabilities
Aligned with evidence-based standards
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FHIR-Native Interoperability
Enabling seamless integration with EMRs/EHRs, partner systems, and enterprise data sources.
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Expandable Partner Ecosystem
That adds capabilities and AI-driven services such as secure messaging, telehealth, advanced analytics, remote patient monitoring, enhanced patient engagement and member education, clinical intelligence, quality and compliance, and UM capabilities
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Flexible Provider and Member Engagement Options
Including built-in portals that support communication, referrals, and care program participation.
The Care Management Software You Can Trust
Frequently Asked Questions
Helios CM manages the full arc of member care — care plans, risk stratification, referrals, and outreach. Helios UM handles authorization workflows, clinical reviews, and appeals. They’re built to work together, but organizations can start with either module and add the other when ready.
Yes. Helios CM (care management software) is FHIR-native, enabling seamless integration with EMRs/EHRs, partner systems, and enterprise data sources without disrupting your existing IT ecosystem.
Medicare Advantage, Medicaid, commercial, and value-based care populations — including complex case management, disease management, and LTSS/HCBS programs.
Yes. Helios CM includes NCQA pre-validated population health capabilities, helping health plans align with NCQA Population Health Program Accreditation requirements.
90% configurable — Helios CM adapts to your organization’s contracts, programs, and operational processes rather than forcing you into a rigid workflow.
One Platform. Endless Impact.
- Care and utilization management in one connected system
- 90% configurable to fit your contracts and workflows
- Real-time insights that surface priorities and drive action
- Less administrative burden, more time for care teams
- Cloud-based, FHIR-native, and built on AWS from Day 1