Sold by: Elligint Health
Helios® by Elligint Health is the clinical operating system for modern value-based care, engineered for transformation, built for change, and ready for what's next. We deliver a secure, purpose-built solution and partner ecosystem for care management and utilization management, designed to help payer and provider organizations move faster, scale smarter, and lead with confidence, even as networks, models, and mandates evolve.
Overview
Helios® by Elligint Health provides a unified platform purpose-built to support whole-person care and risk-bearing entities. The platform brings together care management (CM), utilization management (UM), advanced analytics, and an extensible partner ecosystem to help payer and provider organizations operate more efficiently while improving outcomes.
Configurable, user-friendly, and scalable, the solution is delivered via a secure, cloud-based architecture that is HITRUST CSF certified, HIPAA and HITECH compliant, and NCQA Prevalidated for Population Health Management, enabling organizations to move faster and adapt to evolving clinical, regulatory, and operational demands.
The Elligint Health platform is anchored by three core components working seamlessly together:
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Helios® streamlines CM and UM through configurable workflows that improve operational efficiency and consistency.
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Advanced Analytics delivers predictive insights and real-time performance intelligence to support proactive, data-driven decision-making.
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The Elligint Health Ecosystem extends Helios through secure partner integrations, bringing in specialized capabilities such as AI-driven services, health literacy support, SDOH enablement, remote patient monitoring, and evidence-based UM guidance without adding complexity or fragmenting operations.
Elligint Health is differentiated by its comprehensive, integrated approach. The platform combines administrative, care manager, provider, and member portals with robust tools for care coordination, disease management, risk stratification, community resource integration, secure communication, collaboration, analytics, and reporting. Intelligent workflows guide teams to the right actions at the right time, driving measurable efficiencies, actionable insights, and an integrated care model that connects people, data, and services across the continuum of care.
Highlights
- Single, scalable platform for CM, UM, disease management, and population health, integrating data, teams, and action across the payer medical management continuum.
- Configurable, automated workflows and advanced analytics drive efficient, data-driven care coordination and faster, more informed decision-making.
- Designed to support regulatory requirements, quality programs, and SDOH initiatives, with partner integrations that extend capabilities without adding complexity.
Details
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Pricing
Pricing is based on the duration and terms of your contract with the vendor. This entitles you to a specified quantity of use for the contract duration. If you choose not to renew or replace your contract before it ends, access to these entitlements will expire.
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Dimension | Description | Cost/36 months |
|---|---|---|
Helios Basic License Subscription | Basic platform for up to 25,000 members | $1,224,000.00 |
Dimensions summary
This listing offers one pricing option: the Helios Basic License Subscription, billed as a contract. You buy it in units, and each unit covers the platform for up to 25,000 members. Pricing scales with your covered population. If your membership grows past 25,000, you add more units to match your member count. This is a single subscription tier, not a set of feature levels or instance sizes. The platform supports care management and utilization management workflows for value-based care programs.
Top-of-mind questions for buyers
A member is an individual whose care your organization manages on the platform. This includes people across Medicare Advantage, Medicaid, and commercial value-based programs. The platform aggregates their clinical, claims, risk, and social data into a unified member view. Each covered life counts toward your 25,000-member cap per unit.
Each unit covers up to 25,000 members. When your population grows past that cap, you add another unit to match your member count. Cost scales with the number of units you hold. Growth does not happen automatically; you add units as your covered population expands.
The Basic License covers the platform for care management and utilization management workflows. You get unified member views, configurable care plans, role-based dashboards, predictive risk scoring, and audit-ready compliance workflows. It supports value-based care programs with FHIR-native interoperability for connecting to health record and enterprise data systems.
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Delivery details
Software as a Service (SaaS)
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Support
Vendor support
Platform and service-related support is available for clients. For additional information on our solution, please contact us at: marketing@elliginhealth.com or through our contact form:
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