Our solution enables home and community care providers to deliver increasing value, and enables payers to increasingly pay for value. It blends two key components: a knowledge suite to inform the transformation called Care Intelligence, and a high-performance network optimization system to enact it called Performance Intelligence. Each helps our partners uncover upstream and downstream benefits to relieve friction and provide a better experience for members.
Care Intelligence and Performance Intelligence are our response to the gaps we see in post-acute care. Right now, post-acute care doesn’t work well for payers, who are paying more for less. It doesn’t work well for providers, who are underutilized in delivering more complex, impactful care yet still struggle to meet the demands of the work they are doing. And most important, it doesn’t work well for patients, with many having poor experiences. By creating new solutions to improve care and delivery, Helion can help you not only transform home and community care, but the overall health Care continuum.
Care Intelligence is a knowledge-based capability suite for home and community care, that delivers insights to enable enhanced care delivery and administration.
Today, when it comes to post-acute care, payers and providers don’t have the information they need to make the right decisions or make decisions quickly. Our clinical support tool makes automatic authorizations in seconds instead of days, while still ably supporting exception-based authorizations. Employing insights gleaned from the member’s OASIS questionnaire as well as a proprietary database that incorporates five years of OASIS assessment collections, the tool yields a robust and individualized patient assessment for the member, making appropriate and consistent authorizations fast and easy.
delivers quality utilization decisions faster with fewer FTEs.
generates data measuring care quality and cost.
identifies individual patient care needs and gaps.
translates a blend of care data into actionable insights.
Performance Intelligence is a library of proprietary, continually updated knowledge and data powering a network enhancement system that provides a path to true value-based care.
Today, assessing the performance of post-acute provider organizations and providers is challenging for payers, and so is improving your performance if you’re a provider. Performance Intelligence is a structured, collaborative process which gives providers the data and coaching they need to stay top-rated and payers the insight into provider performance to make smart decisions with their network that is transparent, predictive, and equitable.
elevates the network to the first stage of higher performance.
optimizes referral patterns and practices.
equips providers to operate in high performance networks.
establishes a high performance, risk-based network.
Helion partnered with a large health plan and their home health network to help them respond nimbly at the start of the COVID-19 pandemic. Working together, they were able to implement seismic changes.
When a particularly complicated brain injury case complicated by challenging family dynamics threatened a patient’s care, Helion helped a health plan and skilled nursing facility work together on a shared solution.
Two high volume skilled nursing facilities (SNF) under the same ownership were in danger of network termination until Helion collaborated with leadership to execute an improvement program.