VirtualHealth Partners with Change Healthcare to Optimize Utilization Management

The HELIOS platform offers a certified integration with InterQual Connect™ to provide embedded clinical criteria

NEW YORK--(BUSINESS WIRE)--VirtualHealth, provider of HELIOS, the leading SaaS care management platform, today announced a certified integration with Change Healthcare’s InterQual Connect™ to reduce the administrative burden on healthcare staff by expediting authorization requests requiring medical review. Through VirtualHealth’s leading-edge utilization management (UM) capabilities, including the InterQual Connect integration, healthcare practitioners can benefit from new efficiencies that minimize manual workflows and maximize the time available to focus on person-centered care.

The integration provides UM staff with real-time access to InterQual® Criteria, supporting the secure and rapid exchange of medical review and clinical information required to authorize healthcare services and therapies, reducing approval timelines and improving care delivery.

“Change Healthcare is known for both the quality of its clinical content and the interoperability of its technology, which made this partnership an inevitable component of our UM strategy,” said Adam Sabloff, CEO of VirtualHealth. “This step is a meaningful contribution to our mission of making healthcare more proactive for payers, providers, and patients.”

The VirtualHealth HELIOS platform connects the end-to-end healthcare ecosystem, aggregating medical, behavioral, social, and service data to deliver automated workflows that are based on a 360° view of each patient. The platform’s proprietary clinical decision rule engines work seamlessly to guide clinicians and care managers toward appropriate and timely communication, assessment, care planning, and education activities for every individual in their care.

“This integration is an exciting opportunity for payers and providers to upgrade their operations for automation and connectivity,” said Nilo Mehrabian, VP Product Management, Decision Support of Change Healthcare. “The combination of InterQual Connect and HELIOS’ rich medical management and workflow capabilities presents a powerful tool to save time and reduce costs throughout the healthcare system.”

VirtualHealth’s integration with InterQual Connect is the latest in a series of features and enhancements developed to reimagine the end-to-end UM process. Recently, VirtualHealth introduced new capabilities that deliver intuitive workflows across intake, routing, assessment, disposition, approval, correspondence, and configurable rules and templates.

For more information about VirtualHealth’s utilization management capabilities, click here.

About VirtualHealth

HELIOS by VirtualHealth is the first comprehensive care management platform purpose-built to power the entire ecosystem of value-based care. Utilized by some of the most innovative health plans in the country to manage millions of members, HELIOS streamlines person-centered care with intelligent case and disease management workflows, unmatched data integration, broad-spectrum collaboration, patient engagement, and configurable analytics and reporting. Named one of the fastest-growing companies in North America by Deloitte in 2018 and 2019, VirtualHealth empowers healthcare organizations to achieve enhanced outcomes, while maximizing efficiency, improving transparency, and lowering costs. For more information, visit www.virtualhealth.com.

Change Healthcare and InterQual Connect are trademarks of Change Healthcare, LLC and/or one of its subsidiaries.