Elligint Health

Elligint Health

Value-based care analytics with risk stratification

Overview

Elligint Health provides a data analytics platform designed for the value-based care (VBC) market. It targets payers, Accountable Care Organizations (ACOs), and mid-market VBC providers, offering a SaaS-based solution combined with expert guidance. The platform integrates advanced analytics, real-time insights, and predictive modeling to help clients reduce operational costs through optimized resource allocation and to improve health outcomes via automated workflows and risk stratification. It also simplifies data integration and regulatory navigation, positioning itself as a turnkey solution enhanced by an industry advisory board that guides product development and strategy. The company’s goal is to help healthcare organizations perform better within the VBC framework by shortening time to value and enabling data-driven decision making.

About Elligint Health

Simplify's Rating
Why Elligint Health is rated
C
Rated C on Competitive Edge
Rated B on Growth Potential
Rated D+ on Differentiation

Industries

Data & Analytics

Consulting

Enterprise Software

Healthcare

Company Size

11-50

Company Stage

N/A

Total Funding

N/A

Headquarters

Edison, New Jersey

Founded

N/A

Simplify Jobs

Simplify's Take

What believers are saying

  • CMS-0057-F mandates 72-hour prior authorizations, met by Helios UM workflows.
  • Impresiv Health partnership accelerates implementations, shortening time-to-value by months.
  • UM 3.0 rollout in November 2025 boosts care manager efficiency by 85%.

What critics are saying

  • Epic and Cerner embed native UM, displacing Elligint in 12-24 months.
  • CMS reforms commoditize UM, eroding pricing power in 12-18 months.
  • UM 3.0 bugs trigger client refunds, damaging cash flow in 3-9 months.

What makes Elligint Health unique

  • Helios unifies care management, utilization management, and analytics in one FHIR-native platform.
  • Advanced Analytics stratifies rising-risk populations using predictive AI across clinical data.
  • Partner Ecosystem integrates with Unite Us for seamless community-based care coordination.

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Benefits

Health Insurance

Dental Insurance

Vision Insurance

401(k) Retirement Plan

401(k) Company Match

Paid Vacation

Company Equity

Company News

Sarasota Herald-Tribune
Jan 14th, 2026
Elligint Health and Impresiv Health Partner to Deliver Faster Clinical and Operational Outcomes for Health Plans

Elligint Health and Impresiv Health partner to deliver faster clinical and operational outcomes for health plans. EDISON, NJ, UNITED STATES, January 13, 2026 /EINPresswire.com/ - Elligint Health has entered into a strategic partnership with Impresiv Health to accelerate the replacement of outdated clinical technology infrastructure still being used by many health plans. As expectations for faster turnaround times and more personalized care management continue to rise across the healthcare ecosystem, health plans need modern, cloud-based technology that scales seamlessly as organizations grow, is AI-ready, and can reduce administrative burden while supporting high-value, member-centered care. This partnership directly addresses those challenges by combining modern, cloud-based care management technology with proven implementation and operational transformation expertise. Helios(R) by Elligint Health is an integrated care management and utilization management solution built on a single, unified platform. By partnering with Impresiv Health - a trusted provider of technology enablement services - Elligint Health delivers faster implementations combining modern technology with the professional services health plans need to adopt AI with confidence while supporting high-value clinical work. Together, Elligint Health and Impresiv Health will help payers: - Shorten time to value during platform implementations - Reduce operational risk during legacy system transitions - Improve utilization management and care management efficiency - Decrease manual administrative work for nurses and clinicians - Support scalable, AI-ready operations aligned to growth and regulatory demands "As more and more health plans seek to modernize their technologies our partnership with Impresiv Health enables us to focus on developing strong out-of-the-box software and integrations while Impresiv Health delivers rapid implementation and workflow optimization services," said Chris Caramanico, CEO of Elligint Health. "Modernization efforts often stall because implementation and operational realities aren't addressed," said Marcus Fontaine, CEO of Impresiv Health. "By pairing Helios with a turnkey implementation and optimization approach, we help health plans reduce transition risk, accelerate clinical productivity, and realize value sooner, without disrupting care delivery." This partnership provides health plans with a practical, outcome-driven path to modernization, combining technology, execution discipline, and payer expertise to support sustainable performance improvement. For more information about the Helios platform and how it supports modern care and utilization management, visit www.elliginthealth.com/solutions. About Elligint Health Elligint Health is a mission-driven organization dedicated to making healthcare more proactive, connected, and intelligent. Its flagship platform, Helios(R), unifies data across the healthcare continuum to deliver real-time insights that inform decision-making, enhance care coordination, and improve outcomes. Elligint Health partners with the nation's most innovative payers and providers to simplify value-based care management through cloud-based technology that turns data into actionable strategies. By aligning all stakeholders - patients, providers, and payers - Elligint Health helps organizations navigate complexity with clarity, creating a healthcare ecosystem that is smarter, more sustainable, and centered on whole-person care. About Impresiv Health Impresiv Health is a healthcare consulting and services firm that helps health plans turn strategy into execution by improving clinical performance, operational efficiency, and technology outcomes. With deep payer experience and a hands-on delivery mindset, we work alongside leadership teams to move initiatives forward - delivering shorter time to value, stronger productivity, audit readiness, and scalable operations. Since 2014, Impresiv Health has helped organizations stabilize operations, modernize platforms, and improve clinical and operational performance through experienced healthcare professionals and proven delivery models. EIN Presswire provides this news content "as is" without warranty of any kind. We do not accept any responsibility or liability for the accuracy, content, images, videos, licenses, completeness, legality, or reliability of the information contained in this article. If you have any complaints or copyright issues related to this article, kindly contact the author above.

Elligint Health
Nov 3rd, 2025
November 2025 Edition: Sparking Change Newsletter

In a time of unprecedented transformation in the healthcare industry, staying informed and inspired is not just a benefit - it's a necessity. That's why Elligint Health is proud to bring you Sparking Change, its monthly e-newsletter designed especially for its clients and partners. More than just an update, Sparking Change is your strategic companion - offering insights into innovation, performance, and the people driving progress across healthcare. Driving efficiency with UM 3.0. Elligint Health is excited to roll out Helios(R) Utilization Management (UM) 3.0 - a comprehensive set of enhancements designed to make UM workflows faster, smarter, and more intuitive. At a time when care teams are being asked to do more with less, UM 3.0 delivers automation and streamlined navigation that reduce administrative burden and frees up time for what matters most: member care. In testing, UM 3.0 has consistently cut time from daily workflows, reducing extra clicks and scrolling while eliminating the need to open multiple windows. The result: users can work more efficiently, handle higher caseloads, and focus on complex clinical decisions rather than navigating the platform. * A new Utilization icon accessible from the top navigation bar and consistent left-side menu for relevant processes make key functions like authorizations, appeals, grievances, events, and savings easier to find. * The Status Summary bar at the top of the form and collapsible sections put essential information front and center - no more scrolling through long forms to find the section you need. * Users can jump to any section of a form using a built-in Table of Contents. A built-in table of contents quickly jumps end users to sections of interest without the need to scroll. * A new Quick Assignment utility allows bulk or single-click form reassignment. * Custom Queues support tailored work lists by role or lifecycle stage, with instant visibility into workload via count badges. * Watchers keep stakeholders informed on specific cases without requiring ownership. * In-Screen Previews and Line-level Side Panels let users view member and service details without losing their place and can be repositioned according to user preference. Moveable data panels in-screen views provide end users with relevant information without having to leave the form, while a dedicated top menu icon and side menu enable rapid access to various aspects of UM. * Using its Redesigned Filters 2.0, users can save, edit, and quickly retrieve common search criteria, eliminating repetitive setup. Making UM 3.0 Work for You UM 3.0 is now available in user acceptance testing (UAT) environments, and starting November 4, clients can enable it in their Helios production environments. Elligint Health, LLC believe UM 3.0 will help your organization save time, reduce administrative friction, and increase care team throughput. To learn how these enhancements can support your team's unique workflows, please contact your Account Manager. Spotlight on Strategic Advisory Board member: Brian Steele, DO. At Elligint Health, its Strategic Advisory Board plays a vital role in guiding its vision. Comprised of leaders with deep expertise across clinical, operational, and population health domains, the Board ensures that its strategy is grounded in real-world experience and forward-looking insight. This month, Elligint Health, LLC is excited to highlight Brian Steele, DO - a physician and health system executive with a distinguished track record in analytics, clinical excellence, and innovation leadership. As Chief Medical Officer (CMO) at Elligint Health and a valued member of its Strategic Advisory Board, Dr. Steele helps Elligint Health, LLC stay ahead of healthcare transformation, shape its product strategy, and support clients with real-time, confident guidance. Dr. Steele is deeply committed to transforming care delivery to make it more patient-centered, data-driven, and value-based. With extensive experience in insurance, analytics, and scalable healthcare solutions, he thrives where clinical excellence, financial sustainability, and innovation intersect. Over the course of his career, he has led strategic initiatives that improve outcomes while optimizing cost efficiency - aligning incentives, leveraging data to inform decisions, and designing systems that prioritize both quality and accessibility. His leadership journey includes roles such as CMO at Collaborative Health Systems, Vice President of Medical Affairs - Clinical Services at Excellus BCBS, Chief Medical Director at Envolve, and Associate Chief Medical Information Officer and physician at the University of Rochester Medical Center. Dr. Steele earned his medical degree from the Philadelphia College of Osteopathic Medicine. Elligint Health's Strategic Advisory Board also includes Amy Qureshi, RN, a nationally recognized expert in care management, utilization management, and population health, and Fred Goldstein, a pioneer in population health with a proven track record of driving results across hospitals, health plans, and employer programs. Together, their collective expertise strengthens Elligint's ability to innovate and lead in a rapidly evolving healthcare landscape. Understanding the impact of rising healthcare costs on affordability. Healthcare costs continue to strain the affordability of care for many Americans - even those with insurance. According to a recent article by the Kaiser Family Foundation (KFF), nearly half of U.S. adults report difficulty affording health care costs, and one in four have experienced problems paying for care in the past year. This financial pressure often leads individuals to delay or forgo necessary treatments, resulting in worsened health outcomes. The burden of high costs is not equally distributed. Uninsured adults are far more likely to report difficulty affording care compared to those with insurance. Yet even insured individuals are not immune - many struggle with premiums and deductibles, and some postpone or skip care because of cost concerns. For payers, these affordability challenges highlight the need to develop strategies that balance cost management with access to care. Addressing financial barriers can improve health outcomes and reduce the long-term costs associated with untreated conditions. Innovative approaches that align cost containment with high-quality, accessible care will be essential going forward. As health care spending continues to rise, proactive measures are critical to keep care affordable and accessible. By prioritizing affordability, payers can play a pivotal role in improving the health and well-being of the populations they serve. Elligint Health's platform, Helios, helps organizations identify opportunities to improve efficiency, manage costs, and support better care delivery. It does this by bringing together data from siloed sources, building configurable workflows and assessments that reduce administrative burden and drive better member outcomes, and enabling extended functionality through its large ecosystem of partners. If your organization is looking to fine-tune your efficiency and workflows for greater success, please contact your Account Manager today. For more information about Elligint Health, contact your Account Manager today.

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