VirtualHealth

VirtualHealth

Cloud-based care management for value-based care

Overview

VirtualHealth offers HELIOS, a cloud-based platform that connects patients, providers, and insurance companies to manage healthcare services and patient data in one place. The software works by centralizing tasks like disease management and care coordination into a single interface, allowing users to track health outcomes and automate workflows through a subscription-based model. Unlike traditional systems that focus on the volume of medical tests performed, this platform is built specifically for value-based care models that prioritize patient health results and cost reduction. The company's goal is to streamline the entire healthcare ecosystem to ensure better medical outcomes at a lower total cost.

About VirtualHealth

Simplify's Rating
Why VirtualHealth is rated
B-
Rated B on Competitive Edge
Rated B on Growth Potential
Rated C on Differentiation

Industries

Data & Analytics

Enterprise Software

Healthcare

Company Size

11-50

Company Stage

Series B

Total Funding

$7M

Headquarters

New York City, New York

Founded

2019

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Simplify's Take

What believers are saying

  • Prior authorization automation via Itiliti partnership addresses CMS-0057-F mandate for payer compliance.
  • AI-powered medication management integration with MDI Health reduces costs and drug-related medical events.
  • HealthEC analytics partnership combines care management with advanced population health insights for outcomes.

What critics are saying

  • Large payers building in-house care management capabilities reduce willingness to pay recurring HELIOS fees.
  • Competitors like Optum and CVS expanding 24/7 virtual care offerings capture price-sensitive patients.
  • Major payer acquisition of competing platform eliminates HELIOS viability for 20-30% of customer base.

What makes VirtualHealth unique

  • HELIOS platform offers 90% configurability out-of-the-box without complex programming or costly customization.
  • Manages over 9 million members across innovative health plans with real-time analytics and automated workflows.
  • HITRUST CSF Certified and NCQA Prevalidated for Population Health with broad ecosystem partnerships.

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Funding

Total Funding

$7M

Below

Industry Average

Funded Over

1 Rounds

Series B funding is typically for startups that have proven their business model and need more funding to expand rapidly—often by entering new markets or adding more products. Investors are usually venture capital firms that specialize in later-stage investments.
Series B Funding Comparison
Below Average

Industry standards

$35M
$30M
Patreon
$45M
Linktree
$65M
Substack
$100M
ClickUp

Growth & Insights and Company News

Headcount

6 month growth

-3%

1 year growth

-3%

2 year growth

0%
Itiliti Health
Nov 20th, 2024
Itiliti Health Launches Integrated Solution for Prior Authorization Automation Simplifying Compliance and Enhancing Care Management for Healthcare Payers

In response to the evolving regulatory landscape, including the CMS-0057-F ruling and emerging state regulations, Itiliti Health and VirtualHealth have combined their expertise to develop the new HELIOS(R) + Itiliti Health platform.

Business Wire
Sep 25th, 2024
Population Health Analytics Leader HealthEC & VirtualHealth Announce New Partnership

The collaboration brings together VirtualHealth's award-winning care and population health management platform, HELIOS(R), with HealthEC's advanced population health analytics capabilities.

Herald Chronicle
May 2nd, 2024
VirtualHealth and MDI Health Technologies Announce Partnership with AI Features to Optimize Medication Management

VirtualHealth(R) is excited to announce a new partnership with MDI Health Technologies (MDI Health), a leader in AI-powered medication management solutions.

Business Wire
May 2nd, 2024
Virtualhealth And Mdi Health Technologies Announce Partnership With Ai Features To Optimize Medication Management

NEW YORK--(BUSINESS WIRE)--VirtualHealth® is excited to announce a new partnership with MDI Health Technologies (MDI Health), a leader in AI-powered medication management solutions. MDI’s technology utilizes AI to reimagine medication management and help leading payors and value-based care providers improve medication treatment, lower costs, and improve clinical outcomes. “MDI’s solution will be an incredible addition to the HELIOS platform. Its comprehensive analysis and AI automation capabilities significantly reduce the total cost of care for at risk populations. MDI can enable payers to scale their impact through auto-generation of personalized, high-impact clinical interventions,” said Sue Powers, Chief Growth Officer at VirtualHealth. “We know how important medication management is to our clients, and MDI’s HIPAA-compliant solution will help HELIOS users save on utilization and Rx spend, reduce the risk of drug-related medical events, and help their clinical teams to be more efficient and effective.”

Business Wire
Apr 25th, 2024
Helios® By Virtualhealth Named Bronze Stevie® Award Winner In 2024 American Business Awards®

NEW YORK--(BUSINESS WIRE)--VirtualHealth is excited to share that its HELIOS platform was named the winner of a Bronze Stevie® Award in the Healthcare Technology Solution category in The 22nd Annual American Business Awards® today. More than 3,700 nominations were submitted this year for consideration in a wide range of categories. “The VirtualHealth team has been working to enhance HELIOS, offering a powerful turnkey solution for care management, utilization management, and data interoperability, with rapid FHIR® transformations and AI-automated prior authorization,” said Adam Sabloff, CEO and Founder of VirutalHealth. “This award is a recognition of our team's innovative work. This next-generation HELIOS platform represents a groundbreaking advancement in streamlining healthcare operations and addressing core challenges for payers including technology alignment, improving coordinated care and provider-payor communication, and achieving seamless organization-wide interoperability.”. What judges had to say about HELIOS:“The industry gap is evident, and VirtualHealth is thinking three steps ahead to bridge the interoperability gap.”“The HELIOS platform by VirtualHealth, with its latest enhancements including HELIOSum and HELIOShub, represents a significant leap forward in healthcare management technology

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