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VirtualHealth

Cloud-based care management for value-based care

Overview

VirtualHealth offers the HELIOS care management platform, a cloud-native SaaS solution that connects patients, providers, and payers to support value-based care. It handles care management, disease management, utilization management, behavioral health, population health, and care coordination, and can operate standalone or be integrated into existing systems. The platform runs on a subscription basis, providing a centralized workspace for care workflows, risk and population data, and care plans, with automatic updates as deployment scales. Its goal is to improve health outcomes while reducing costs by coordinating care and aligning incentives across the healthcare system.

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About VirtualHealth

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

Industries

Data & AnalyticsEnterprise SoftwareHealthcare

Company Size

11-50

Company Stage

Series B

Total Funding

$7M

Headquarters

Town of Pelham, New York

Founded

2019

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What believers are saying

  • PacificSource selected HELIOS on October 12, 2026 for 500,000 members.
  • CAIPA and Medical Associates Health Plans went live on HELIOS in August 2026.
  • WebMD Ignite partnership on October 25, 2026 expands member education inside workflows.

What critics are saying

  • Epic, InterQual, and Edifecs can displace HELIOS during payer procurement cycles.
  • Only $3.2 million funding leaves Elligint vulnerable if enterprise sales slip in 2026.
  • If CMS-0057-F implementation stalls, customer implementations and renewals lose urgency quickly.

What makes VirtualHealth unique

  • VirtualHealth’s HELIOS gained AWS HealthLake FHIR foundation on November 3, 2026.
  • Elligint Health unites VirtualHealth with HealthEC, combining care management and analytics.
  • Sagility alliance on October 14, 2026 adds turnkey operations beyond software alone.

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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
$45M
$65M
$100M

Growth & Insights and Company News

6 month growth

4%

1 year growth

0%

2 year growth

-7%
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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