Clarity for health systems built on complexity.
Helios Group helps payers, providers, and health authorities turn fragmented claims, clinical, and cost data into decisions they can defend — through advisory work, purpose-built software, and the analytics that sit between them.
Illustrative — casemix distribution by major diagnostic category
Three ways we work with health systems.
Strategy & policy advisory
Payment reform, casemix and DRG system design, and tariff-setting support for ministries, insurers, and hospital groups navigating a move to value-based care.
How we adviseSoftware & data platforms
Purpose-built casemix groupers, claims and EHR interoperability pipelines, and the data infrastructure that keeps clinical and financial records in sync.
Explore our solutionsAnalytics & decision support
Utilization, cost, and outcomes dashboards built on top of your own casemix data — so finance, clinical, and operations teams work from one shared picture.
See our analytics workFeatured case study
Reducing unbundled billing across a twelve-hospital network
A regional hospital group was losing an estimated 4% of eligible reimbursement to unbundled and miscoded claims. We rebuilt their casemix pipeline, retrained coding teams against the new grouper logic, and stood up a monthly variance dashboard for finance.
Read the full case studyReady to see your data differently?
A first conversation is a working session, not a pitch — bring a real question from your own casemix or claims data.