HealthEC

by HealthEC  · Based in United States → — Accelerate Smarter Care for Modern Health Plans
Family Medicine Hospital Medicine Internal Medicine
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Overview

HealthEC, now Elligint Health, provides a suite of data integration and population health management solutions. Their Helios Platform offers a connected system for intelligent medical management, streamlining proactive care management (Helios CM) and utilization management (Helios UM) through configurable workflows and intelligent automation. The platform includes advanced analytics to surface risk, quality gaps, and performance insights in real time, delivering performance intelligence across clinical, operational, and financial domains. Built on AI-ready architecture, Helios integrates specialized partner technologies for AI-enabled clinical decision support and risk forecasting models. It aims to automate workflows, accelerate prior authorization decisions, identify high-risk members earlier, coordinate care, and maintain audit-ready compliance.

Reviewed by Pouyan Golshani, MD — Interventional Radiologist

Key Features

  • Automated care management and utilization management workflows
  • Accelerated prior authorization decisions (CMS-0057-F aligned)
  • Predictive insights for high-risk member identification
  • Real-time care coordination across teams and providers
  • Audit-ready compliance with CMS-aligned tracking
  • Configurable workflows, assessments, and care plan automation
  • Advanced analytics for risk adjustment, quality gaps, and performance insights
  • AI-ready architecture for clinical decision support and risk forecasting
  • Comprehensive quality measurement and tracking (HEDIS & CMS program support)
  • Cost & utilization management and medical expense analysis

Use Cases

  • Streamlining medical management operations for health plans
  • Improving regulatory compliance for care and utilization management
  • Delivering better outcomes for complex member populations
  • Automating prior authorization processes to meet regulatory timelines
  • Identifying and managing high-risk and high-cost members proactively
  • Optimizing financial performance and value-based care contracts

What Physicians Need to Know

Evidence Base
HealthEC's platform is an AI-enabled population health management (PHM) solution that integrates clinical with claims data from various sources. It leverages data-driven insights to support informed decisions and improve outcomes in value-based care environments. The platform's decision-support tools are designed to eliminate workflow disruption with integrated, customizable care plans.
Clinical Validation Studies
While the platform emphasizes empirically enhancing strategic planning and delivering on organizational goals through data integration, analytics, and care coordination, specific details about proprietary clinical validation studies for its decision support tools are not readily available in the provided information. Generally, clinical decision support systems (CDSS) are increasingly being validated using real-life patient data, with studies focusing on detecting adverse drug events, inappropriate medications, and drug-related problems.
Alert Fatigue Management
HealthEC's platform aims to eliminate workflow disruption with integrated, customizable care plans and decision-support tools. In general, alert fatigue is a known challenge in clinical decision support systems, where frequent or irrelevant alerts can lead clinicians to ignore important warnings. Strategies to mitigate alert fatigue include classifying alerts by severity, making critical alerts interruptive while less critical ones are non-interruptive, and continuous monitoring of alert response rates. Effective alert fatigue management often involves filtering and prioritizing alerts based on clinical significance and patient-specific data.
Drug Interaction Checking
HealthEC's platform aims to provide a comprehensive view of patient information by integrating data from disparate healthcare systems, which is crucial for identifying potential drug interactions. Clinical decision support systems commonly include drug-drug interaction (DDI) checking as a core function to reduce prescribing errors. These systems typically generate alerts during the prescribing process, referencing patient-specific data like allergies and existing medications. Recommendations for improving DDI alerts include clearly describing potential adverse clinical consequences and providing information on the expected timing of interaction effects.
Differential Diagnosis Support
HealthEC's platform focuses on providing actionable insights at the point of care and unifying patient information. Clinical Decision Support (CDS) products generally offer capabilities such as differential diagnosis generation, suggesting likely diagnoses based on symptoms, history, and test results. Differential Diagnosis Decision Support Systems (DDDSS) allow clinicians to enter findings and patient context to generate a ranked list of possibilities with supporting evidence.
Guideline Update Frequency
The provided information does not specify the guideline update frequency for HealthEC's clinical decision support tools. However, effective CDS systems rely on up-to-date medical knowledge and evidence-based guidelines. Continuous updates are crucial for maintaining the relevance and accuracy of decision support.
Clinical Workflow Integration
HealthEC's platform is designed to eliminate workflow disruption with integrated, customizable care plans and decision-support tools. It emphasizes unifying all members of the care team to support coordinated healthcare delivery and seamlessly coordinating with community resources. Clinical decision support tools are most effective when seamlessly integrated into existing clinical workflows, providing timely and relevant information at the point of care. This integration helps reduce cognitive burden and prevent errors.
Decision Audit Trail
While the provided information does not explicitly detail a 'Decision Audit Trail' for HealthEC, the platform focuses on data analytics and providing insights. In general, audit trails are crucial in healthcare for documenting every access, action, or change made to electronic health records and other healthcare data. These chronological records provide a detailed history of who accessed data, what they did, when, and why, ensuring compliance and data integrity. For AI-powered clinical decision support systems, an auditable framework captures the full decision process, including the original user query, patient data accessed, retrieved sources, and reasoning steps. This enhances transparency, reliability, and accountability.
Physician Tip

Leverage HealthEC's integrated platform to gain a holistic view of patient data, combining clinical and claims information for more informed decision-making. Utilize the customizable care plans and decision-support tools to streamline workflows and enhance coordinated care. Pay attention to the actionable insights provided at the point of care to identify high-risk patients and address care gaps proactively. While specific alert fatigue management details are not provided, be mindful of alert volume and provide feedback to optimize the system for relevance and effectiveness. For drug interaction checking, understand the clinical consequences described in alerts to make appropriate prescribing decisions. Actively engage with the system's capabilities for diagnostic support and leverage the data-driven insights to improve patient outcomes in value-based care models.

HealthEC's platform is designed for robust data integration, aggregating claims and clinical data from multiple sources into a universal data warehouse. It supports integration with Health Information Exchanges (HIEs) and Electronic Medical Records (EMRs) to create a holistic, real-time patient profile. The platform's 'eConnectors' and '3D Analytics' technology facilitate the integration of payer, provider, and HIE data with clinical EMR data. This comprehensive data integration is key to its population health management capabilities and its ability to deliver insights for care coordination.

Details

Category Clinical Decision Support & Reference, Population Health Analytics
Pricing Unknown — unknown
DeploymentCloud-based
Compliance
BAA AvailableUnknown AI-estimated
HIPAA Compliant Yes AI-estimated
FDA Status Unknown AI-estimated — unknown
Integrations
EHR Not specified
Specialties Family Medicine, Hospital Medicine, Internal Medicine

What the Web Says

HealthEC is a population health management (PHM) platform that integrates data from various sources to help healthcare organizations improve patient outcomes, manage costs, and optimize patient quality of life. It offers features like customization, patient data tracking, EHRs to avoid duplicate data, and care coordination. However, the platform has faced criticism regarding its user interface, technical issues, and a significant data breach in 2023 affecting nearly 4.5 million individuals.

Overall: Mixed

Strengths

  • Great customization features.
  • Effectively tracks patient data and provides comprehensive health information.
  • EHRs help avoid duplicate data.
  • Good coordination system for communication between healthcare providers.
  • Simplifies data handling processes and makes organizing and analyzing data easier.
  • Offers valuable insights and a solid platform for managing healthcare solutions.

Limitations

  • Technical issues such as slow system performance and glitches in data analysis.
  • Challenging to find information due to a lack of an intuitive interface.
  • Steep learning curve for users.
  • Considered expensive.
  • Limited customer support.
  • Suffered a major data breach in July 2023, impacting almost 4.5 million individuals.

Based on reviews from: G2, SoftwareReviews, SourceForge, FeaturedCustomers, Reddit, Indeed.com, Class Action Lawsuits, The HIPAA Journal

Last updated: 2026-07-28

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Press & Coverage

The HIPAA Journal
$5.48 Million Settlement Approved to Resolve HealthEC Data Breach Litigation
A $5.48 million settlement has been preliminarily approved to resolve class action litigation against HealthEC and its clients following a 2023 data breach that exposed the protected health information of over 4.6 million individuals.
2025-06
Paubox
HealthEC data breach impacts 4.5 million patients - Paubox
HealthEC LLC, a health management solutions company, experienced a significant data breach between July 14 and July 23, 2023, affecting approximately 4.5 million patients across 18 states.
2024-01
ClassAction.org
HealthEC Facing Class Action Following July 2023 Data Breach [UPDATE]
HealthEC is facing multiple class-action lawsuits after a July 2023 data breach reportedly exposed the personal information of nearly 4.5 million patients.
2024-01
PR Newswire
PRIVACY ALERT: HealthEC Under Investigation for Data Breach of 4.5 Million Patient Records - PR Newswire
Schubert Jonckheer & Kolbe LLP is investigating a data breach at HealthEC LLC that impacted sensitive personal and health information of nearly 4.5 million patients, with concerns raised about delayed notification.
2024-01
Corewell Health
HealthEC, LLC data event impacts companies nationwide, including Corewell Health
HealthEC, LLC notified individuals nationwide of a data security event from earlier in 2023, impacting approximately 1 million Corewell Health patients in Southeast Michigan.
2023-12
Seeger Weiss LLP
HealthEC Data Breach Lawsuit - Seeger Weiss LLP
Seeger Weiss LLP is representing individuals whose personal, medical, and financial data may have been compromised in the July 2023 HealthEC data breach, which affected 4.5 million patients.
2024-10
Riddle Compliance
HealthEC Breach: $5.48M Settlement Raises Security Concerns - Riddle Compliance
A $5.48 million settlement in the HealthEC data breach case highlights ongoing concerns about third-party security oversight and potential HIPAA violations due to delayed notifications.
2025-06
CPO Magazine
Healthcare Tech Firm HealthEC Data Breach Impacted Nearly 4.5 Million Patients
HealthEC LLC, a healthcare tech solutions provider, experienced a data breach in July 2023 that compromised the personal and protected health information of nearly 4.5 million individuals across various states.
2024-01

Videos

Product demos, reviews, and walkthroughs for HealthEC.

View all on YouTube

Frequently Asked Questions

HealthEC's platform is designed to provide analytics that identify high-risk patients and care gaps, which can inform clinical decisions. Effective integration of any CDS system, including HealthEC's, into a physician's workflow is crucial for success, aiming to streamline operations, reduce administrative burden, and minimize procedural inefficiencies. This allows for timely information delivery at the point of care to enhance decision-making.
Physicians using platforms like HealthEC must adhere to healthcare compliance laws and regulations, including HIPAA and HITECH, which govern patient data privacy and security. Compliance also involves preventing fraud and abuse, ensuring ethical practices in billing and referrals, and adhering to clinical protocols to maintain patient safety and quality of care. HealthEC itself was involved in a data breach in 2023, highlighting the importance of robust security measures and compliance.
Several alternatives to HealthEC exist for population health management and clinical decision support. Top-rated options include QGenda Advanced Scheduling for Providers, eClinicalWorks, and athenaOne. Other notable alternatives mentioned are Waystar, Personify Health, Artera, League, and InteliChart.
The specific pricing models for HealthEC are not publicly detailed in the provided search results. However, for comparable clinical decision support systems and healthcare IT, pricing can vary significantly based on factors like the size of the practice, the scope of features, and whether it's an individual or enterprise subscription. For instance, UpToDate offers various personal and small group subscription options, as well as enterprise subscriptions for organizations.
While clinical decision support systems like HealthEC aim to improve patient outcomes and efficiency, potential limitations include challenges with system integration, data privacy concerns, and clinician acceptance. Alert fatigue, where excessive or irrelevant alerts lead clinicians to ignore critical warnings, is another known challenge in CDS systems. Additionally, the success of AI in healthcare, which often powers CDS, depends heavily on workflow redesign and change management, not just the technology itself.

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Suggest an Edit → | Last Verified: 2026-07-26 | First Added: 2026-07-26
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