Built by people who have sat on both sides of a tariff negotiation.
We started as health economists who were tired of watching good policy get lost in bad data plumbing. Helios Group exists to close that gap — with advisory work grounded in how financing actually flows, and software built by people who have coded a grouper themselves.
Helios
In Greek myth, Helios was the god who saw everything the sun's light touched — nothing in the world escaped his view. Health systems run on the same idea in miniature: a diagnosis, a procedure, and a cost are all facets of one patient episode, and the systems that manage reimbursement only work when they can see all three at once. That's the view we try to build for every client — clinical, financial, and operational data read as one picture instead of three disconnected feeds.
Four principles that don't change by client.
Evidence before opinion
Every recommendation traces back to a number we can show you. We'd rather say "the data doesn't support that yet" than offer a confident guess.
Built with the people who'll use it
Coders, clinical documentation staff, and finance teams sit in the room during design — not just at the training session after go-live.
Interoperable by default
We build against open standards — HL7 FHIR, national casemix specifications, standard claims formats — so what we deliver outlives any one vendor relationship, including ours.
Outcomes over output
A dashboard nobody opens or a grouper nobody trusts isn't a finished project. We stay engaged through adoption, not just through go-live.
How we got here.
Founded by three health economists
Started as an independent advisory practice supporting a national health authority through a casemix-based hospital payment reform.
First production casemix deployment
Shipped our own DRG grouper and tariff engine for a regional health system after years of working inside vendors' black-box tools.
Launched the analytics platform
Built a shared dashboard layer so finance, coding, and clinical operations teams could work from the same casemix numbers.
Expanded to payer-side engagements
Began advising insurers directly on network cost variance and value-based contract design, alongside our provider and ministry clients.
Working across eleven countries
A team of economists, clinicians-turned-analysts, and engineers, still small enough that clients work directly with the people doing the work.
Want to know how we'd approach your data?
Tell us what's not adding up in your casemix or claims numbers.