Value-based Care Solutions

OMI’s Value-Based Care programs bring precision, efficiency, and data-driven decision-making to specialty care, helping providers deliver high-quality care at a lower cost.

Meeting the Unique Challenges of Specialty Care

While value-based care has become common in primary care, specialty care remains underserved in this approach due to its complex needs. OMI’s VBC programs are tailored for specialties like ophthalmology, oncology, and rheumatology, addressing high-cost, high-variation treatments through data-driven precision and clinical collaboration.

More than 90%

of outpatient physician spending occurs in specialty care

OMI’s VBC programs help specialty providers balance financial stability with optimal patient outcomes.

It supports specialists with financial protection, reduced administrative burden, and timely shared savings—enabling better engagement and patient outcomes.

The OMI Business Model

Historically, providers may have been hesitant to enter value based care arrangements due to potential financial losses from treatment adjustments, delayed savings payouts, and a lack of outcomes monitoring.

The OMI VBC Model

Upfront Financial Protection

Back-End Clinical Assurance & Support

Timely & Accurate Payment of Shared Savings

Reducing Payer & Provider Administrative Burden

Reduced Patient Liability

The OMI VBC Model

Upfront Financial Protection

Back-End Clinical Assurance & Support

Timely & Accurate Payment of Shared Savings

Reducing Payer & Provider Administrative Burden

Reduced Patient Liability

Alleviating Pain Points & Accelerating Specialty VBC Adoption

Technology Enablement

  • Technology-enabled point-of-care decision support
  • Real-time performance reporting
  • Cost transparency

Provider Coordination

  • Ease of implementation & on-going low administrative lift
  • Guaranteed payments
  • Quarterly business reviews

Program Administration

  • Bridges the gap between providers & payers
  • Shared savings distributions to providers
  • Reduces administrative burden

Evidence-based Interventions

  • Analyze variances
  • Identify opportunities
  • Align financial incentives with quality outcomes
value-based care

Specialty Programs Within Our Value-Based Care Model

Ophthalmology

OMI’s Retina Program aligns treatment options for conditions like wet AMD, diabetic retinopathy, and macular edema, reducing costs through optimized Anti-VEGF treatment decisions.

>> Explore OMI’s Retina Program

Oncology

In partnership with leading oncologists, OMI standardizes treatment protocols, reducing costs without compromising outcomes.

>> Explore OMI’s Oncology Program

Benefits of working with OMI

No cost to payer or provider

+

OMI acts a bridge between payer & provider to manage VBC programs

Advanced technology supplies real-time clinical decision support & data for transparency

    • Reduce costs by 25% from baseline
    • No financial risk to participate
    • Technology & programmatic approach capable of being utilized in any specialty
    • Lessening of administrative burden, removal of need for prior authorization