Value Based Care Solutions for Specialty Providers
OMI’s Value Based Care (VBC) programs transform healthcare delivery for specialty providers by shifting focus from volume to value—rewarding better patient outcomes rather than quantity of services.
Our comprehensive framework combines advanced analytics, care coordination, and outcome-focused protocols to help providers deliver high-quality, affordable care while maintaining practice profitability.
Through predictable reimbursement models and performance-based incentives, we create sustainable healthcare ecosystems where patients receive coordinated care, providers are rewarded for quality outcomes, and the system becomes more cost-effective without compromising excellence.
Meeting the Unique Challenges of Specialty Care
While value-based care is common in primary care, specialty care remains underserved due to complex, high-cost treatments. With 90% of outpatient physician spending occurring in specialty care, OMI’s VBC programs target specialties like ophthalmology, oncology, and rheumatology through data-driven precision and clinical collaboration.
Our programs help specialty providers balance financial stability with optimal outcomes while promoting health equity by making high-quality care accessible regardless of socioeconomic status. By reducing unnecessary procedures and optimizing treatment pathways, we create sustainable cost savings benefiting both providers and patients.
The OMI Business Model
Historically, providers hesitated to enter value-based care due to potential financial losses, delayed payouts, and lack of outcomes monitoring. OMI addresses these concerns through:
The OMI VBC Model
Financial & Operational Support
- Upfront financial protection with guaranteed payments
- Timely and accurate shared savings payments
- Reduced administrative burden for payers and providers
- Elimination of prior authorization requirements
Clinical Excellence
- Back-end clinical outcomes assurance and monitoring
- Technology-enabled point-of-care decision support
- Real-time performance reporting with cost transparency
- Data-driven strategies for better clinical decisions
Comprehensive VBC Solutions
Technology Enablement
- Real-time clinical decision support at point of care
- Performance reporting and cost transparency
- Integrated data systems for care coordination
Provider Support
- Easy implementation with minimal administrative lift
- Quarterly business reviews and guaranteed payments
- Enhanced collaboration through comprehensive data sharing
Evidence-based Care
- Analyze variances
- Identify opportunities
- Align financial incentives with quality outcomes
- Identify clinical risks to improve care coordination and patient outcomes
Cost Effective Care and Health Plans
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, prioritizing affordable care through optimized Anti-VEGF treatment decisions.
Oncology
In partnership with leading oncologists, OMI standardizes oncology treatment protocols, making care more affordable without compromising outcomes.
Benefits of working with OMI
No Cost or Risk
Free to participate with no financial risk
Proven Results
25% cost reduction from baseline
Expert Bridge
OMI manages relationships between payers and providers
Advanced Technology
Real-time decision support and transparency
Universal Application
Scalable across any specialty
Reduced Burden
Streamlined administration and eliminated prior authorizations
What’s Next for OMI in Value-Based Care?
At OMI, we are continuously developing innovative value-based care programs that address high-variation, high-cost conditions. Explore our upcoming focus areas — and if your specialty isn’t listed, let us know. We are actively seeking partners to shape and accelerate the next generation of VBC solutions.
What’s Next for OMI in Value-Based Care?
At OMI, we are continuously developing innovative value-based care programs that address high-variation, high-cost conditions. Explore our upcoming focus areas — and if your specialty isn’t listed, let us know. We are actively seeking partners to shape and accelerate the next generation of VBC solutions.
Expanding Our Impact, Specialty by Specialty
We are actively developing new value-based care solutions across high-priority specialties. Below are the areas currently in focus. If your specialty isn’t listed, let us know — we may be able to accelerate development through collaboration or pilot opportunities.
Oncology
17 Most Common Cancers
Medical/Surgical/ Radiation/ Reconstructive Surgery
Rheumatology
Rheumatoid Arthritis
Psoriatic Arthritis
Cardiovascular Disease
Congestive Heart Failureischemic cardiovascular disease
Ischemic Cardiovascular Disease
Neurology
Neurodegenerative Diseases
Autoimmune Diseases
Functional Neurologic Disorders
Gastroenterology
Inflammatory Bowel Disease (IBD)
GERD
Screening Colonoscopy
Irritable Bowel Syndrome (IBS)
MASH
Dermatology
Biological Usage
Neurosurgery & Orthopedics
Low Back Pain
Joint Replacement
Nephrology
Chronic Kidney Disease (CKD)
Endocrinology
GLP1 Usage
Diabetes Management
Pulmonology
COPD
Oncology
17 Most Common Cancers
Bladder, Breast, Colon, Endometrial, Esophageal, Kidney, Leukemia, Liver, Lung, Melanoma, Non-Hodgkin Lymphoma, Pancreatic, Prostate, Thyroid, Stomach, Oral, Brain
Medical/Surgical/ Radiation/ Reconstructive Surgery
Rheumatology
Rheumatoid Arthritis
Psoriatic Arthritis
Cardiovascular Disease
Congestive Heart Failure
Ischemic Cardiovascular Disease
Neurology
Neurodegenerative Diseases
Autoimmune Diseases
Functional Neurologic Disorders
Gastroenterology
Inflammatory Bowel Disease (IBD)
GERD
Screening Colonoscopy
Irritable Bowel Syndrome (IBS)
MASH
Dermatology
Biological Usage
Neurosurgery & Orthopedics
Low Back Pain
Joint Replacement
Nephrology
Chronic Kidney Disease (CKD)
Endocrinology
GLP1 Usage
Diabetes Management
Pulmonology
COPD
Partner With Us to Shape What’s Next
We are actively developing new VBC solutions across high-need specialties. If your organization is exploring value-based care, let’s connect. We prioritize new programs where partnerships can provide a strong foundation for scalable, outcomes-based models.