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 more affordable 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, prioritizing affordable care through optimized Anti-VEGF treatment decisions.

>> Explore OMI’s Retina Program

Oncology

In partnership with leading oncologists, OMI standardizes oncology treatment protocols, making care more affordable 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

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

Z

17 Most Common Cancers
Bladder, Breast, Colon, Endometrial, Esophageal, Kidney, Leukemia, Liver, Lung, Melanoma, Non-Hodgkin Lymphoma, Pancreatic, Prostate, Thyroid, Stomach, Oral, Brain

Z

Medical/Surgical/ Radiation/ Reconstructive Surgery

Rheumatology

Z

Rheumatoid Arthritis

Z

Psoriatic Arthritis

Cardiovascular Disease

Z

Congestive Heart Failureischemic cardiovascular disease

Z

Ischemic Cardiovascular Disease

Neurology

Z

Neurodegenerative Diseases

Z

Autoimmune Diseases

Z

Functional Neurologic Disorders

Gastroenterology

Z

Inflammatory Bowel Disease (IBD)

Z

GERD

Z

Screening Colonoscopy

Z

Irritable Bowel Syndrome (IBS)

Z

MASH

Dermatology

Z

Biological Usage

Neurosurgery & Orthopedics

Z

Low Back Pain

Z

Joint Replacement

Nephrology

Z

Chronic Kidney Disease (CKD)

Endocrinology

Z

GLP1 Usage

Z

Diabetes Management

Pulmonology

Z

COPD

Oncology

Z

17 Most Common Cancers
Bladder, Breast, Colon, Endometrial, Esophageal, Kidney, Leukemia, Liver, Lung, Melanoma, Non-Hodgkin Lymphoma, Pancreatic, Prostate, Thyroid, Stomach, Oral, Brain

Z

Medical/Surgical/ Radiation/ Reconstructive Surgery

Rheumatology

Z

Rheumatoid Arthritis

Z

Psoriatic Arthritis

Cardiovascular Disease

Z

Congestive Heart Failureischemic cardiovascular disease

Z

Ischemic Cardiovascular Disease

Neurology

Z

Neurodegenerative Diseases

Z

Autoimmune Diseases

Z

Functional Neurologic Disorders

Gastroenterology

Z

Inflammatory Bowel Disease (IBD)

Z

GERD

Z

Screening Colonoscopy

Z

Irritable Bowel Syndrome (IBS)

Z

MASH

Dermatology

Z

Biological Usage

Neurosurgery & Orthopedics

Z

Low Back Pain

Z

Joint Replacement

Nephrology

Z

Chronic Kidney Disease (CKD)

Endocrinology

Z

GLP1 Usage

Z

Diabetes Management

Pulmonology

Z

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.