Reducing Costs and Enhancing Value for Payers
OMI’s Value-Based Care Model helps payers control specialty care costs without compromising quality
Rising Specialty Care Costs & Administrative Complexity
Payers are under mounting pressure to reduce costs while maintaining quality care. With over 94% of medical costs attributed to specialty care, traditional reimbursement models fail to deliver sustainable solutions.
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High-Cost Specialty Care
The majority of medical expenses come from specialized treatments, making cost containment a major priority.
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Regulatory Pressures
CMS mandates require increased VBC adoption to ensure accountability and improved patient outcomes.
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Administrative Burdens
Fragmented processes and delays in prior authorization increase inefficiencies.
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Lack of Provider Engagement
Without proper incentives, specialists are reluctant to transition to value-based arrangements.
A Smarter Approach to Value-Based Specialty Care
OMI acts as a bridge between payers and providers, reducing financial risk while ensuring the highest quality of care. Through our innovative contracting model and advanced technology solutions, we:
Eliminate Financial Barriers
OMI covers up-front financial risk for providers, ensuring seamless VBC adoption.
Streamline Administrative Workflows
Our model reduces the need for prior authorizations and simplifies compliance.
Deliver Real-Time Insights
OMI PULSE provides transparent cost and outcomes tracking to ensure program success.
Ensure Faster ROI
OMI’s shared savings model aligns financial incentives while delivering measurable cost reductions.
Cost Savings & Transparency Without the Complexity
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25% Reduction in Specialty Care Costs
Lower specialty care expenditures while maintaining high-quality care delivery.
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Improved Collaboration with Providers
Providers engage confidently in VBC, knowing they will not lose revenue, leading to smoother transitions and adoption.
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No Upfront Costs or Financial Risk
Payers incur no direct program expenses—OMI funds implementation and covers provider losses.
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Seamless Data Integration & Reporting
OMI PULSE supplies automated reporting, enabling payers to track performance and compliance effortlessly.
Take the Next Step in Value-Based Care
Reduce specialty care costs, improve patient outcomes, and simplify administration—all at no cost to payers.
