Solutions > Providers > Value-Based Care & Bundled Payments

Value-Based Care Models

Harnessing outcomes measurement and predictive analytics significantly improves financial performance under value-based payment models.

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Lower Costs, while Improving Outcomes

As payment models transition to value-based and bundled payments, demonstrating outcomes and avoiding high cost events can yield significant ROI.

Working with our partners, our solutions for these programs target and mitigate the risks that are most relevant, while reducing penalties, maximizing reimbursements, lowering costs, and improving care.

OM1 Health solutions support:

• CMS Bundles (CJR, Cardiac Care, Oncology)
• Private Bundles
• CMS MACRA
• Others

We use clinically focused metrics and sophisticated technologies that allow providers to:

Avoid

Penalties and Maximize Reimbursement

As reimbursement models change to pay-for-value, understanding which outcomes to measure and which risks to avoid are key to maximizing reimbursements and avoiding penalties. At OM1, we help providers focus on the most relevant and impactful metrics for their population and programs.

Meet

Emerging Requirements

Increasingly both private and public payers are requiring hospitals and practices to participate in value-based care programs and are reimbursing based on value. OM1 provides scalable, customizable systems for meeting these ever evolving requirements. From patient reported outcomes to predictive models tailored to a provider’s populations, we make it easy for healthcare organizations to get started and stay on top of value-based care requirements.

Related Resources

Webinars

Advancing Personalized Medicine for Health Plans: How AI and RWE can improve outcomes, reduce costs, and improve member engageme

Tue, Oct 18, 2022 11:00 AM – 12:00 PM EDT Presenter: Joseph Zabinski, Senior Director, AI & Precision Medicine, OM1 Register >> As population health moves towards personalized, precision medicine, optimizing treatment options and reducing ineffective care will be critical to plans’ success and differentiation in highly competitive environments. Real-world evidence drawn from deep datasets[…]

From Data to Innovative Models: Reducing Risks and Improving Joint Replacement Outcomes

At the forefront of a growing movement towards value-based care, orthopaedic surgeons are facing increasing pressure to make better decisions based on outcomes; to assume greater risk for the cost of joint replacement patient care; and to reduce overall costs while demonstrating quality improvement. Join us for a webinar addressing emerging initiatives, technologies and best[…]

› VIEW ALL RELATED WEBINARS

White Papers

Improving Performance under Bundled Care

The field of medicine is changing rapidly due to two major disruptions – the application of artificial intelligence, such as machine and deep learning and the shift from fee-for-service to value-based payment models. These innovations, which are occurring simultaneously, are fundamentally altering how data are used and how care is provided. To survive in this[…]

› VIEW ALL RELATED WHITE PAPERS

Other Provider Solutions

Outcomes Measurement & Benchmarking

Measure, compare and optimize outcomes using clinically focused metrics.

Predictive & Prescriptive Analytics

Leverage comparative, predictive and prescriptive analytics to avoid high cost events and penalties, improve reimbursement payments, and lower costs.

Patient Reported Outcomes (PROs)

Implement standardized patient-reported outcomes and reporting across the enterprise to meet regulatory requirements and improve engagement and satisfaction.

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