Solutions for Payers
OM1 helps payers and their partners identify risk earlier, measure impact accurately, and improve outcomes efficiently using our AI foundation model.
How We Help Payers
OM1 works with payers and their partners to bring clarity and precision to population health, member management and program evaluation.
By combining deep, longitudinal real-world data with advanced AI models, OM1 makes it possible to:
Identify risk and potential interventions with members most likely to experience costly events or conditions (even for members with limited prior data).
Quantify risk in new populations.
Rapidly measure the ROI of disease management programs or simulate the value of planned interventions.
AI-Powered Risk Tiering
OM1’s PhenOM® solution enables payers to predict and monitor clinical outcomes with precision—so interventions can be timely, targeted, and effective.
Select any outcome or time period to understand event risks—such as hospitalization, disease progression, mortality or therapy response.
Rank patient populations across multiple risks to effectively triage and intervene before costly events or to close gaps in care. Care managers leverage patient summaries, explanations of risk drivers and potential interventions to act efficiently.
Prioritize high-risk individuals for care management or preventive programs to improve outcomes and reduce avoidable costs-even new members with limited data.
Measure and forecast ROI for interventions or changes to coverage
Easily measure ROI for disease management programs and interventions rapidly. The ROI calculator compares the intervention population to a comparator group for relevant costs.
Simulate the impact of changes to formulary and coverage to anticipate impact on outcomes and related costs.
Our Solutions
Built on our award-winning AI platform, OM1 solutions redefine how real-world evidence is generated, shared, and applied.
Patient Finding and Outcomes Prediction
PhenOM® is OM1’s healthcare foundation model, trained on over 1 billion patient-years. It powers digital phenotyping and medical event prediction that accelerates diagnoses, uncovers subtypes, estimates treatment effects and forecasts outcomes for individuals and populations.
Clinical Registries and Automated Studies
OM1 brings unmatched experience and automation to registries and observational studies, reducing burden for sites and patients while generating regulatory-ready evidence that’s fit for purpose, scalable, and cost-effective.
Clinical Datasets and
Insights
Access curated datasets and OM1's Real-World Data Cloud, covering 350M+ patients with linked, longitudinal data from EMR, claims, and specialty networks. License cohorts, analyze real-world outcomes, and generate insights that drive decision-making.
Scientific and Consulting Services
Work with OM1’s experts in data science, epidemiology, AI and regulatory strategy to design and execute fit-for-purpose programs, align evidence with requirements, and maximize the value of AI and real-world data.
Let’s Talk About Your Goals
From research and evidence to predictive insights and beyond.