How we manage care?

OMC helps employers, accountable care organizations, clinically integrated networks, and first dollar and stop loss payers identify patients with chronic conditions at high risk for hospitalization and disease progression. Enrolled patients who are at the high risk receive highly targeted behavior modification and disease mitigation strategies to decrease disease progression. Optmycare’s real-time risk assessment platform also helps prevent patients with moderate and lower risk of disease progression from becoming high risk patients over time by facilitating patterns of improved health behavior.

AI application increases our scalability and substantially decreases the wait time on risk outputs.

Coordination With Payors

Coordinate more fluidly and openly with insurers regarding claims payments and prior authorizations for procedures.

Reminders

Complement the role of physicians and advanced practitioners by providing reminders for follow-up visits and education on diet and lifestyle improvements

OptMyCare approach

OptMyCare enables providers and payors taking care of and providing coverage for patients with multiple chronic conditions to track their progress and assess their risk level which is more often dynamic as opposed to static. This platform provides complete patient data to Accountable Care Organizations (ACOs), healthcare groups and clinicians, enabling direct, immediate feedback and better decisions about treatment approaches.

IDENTIFY ACTIONABLE RISK
with analytics targeting those patients with the highest risk and opportunity to intervene

MITIGATE EMERGING RISK
with patient-level precision care recommendations as next best steps to drive targeted care
leads to

IMPROVED OUTCOMES
by providing clinicians with a clinical blueprint

LOWER COSTS
by proactive risk management strategies

ROBUST ANALYTICAL SOLUTION: Clinically proven analytical models to identify and assess risks from EHR. Our solutions predict disease risks as well as costs and actively generate prescriptive measures to control and manage the diseases.
Flexible Integration Options: Variety of Integration Options – REST APIs with JWA Oauth 2.0, HL7 or Delimited Flat Files or JSON Files ingestion through sFTP or Cloud Shared Layer (Azure or AWS or GCP or Box or MS Sharepoint)
Rapid Onboarding Time: 3 to 4 weeks to consume Clients Datasets and provide the analytics.

1

Track Risk

OMC identifies patients with chronic conditions based on their risk status and corresponding cost of care.

2

Treat Risk

OMC utilizes machine learning disease mitigation algorithms supported by a clinical team to mitigate risk by prompt intervention on high risk members.

3

Mitigate Risk

OMC actionable rollouts engage in real-time with high risk members to augment disease behaviour improvement.

4

Estimate Risk

OMC’s AI algorithm allows you to estimate risk with real-time outputs.