Thrive in Value-based Care. Maintain Payment Integrity. Improve Engagement & Outcomes.
Successfully navigate the complex and evolving regulatory challenges encountered by Medicare Advantage, Medicaid, and Commercial ACA plans by generating positive outcomes for payers, providers, and members.
Helping you Succeed Across a Wide Spectrum of Health Plan Activities
Omega Healthcare simplifies health plan operations with intelligent, industry-leading tech-enabled solutions. We deliver cost-effective and compliant offerings for value-based care, member/provider engagement, payment integrity, and care initiatives.
Our Solutions
Omega Healthcare helps payers mitigate risk, strengthen member/provider relationships, and streamline claims administration and data management.
Value-based Care
We harness the power of AI and advanced technologies to optimize risk-adjustment coding and HEDIS abstraction – leading to accurate and complete documentation and coding that supports compliant financial results. Our team of clinical and coding experts are ready to support prospective, concurrent and retrospective engagements.
Provider & Member Engagement
We educate your members about their coverage and care plans and communicate with providers to drive collaboration. Our clinical resources also support utilization management and care coordination activities to improve member outcomes.
Administrative Support
We partner with payers to improve claims resolution rates, drive better cash flow, and increase financial accuracy and compliance. Plus, we help enhance your provider data and process reporting.
Charts coded and abstracted for members each year
What Our Clients Say
“The team at Omega Healthcare is amazing. There is not one thing that I reach out to them about where they don’t respond. They are a true extension of my team. ”
- Payer Leader
Contact Us
Contact us today to learn how our technology-led, clinically enabled solutions can help your organization thrive.