Payers
We are a leading provider of tech-enabled solutions for entities with Commercial ACA, Medicaid, and Medicare Advantage lines of business, along with managed Medicaid, payviders, and risk-bearing entities.
Member Engagement & Compliant Financial Outcomes
Improve engagement and attain compliant financial results.
Maintain compliance with tech-enabled, cost-effective resources aimed at generating accurate and complete results
Empowering Your Organization for Success
Achieving compliant and optimal financial results requires successfully navigating the complex and evolving regulatory requirements associated with Medicare Advantage, Medicaid, and Commercial ACA. Omega Healthcare simplifies the process with intelligent, industry-leading, and no-end-tech-enabled solutions. We provide the tools you need to strengthen member and provider engagement for optimal outcomes and financial results.
800
Risk adjustment coding and HEDIS abstraction specialists
60%
Estimated savings on each HCC medical chart review and/or HEDIS abstraction
98%
Coding accuracy
Payer Operations
Intelligent Payer Operations Solutions
We facilitate compliant and optimal financial results for risk adjustment and quality of care across all manner of engagement models (i.e. prospective, concurrent, and retrospective), including risk adjustment documentation and coding review and HEDIS chart abstraction.
Who We Help
Channel Partners
We extend the capacity of partners who serve health plans, adding coding, abstraction, and member outreach capability without adding headcount.
Get in Touch with Us
Have a question or need more information? Send us a message using the form below, and our team will get back to you as soon as possible.
Best Practices to Achieve HCC Compliance
Uncover strategies for payers to enhance HCC coding accuracy, improve reimbursement, and optimize health outcomes.
The Latest News from Omega Healthcare
Why revenue integrity starts at patient access
Most denials are decided long before a claim is coded. Getting eligibility, authorization and demographics right at the front door is the cheapest fix in the revenue cycle.
Prior authorization: what payers should expect in 2027
New interoperability rules are pushing prior authorization toward electronic, API-based exchange. Here is how health plans can prepare their operations.
Developing Next-Gen Neural Therapeutics
A massive study reveals how clinical networks are deploying software agents to speed up drug discovery models by months, showing incredible promise.