OptMyCare developed the first in market solution that identifies and stratifies all healthcare conditions identifying emerging risk and cost with high accuracy enabling risk bearing entities to prioritize workforce and decrease disease progression.  

Developed by a team of certified medical experts with firsthand experience in fields most-
impacted by high-cost claims, OptMyCare uses cloud-based, AI health technology designed to
harmonize workflow for examining, treating, and processing medical cases. Our dynamic risk
stratification system results in improved patient outcomes, which leads to reduced
hospitalizations and procedures.
We deliver prediction accuracies above 90% within a secure, cloud-based, and user-friendly
digital infrastructure which can be seamlessly integrated into your workflow and has been
validated across several million claims.
OptMyCare is the first and only Precision Analytics Platform that executes patient-level risk-
stratification across the fifty-five most common chronic diseases to help you prioritize: 

Who needs intervention to bend the cost curve.

Why certain high-risk patients need intervention based on different disease conditions.

How to intervene with protocols developed by clinicians with decades of practice.

When to intervene based on acuity at the patient level.

For more information, visit opt-mycare.com.

OptMyCare is a cloud-based descriptive & predictive analytics SaaS product with precision prescriptive solution at a member level for all risk bearing entities. OptMyCare developed the first in market solution that identifies and stratifies all healthcare conditions identifying emerging risk and cost with high accuracy enabling risk bearing entities to prioritize workforce and decrease disease progression.

Health Systems/ACOs/DSRIPs/CINs

• Reducing patient leakage through SmartMatch decision support and real-time analytics

• Standardizing and streamlining the referral management process across the organization

• Driving operational efficiencies and allowing referral teams to scale more efficiently

PCPs/FQHCs/Dental Practices

• Matching patients with most appropriate providers using SmartMatch decision support

• Closing the feedback loop with specialists and reducing phone calls and faxes

• Increasing patients LTV to ensure they are not lost to competitors after referrals are sent

Specialty Care Organizations

• Increasing referral volume and capturing more revenue using CRM and marketing tools

• Improving customer service with referring providers through automated status reports

• Managing referral network and gaining insight into referral patterns using analytics

ReferralMD delivers proven referral management, patient access and e-consult solutions that help hospitals, health systems, networks, and payers streamline the referral process, decrease patient leakage and improve communication between providers and patients. The enterprise platform matches patients with the most appropriate providers and closes the feedback loop between providers and patients. The solution’s powerful workflow and clinical decision support tools help healthcare providers increase revenue, drive operational efficiencies and improve customer service. To learn more about ReferralMD, please visit www.getreferralmd.com.

Pre-Mapped Clinical AI Models

Predictive & Prescriptive Analytics Beyond Descriptive-Alone

Pre-Mapped Clinical AI Models

High Accuracy

Speed to Value

• Online Scheduling – new patients can book appointments from your website without setting up an EHR patient portal account
• Referral Management – website portal for receiving referrals, customized workflow, automated alerts when referrals need attention
• Patient Communications – automated text/email messages sent to patients triggered at specific steps in the consult or referral journey
• Provider Communications – automated consult and referral status updates sent to sending providers to close the loop between PCPs and specialists
• Fax Management – manage all inbound faxes and push faxed referrals into the referral workflow, ability to split faxes into multiple documents
• Marketing CRM – physician liaisons can document outreach and compare outreach activity with referral volume from their partners
• Market Research – over 7 million providers pre-loaded which allows you to identify new potential referral partners in your target markets
• Referral Analytics – comprehensive suite of analytics to report on all your referral metrics (trends, volume, leakage, service levels, outreach, etc.)

Differentiator 1: All-In-One Platform

• Some vendors offer patient access, referral management, e-consults or CRMs. Our cloud-based platform offers them all plus the following features.
• Real-time analytics across the platform
• Automated workflow and decision support tools
• Automated feedback loop with referring providers
• Automated patient communications via text or email
• Integrated fax management system (port over existing fax numbers)
• Integrated Customer/Partner Relationship Management (CRM/PRM)
• Marketing research tools based on a directory of over 7 million providers

Differentiator 2: Rapid Integration Capabilities

• Our integration engine allows our Integrations Team to quickly deploy system interfaces using APIs, FHIR, HL7, Direct, etc. which is important when implementing the platform for health systems, ACOs and CINs with many EHRs, data warehouses and other third-party systems across their networks.  
• In addition, we comply with the third-party system’s specifications rather than asking the vendor to follow our requirements which streamlines the integration process and reduces cost for the client. 

Differentiator 3: All Healthcare Referrals Supported

• The system is highly configurable and can support all healthcare referral types such as medical, specialty care, therapy, imaging, dental, behavioral health, hospice, home care, etc.  
• The customization in the system allows clients to define their own workflows, referral forms, patient communication templates, and other settings that can be standardized across the organization.