Solutions Care Settings

Clinical intelligence that extends across all sites of care

Each site of care serves a different purpose and has different documentation standards. Without a unified view across settings, it’s hard for health plans to know what drives care quality. Onos is changing that.

How Onos Helps

Strengthen clinical quality at every level of acuity

With a unified view of quality from all care settings, your clinical teams can identify and prioritize the biggest drivers of quality and costs.

Inpatient facilities

The challenge:

Inpatient care is the most intensive and expensive care setting, yet plans have limited visibility into care effectiveness, its intensity or duration, and levels of support during step-downs. This results in unnecessary utilization, extended lengths of stay, and avoidable readmissions.

How Onos helps:

With Onos’ clinical intelligence, plans get real-time visibility into inpatient care quality signals to support more informed decision-making:

Ensure members receive the appropriate level of care: Onos proactively synthesizes member history, acuity signals, and prior care patterns to ensure that inpatient care aligns with the needs of the member.
Optimize length of stay: Use clinical progress and treatment signals to identify when members are ready for step-down care.
Strengthen discharge planning: Provide a safety net during periods of transition through concurrent reviews to ensure that care and support align with member needs.

Outcomes:

Inpatient utilization and length of stay aligned to member needs
Lower readmission rates
Powerful population-level insights about inpatient care quality

Residential treatment centers

The challenge:

Residential settings come with high variability, including inconsistent treatment plans, lengths of stay, and assessment frequency. This makes it hard for payers to compare quality across facilities, manage utilization, and understand the impact of the care being delivered.

How Onos helps:

With longitudinal visibility across residential treatment, Onos allows plans to standardize oversight and improve care quality outcomes:

Standardize insights and analytics across facilities: Onos applies AI to unstructured documentation and data, as well as standardized claims documentation, to generate a clear view of care quality.
Proactively measure progress: With a more accurate understanding of clinical quality across treatment centers, plans can finally track treatment effectiveness and outcomes.
Optimize length of stay: Use clinical progress and treatment signals to identify when members are ready for step-down care.
Enable smarter utilization decisions: Concurrent review lets you see when members are improving to identify appropriate step-down care and ensure continued support at moments of transition.

Outcomes:

Reduced variability in care quality
More predictable lengths of stay
Care settings aligned to member needs

PHP and IOP

The challenge:

PHP and IOP care represent critical step-down settings, but are often underutilized and poorly managed. Plans rarely have clear visibility into clinical progress and member engagement in therapy programs, resulting in extended stays, missed opportunities for high quality care, and heightened risk at moments of transition.

How Onos helps:

By allowing plans to see how different settings and providers are performing, and how members are progressing, Onos enables clinicians to play a more proactive role in care coordination:

Optimize site-of-care placements: A longitudinal view of member health allows plans to identify when it’s appropriate for a member to step down from an inpatient or residential setting.
Monitor engagement and treatment adherence: Measure participation in therapy and medication adherence to more accurately gauge treatment efficacy.
Enable continuous care across transitions: Connect member data across sites of care for more effective step-downs.

Outcomes:

Increased utilization in cost-effective care settings
Improved treatment engagement and outcomes
Reduction in unnecessary high-acuity utilization

Outpatient care

The challenge:

Outpatient therapy is the most widely used yet least visible care setting. Plans lack an understanding of what treatment members are receiving, whether care aligns with evidence-based protocols, and when treatment is or isn’t working. This results in inconsistent care quality, delayed interventions, and preventable escalations into higher-cost care settings.

How Onos helps:

Onos delivers clinical intelligence that allows plans to scale quality and oversight efforts across large populations, automatically.

See care quality at scale: Onos’ AI analyzes structured and unstructured treatment data and clinical notes to determine whether care aligns with evidence-based pathways and is generating quality outcomes.
Proactively identify rising risks: Leverage signals from treatment adherence and clinical notes to identify deterioration ahead of escalation.
Intervene early: Equip clinical teams with targeted quality insights that get members to the right level of care, stepping up as risk increases and down as their condition improves.

Outcomes:

Improved care quality across outpatient populations
Proactively intervene when member risk starts to increase
Reduction in escalation to higher-cost settings of care

Outcomes with Onos

Unified intelligence across the care continuum

Onos leverages AI to make sense of unstructured documentation and transform fragmented care delivery into an integrated network where every site of care works together to maximize quality across care pathways.

Right care, right time

Optimize member placements across inpatient, residential, PHP/IOP, and outpatient settings.

Improve care transitions

Reduce readmissions and relapse through proactive, coordinated interventions.

Drive quality at scale

Align care with evidence-based standards and identify providers and facilities that are consistently delivering quality care.

Reduce total cost of care

Shift utilization toward the most appropriate and cost-efficient site for each member’s needs.

Ready to transform how you manage behavioral health?

The clinical intelligence platform that helps payers improve behavioral health outcomes across all levels and sites of care.

Get in touch

By Challenge

Quality

Utilization Management

Program Integrity

Provider Network Management

By Level of Care

Applied Behavioral Analysis

Substance Use Disorder

Mild to Moderate Mental Health

Serious Mental Illness

Care Settings

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35 %

Technology

Responsible AI and Security

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98 %

About

Careers

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Clinical intelligence that extends across all sites of care

Each site of care serves a different purpose and has different documentation standards. Without a unified view across settings, it’s hard for health plans to know what drives care quality. Onos is changing that.

Strengthen clinical quality at every level of acuity

Inpatient facilities

The challenge:

How Onos helps:

Outcomes:

Residential treatment centers

The challenge:

How Onos helps:

Outcomes:

PHP and IOP

The challenge:

How Onos helps:

Outcomes:

Outpatient care

The challenge:

How Onos helps:

Outcomes:

Unified intelligence across the care continuum

Right care, right time

Improve care transitions

Drive quality at scale

Reduce total cost of care

Ready to transform how you manage behavioral health?

The clinical intelligence platform that helps payers improve behavioral health outcomes across all levels and sites of care.