Solutions Provider Network Management

Proactive provider collaboration improves outcomes

Onos’ clinical intelligence provides transparency across your provider networks so you can strengthen your partnerships. Reward strong outcomes and proactively collaborate on improvement strategies when performance lags.

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The Challenge

You can’t manage what you can’t measure

Payers and providers manage behavioral care through utilization management processes that use claims reviews to manage costs. With clinical quality insights buried in unstructured documentation, it’s hard to build a robust, performance-based view of quality across providers.

Onos transforms how payers and providers collaborate by generating a clear view of quality and a shared understanding of which members are on the optimal care pathway.

Quartile scale showing in-network providers distributed across the top three quartiles and out-of-network providers concentrated in the bottom quartile.
Outcomes with Onos

A shared language for more productive network management

Comprehensive clinical intelligence allows you to stratify your provider network based on guideline adherence and clinical quality, enabling more effective collaboration and better member outcomes.

35 %

improvement in clinical standards adherence

2 ×

improvement in provider satisfaction metrics 6 months after implementing Onos.

1.8 ×

improvement in provider response rate aided by shared insights from Onos.
How Onos Helps

Understand quality performance across your networks

Onos allows you to understand care quality and treatment costs across your network, so you can streamline processes and reward consistently high-performing providers or leverage robust intelligence to understand and address the root cause of low-quality care.

Star ratings show ABA Quality at 4 of 5, SUD Quality at 4 of 5, Provider Response Rate at 2 of 5, Appropriate Care Path at 5 of 5, and Readmission Rate at 3 of 5.

Quality benchmarks

Onos establishes clear quality benchmarks from your plan’s guidelines, so providers can understand their performance and how it compares across networks.

Overlapping dashboard cards show a bar chart for network performance and a dot chart indicating generally increasing member progress.

Population views

Quantify provider performance at the network level and easily drill into individual member views to optimize specific treatment, utilization, and documentation patterns.

Two medical chart interfaces with performance-area ratings. The member receives 8 of 10 stars, while the population receives 6 of 10 stars.

Clinical context

AI-powered clinical intelligence identifies the reasons for poor performance, so your team has productive transparent conversations with providers.

Two overlapping provider lists compare high-risk providers, marked with orange X icons, and preferred providers, marked with green check icons.

Provider benchmarking

Reward top performers with gold-card or fast-track authorization status and flag lower performers for scorecards, peer-to-peer review, or network action.

Trusted by the largest health plans in the country
“Because Onos allows plans to actually measure provider performance, guideline adherence, and care quality, it creates a shared language between providers and payers, which in turn reduces friction and improves collaboration.”
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Pamela Greenberg, former President and CEO of the ABHW

Onos transforms your approach to provider network management

The clinical intelligence platform that brings clarity to provider performance, so you can stratify your network based on guideline adherence and enable more productive care collaboration.

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