Clinical intelligence that supports the complexity of high-acuity behavioral health
Traditional utilization management wasn’t built for members with multidimensional needs. Onos equips plans with clinical and quality-related insights to support their most complex members across critical health and social needs.
SMI demands individualized care pathways. Health plans lack the tools for proactive oversight at scale.
Serious mental illness is typically coupled with severe psychiatric conditions, chronic medical comorbidities, patterns of non-compliance, and complex social needs. Care is delivered across a range of settings with systems that don’t communicate and documentation that’s largely unstructured. A lack of consistent oversight comes with the potential for lengths of stay to extend longer than necessary and lapses in care quality and continuity at moments of transition. Without a comprehensive longitudinal view of member health, it’s hard to know whether complex populations are making progress effectively.
Fragmented, unstandardized care
Many members with SMI experience chronic medical comorbidities and patterns of non-compliance, while also requiring non-medical social services. Clinical documentation is largely unstructured, making it difficult to analyze treatment and health outcomes at scale.
5 %
Frequent utilization of high-cost settings
SMI care spans fragmented systems, with members frequently cycling between inpatient, outpatient, and crisis care, where administrative process can stall critical support at high risk moments and transitions leave members vulnerable to disengagement.
10 %
The AI-powered platform that aggregates SMI clinical insights across settings, systems, and providers
Onos’ clinical intelligence provides an actionable view of how your SMI population is flowing through the system and provides insights on where quality care is being delivered and where interventions are missed
Care alignment
Automatically synthesize treatment plans across care settings to stratify risk and establish level-of-care alignment.
Length-of-Stay assessment
Perform concurrent clinical reviews with LOS checkpoints to manage discharge effectively.
Flag rising risks early
Quickly identify emerging concerns, like poor medication adherence and new comorbidities, so proactive care steps can be taken.
Empower care management
When care managers have the intelligence they need to understand the details of a member’s case, they can spend more time driving outcomes, not reviewing case notes.
Measurable improvements within your most complex member population
Gain visibility into treatment adherence, length of stay, and rising risk to ensure that members are receiving clinically appropriate care—and intervene before high cost events.
21 %
2.1 points
“By generating a longitudinal view of member health and aggregating clinical insights across settings, Onos is allowing payers to proactively manage SMI care and effectively align treatment to each member’s needs and history.”
Dr. Frank Webster, former CMO for Behavioral Health at Health Care Service Corporation