Randy Oshi ROI Guarantee

Speaker: Randy Forman, Chief Commercial Officer, Oshi Health

Randy Forman: People say there are no guarantees in life, but there are a few that you can count on. Your inbox will overflow after a day off, your kid will get sick before a big work trip, and of course, taxes. But when it comes to healthcare, to cost, outcomes, or accountability, promises are everywhere, but guarantees are almost unheard of. We want to change that.

Randy Forman: We want to change that. From the start, we built Oshi to be accountable, to deliver actual medical care that solves real problems and reduces cost. First and foremost, we focus on what actually drives the intended outcome. In GI there's a proven model, and that is team-based multidisciplinary care. We didn't invent it, we figured out how to scale it. We also went deep into the data. We studied how patients move through care, where they escalate, where they get stuck, where the costs pile up, and sometimes where they just give up. That helped us identify the right places to invest in our care delivery, and the biggest opportunities to reduce a lot of unnecessary suffering and impactable and avoidable cost. Then we look at the incentives. In our healthcare system, there's not a lot of accountability to outcomes, and unfortunately, the incentives built into the system only make things worse. So we built a structure that flips that where we don't get paid more for doing more than is necessary. We also have no incentive to limit care. Instead, our only incentive is to help the patient get better. We deliver the care that is needed to find answers, provide relief, and restore quality of life. No more, no less.

Randy Forman: Ultimately, we recognize that we are in a fortunate position. We're delivering evidence-based medical care with outcomes proven in a clinical trial and now validated, replicated many times over in the real world at scale. At the same time, we know how overwhelmed employers and plan sponsors are. Costs keep rising, purported solutions in your inbox every day, and it's hard to know who to trust. There's great marketing out there, but that does not always translate to great care. In GI we do not need to overcomplicate it. We know it works. It takes time, clinical expertise, and the right incentive structure. And when it's done right, it helps the patients and it reduces cost. So, we're offering a guarantee, because you can talk all day about what you might deliver, but are you willing to put 100% of your fees on the line? We are.

Randy Forman: Look, this care model just works, and the payment structure reinforces it. We don't bill anything until a patient starts care. And once they're in our system, they're supported by a team that's designed to get them answers down to the root cause and deliver evidence-based treatments that actually work. So much of the cost and human suffering in GI is completely avoidable. In GI, patients often drive the utilization and spend because they feel terrible every single day, and they'll keep searching until they get relief or give up. We step in and break that cycle quickly, effectively, and responsibly. And look, We didn't just launch an app on a theory and a hope that it might work. We started with the data, an already proven care model. We measured it in clinical trials and validated that it could be scaled virtually with equally strong results. We want our partners to feel confident about the choices they need to make, and I think that should begin before they become a partner. We have the ability and the opportunity to offer peace of mind as they navigate how to support their people and responsibly manage costs. We believe digestive care can be better for patients, for employers, and the broader healthcare system. So as you start to think about how to solve this, you should really set a high bar for real outcomes, aligned incentives, and a partner who stands behind the impact that they say they can deliver. That's the bar we're setting at Oshi Health, and we're excited to be able to guarantee it.