Oatmeal Health

Oatmeal Health is a pioneering AI-powered cancer screening platform and virtual clinic service, specifically engineered to support Federally Qualified Health Centers (FQHCs) and other community health providers. Its core mission is to enhance health equity by expanding access to early-stage cancer detection, with an initial focus on lung cancer—the leading cause of cancer-related deaths. The platform offers a comprehensive, clinically integrated solution that identifies at-risk patients, navigates them through the screening process, and utilizes advanced AI for diagnosis, all at no cost to the partner FQHC.

By analyzing Electronic Health Record (EHR) data, Oatmeal Health's proprietary ICARE platform pinpoints patients eligible for lung cancer screening according to USPSTF guidelines with high accuracy. This eliminates the manual burden on clinical staff and ensures that outreach is targeted and effective. The service then deploys a team of credentialed virtual Nurse Practitioners (NPs) and AI-powered navigators to manage the entire patient journey, from initial outreach and education to scheduling shared decision-making visits and low-dose CT scans. This approach significantly boosts patient engagement and adherence to screening protocols.

How to use Oatmeal Health

Partnering with Oatmeal Health is a seamless process designed to augment existing clinical workflows without adding any burden:

1. Partnership & Integration: FQHCs partner with Oatmeal Health at zero upfront cost. The ICARE platform securely and flexibly integrates with any existing EHR and PACS system (like Epic, ECW, Athena, etc.), requiring no new software installation or data cleaning from the clinic's staff.
2. AI-Powered Patient Identification: The ICARE algorithm analyzes the FQHC's EHR data (both structured and unstructured) to automatically identify high-risk patients who meet the criteria for lung cancer screening.
3. Virtual Care Team Engagement: Oatmeal Health's licensed clinical team and AI agents handle all patient outreach, provide culturally sensitive education in the patient's preferred language, conduct shared decision-making visits remotely, and schedule the necessary low-dose CT scans at a partner radiology facility.
4. AI-Assisted Diagnosis: After the scan, Oatmeal Health's AI computer vision technology provides a 'second opinion' by analyzing the images for pulmonary nodules and assessing their malignancy risk. This augments the radiologist's findings, improving detection accuracy and reducing false positives.
5. Billing & Revenue Sharing: The FQHC bills for all eligible services using standard CPT/PPS codes. Oatmeal Health manages all documentation and follow-up. The resulting revenue is then shared between the FQHC and Oatmeal Health, creating a sustainable new income source for the clinic.

Core Features of Oatmeal Health

• AI-Driven Patient Identification: Leverages AI to analyze EHR data and accurately identify eligible screening candidates (AUROC of 0.97).
• Virtual Care Navigation: Employs a team of licensed Nurse Practitioners and AI-powered agents to manage patient outreach, education, scheduling, and follow-up.
• AI Computer Vision for Diagnosis: The iCare Virtual Nodule Clinic uses state-of-the-art computer vision to detect pulmonary nodules on CT scans and assess malignancy risk, reimbursed under CPT code 0721T.
• LLM-Enabled Patient Communication: Delivers personalized, culturally appropriate patient education and results communication in multiple languages.
• Seamless System Integration: EHR, PACS, and radiology facility agnostic, ensuring compatibility with existing healthcare IT infrastructure.
• Revenue Generation Model: Operates on a shared reimbursement basis, providing a new revenue stream for FQHCs without any initial investment.

Use Cases for Oatmeal Health

Oatmeal Health is ideal for FQHCs, community health centers, and health systems looking to:

• Establish or scale a lung cancer screening program without hiring additional staff or investing in new software.
• Improve key quality and performance metrics such as UDS+ and HEDIS for cancer screening.
• Address health disparities by providing underserved and marginalized communities with access to cutting-edge screening technology.
• Increase clinical efficiency by automating patient identification and navigation, freeing up staff to focus on direct patient care.
• Generate sustainable revenue to support other clinical programs and care for uninsured patients.

Advantages of Oatmeal Health

The platform offers a unique combination of clinical, operational, and financial benefits:

• Zero Cost to FQHCs: No implementation fees, software costs, or need for additional staff. The model is entirely self-funded through shared reimbursements.
• Enhanced Clinical Efficiency: AI-augmented nurses can manage up to 9 times more patients, drastically reducing staff strain and expanding care access.
• Proven Patient Engagement: Achieves high patient participation rates, with 64% of contacted patients attending their visit and 91% of those scheduling their CT scan.
• Improved Diagnostic Accuracy: AI-powered analysis of CT scans helps improve early detection rates beyond standard protocols like Lung-RADS.
• Mission-Aligned Partnership: Focuses on health equity and supports FQHCs in their mission to serve vulnerable populations.

Pricing and Plans

Oatmeal Health operates on a unique partnership model rather than a traditional subscription plan. There are no costs for the Federally Qualified Health Center (FQHC). The entire service, including technology integration and the virtual clinical team, is provided for free. The business model is based on shared revenue. The FQHC bills for the new screening services rendered (using standard CPT codes), and Oatmeal Health shares in the reimbursement revenue that is generated. This creates a mutually beneficial partnership where FQHCs can launch a vital new service and revenue stream without any financial risk or upfront investment.