The OMCA is a governance model that was developed as a result of issues arising from the current delivery of care models (HMO, PPO, etc.), for employee benefits in the marketplace. The invasive restrictions being put on contracted providers by plan sponsors and their representatives were putting providers in breach of their professional standards. Compromising treatment, limiting accessibility, and poor clinical outcomes were a result of improper distribution of funds to providers.

As a result, chronic care was poorly managed and contributions to preventative care were omitted. Former healthcare provider and trustee appointed administrator of various unionized health and welfare funds/MEPS and founding President and CEO of the First Canadian Benefits (FCB) Health Network, Mr. George Grivogiannis brought forth these issues to the providers’ respective representatives. Through structured collaborations, OMCA enabled payers and providers, under a new model (RBP), to seamlessly continue the delivery of care under current unionized collective bargaining agreements.

The new model going forward revolves around a schedule of services under a set of program guidelines that meet the better business practices of the provider’s associations, without putting providers in conflict with their regulatory bodies. The model also ensures that corporate governance encompasses matters such as accounting, human resources, Information Technology, security, compliance, risk, and better clinical outcomes for consumers. All network providers have subscribed under proprietary program guidelines to not participate and utilize FCB’s E-Portal in any manner whatsoever including any other delivery of care model away from FCB unless approved by either their provincial association and/or governing body.