Business Model of OneImaging

Business Model of OneImaging

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How OneImaging StartedBusiness Model of OneImaging:
It was founded in November 2022 in Miami Beach, Florida by Elan Adler and Mert Karabay with a mission to democratize medical imaging accessibility across America. Elan Adler brought a decade of radiology expertise including roles as MRI technologist at OhioHealth, Outpatient Radiology Manager at Cleveland Clinic, and MR Sales Executive at Siemens Healthineers. Its founding emerged from personal tragedy when Adler’s father waited six weeks for an MRI, only to discover his cancer had spread during that delay. OneImaging recognized systemic inefficiencies where hospital-affiliated imaging departments charge patients over $2,000 for MRI scans costing 10-20% of that amount to deliver, while physicians face administrative coercion directing patients into captive hospital systems. OneImaging started by building a nationwide network of accredited independent imaging centers, creating transparent pricing infrastructure, and automating end-to-end coordination from scheduling through insurance approvals to results delivery.
Present Condition of OneImagingIt is currently operates a comprehensive radiology platform connecting patients, providers, and employers to over 4,000 accredited imaging centers across the United States—representing one in every three imaging facilities nationwide. It has achieved extraordinary growth scaling 50X in less than three years since founding, now serving two million people through partnerships with multiple Fortune 100 employers and integration with major commercial health plans. It delivers up to 80% cost savings on diagnostic imaging while maintaining quality standards through accredited facility networks. OneImaging’s automated platform reduces provider administrative costs by 30%, decreases patient cancellation rates from industry-standard 25% to just 1%, and eliminates up to 38% of patient leakage where individuals forgo necessary care due to hidden costs. It provides adhesive insurance card attachments capturing imaging orders directly from physician offices, seamlessly managing scheduling, pre-authorizations, pricing transparency, and instant provider reimbursements. It has secured approximately $70 million in total funding including previous rounds led by SixThirty Ventures, Autopilot Ventures, Headwater Ventures, and Redbud VC.
Future of OneImaging and IndustryOneImaging plans aggressive expansion leveraging the $38 million Series A to scale nationwide network partnerships, enhance AI-driven scheduling optimization, deepen employer and health plan integrations, and expand workforce supporting rapid growth trajectory. OneImaging aims to become the dominant transparent radiology network serving the 50% of Americans—approximately 150 million people—requiring imaging annually. OneImaging will continue reducing healthcare system inefficiencies where radiology accounts for 8-16% of large employer health plan spending, potentially saving billions of dollars annually. The broader U.S. diagnostic imaging services market reached $150 billion in 2024 and projects growth to $240 billion by 2032 at 7% CAGR, driven by aging populations, chronic disease prevalence, technological advancements, and value-based care transitions.
Opportunities for Young EntrepreneursYoung entrepreneurs can leverage OneImaging’s ecosystem transformation in multiple ways: (1) Healthcare Technology—developing complementary platforms for appointment scheduling, patient engagement, results interpretation, and telemedicine integration with imaging workflows; (2) Data Analytics—building tools analyzing imaging utilization patterns, cost optimization opportunities, and population health insights from aggregated diagnostic data; (3) AI/ML Applications—creating algorithms for image analysis, referral management, capacity optimization, and predictive scheduling reducing wait times; (4) Facility Operations—establishing independent imaging centers serving underserved geographic markets with modern equipment and operational efficiency; (5) Value-Based Care Infrastructure—designing care coordination platforms connecting imaging diagnostics with treatment pathways and outcome measurement;
OneImaging’s Market ShareOneImaging collaborates with over 4,000 facilities from approximately 12,000 total U.S. imaging centers, representing 33% geographic coverage enabling broad patient access. OneImaging serves two million people through employer partnerships and health plan integrations, capturing meaningful but still developing penetration of the 150 million Americans requiring annual imaging.
OneImaging’s MOAT (Competitive Advantage)OneImaging’s competitive advantages include: (1) Network Scale—4,000+ accredited facility partnerships representing 33% national coverage creating geographic accessibility defensibility; (2) Proprietary Platform Infrastructure—vertically integrated technology stack managing scheduling, authorizations, pricing, payments, and results delivery eliminating manual administrative burdens; (3) Instant Reimbursement Model—immediate provider payments shortening revenue cycle from months to real-time, creating strong facility retention and exclusive partnerships; (4) Employer/Payer Integrations—direct integration with Fortune 100 employers and major commercial health plans creating distribution advantages and reducing patient acquisition costs; (5) Transparent Pricing Intelligence—proprietary cost data and negotiated rates enabling 80% savings while maintaining quality standards through facility accreditation requirements; (6) Founder Domain Expertise—Adler’s decade-long radiology career spanning clinical operations, equipment sales, and healthcare administration providing unique insights competitors lack; (7) Capital Efficiency—50X growth with minimal capital demonstrates superior unit economics and operational leverage versus capital-intensive facility ownership models.
How OneImaging Makes MoneyOneImaging generates revenue through multiple complementary streams: (1) Transaction Fees—OneImaging charges percentage-based fees on imaging procedures coordinated through the platform, capturing value from cost savings delivered to employers and patients; (2) Employer Contracts—OneImaging partners with self-funded employers offering radiology benefits where employers pay It for network access, care coordination, and guaranteed cost savings versus traditional insurance arrangements; (3) Health Plan Integration Fees—It receives payments from commercial health plans for providing preferred network infrastructure, utilization management, and cost containment services; (4) Facility Network Fees—imaging centers may pay OneImaging for patient referrals, marketing reach to employer populations, and instant reimbursement advantages accelerating cash flow.

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