The Methodology for AI Returns
“We think it’s working” isn’t a metric
ROAI™ is a framework for enterprises to understand, project, and track value creation for any technology initiative. We use it in our enterprise AI platform and processes to support complex decision-making. ROAI™ focuses a returns-based lens on tech pilots for C-suites, guides value and viability measurement, and compounds value over time.
Orient to Enterprise Goals
Define and align the C-suite to the business’s true north
Every healthcare organization has different objectives and business requirements, but without enterprise-wide prioritization, it’s challenging to pick the right initiatives to pursue. The ROAI™ methodology identifies, ranks, and aligns teams to the business’ strategic priorities, which then helps healthcare organizations evaluate and select technology pilots.
Five Signs You Have AI Paralysis
AI paralysis happens when ambition outpaces orchestration. When teams move fast, but not together. Before you can define north, you have to recognize what’s holding you back.
The five most common signs:
- More pilots than progress
Lots of experimentation. Little production. No clear line from initiative to enterprise value. - No one can say what is (or isn’t) working
Disconnected tools, inconsistent metrics, and vague reporting leave leaders flying blind. - AI governance is an afterthought
AI treated as a tech project instead of a business transformation—resulting in unclear ownership and stalled momentum. - Spending without visible return
Budgets grow, but ROI doesn’t show up in the P&L. Value exists in theory, not in dollars. - Teams are tapped out
Too much custom build. Too little reuse. Internal teams stretched thin trying to scale the unscalable.
ROAI™ begins by confronting these signals head-on and getting everyone pointed in the same direction. Once that happens, progress stops stalling and starts to build.
Approach
To create a returns-focused AI framework, we help executive teams set criteria for which technology opportunities are worth pursuing based on business goals and operations.
Understand & Align
Project Value & Viability
Fewer bets. Better odds.
Not every AI pilot deserves to see daylight. ROAI™ uses defined business objectives as scoring and evaluation rubrics for AI use cases awaiting potential implementation. This Value & Viability Matrix directly facilitates how enterprises project any use case’s expected impact, cost, and feasibility, allowing them to invest where returns are most likely and identify dead ends early in the process.
Approach
With a twin of your organization built, Optura can detail cost, feasibility, and organizational readiness for technology use cases collected from across your organization.
Prioritize AI Use Cases
Track Performance Continuously
No waiting for the postmortem
ROAI™ defines how organizations can track cost, performance, and projected returns as solutions are built. While our platform collects implementation metrics in real time, this framework helps the C-suite see what’s working, what’s drifting, and what needs to stop while there’s still time to act.
Approach
Leveraging the platform, we activate priority use cases to deliver results. Prebuilt agents and healthcare training accelerate the process and anchor it in your enterprise reality.
Build AI That Works
A Framework for Scalable Returns
What works gets stronger
ROAI™ doesn’t end at deployment. The framework reveals and quantifies value measures over any initiative’s life cycle. Results are measured against projections, reported clearly, and fed back into the system, so successful use cases scale fast and succeed. For complex businesses with multiple initiatives in various planning and execution phases, the methodology provides a broad-spectrum view across technology pilots and their codependencies, offering ultimate visibility and control.
When Results Compound, Confidence Follows
Healthcare-focused investors backing ROAI™ as a category, not a concept, are now validating Optura’s approach to measurable performance. That’s what happens when results hold up at scale.
Approach
With agents and workflows in place, we create business performance. We track results across cost, time, quality, and more to help course correct and scale success.
Show Returns on AI
AI Promises.
ROAI™ Performs.
Stop aimlessly exploring AI pilots and start proving returns
Optura brings accountability, clarity, and performance to healthcare AI.
Real Returns, in Real Time
Customers use the ROAI™ methodology to drive value across the technology R&D and implementation cycles. It’s the definitive path to demonstrating real results in AI pilots and more, made to help healthcare C-suites deliver measurable performance gains.
$3.7M+
ARR
$18M+
Pipeline across 30+ NEW prospects
67%
Average Gross Margin by EoY 2026
$36M+
Forecasted ARR exiting 2026