March 13, 2026 in SaaS to OaaS
From Software-as-a-Service to Outcome-as-a-Service: Enter the Value-Driven Revolution
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https://doi.org/10.1287/LYTX.2026.01.08
For 20 years, software-as-a-service (SaaS) has been the preferred delivery option for most organizations looking to purchase software. It offered lower up-front costs, perpetual updates and accessibility that traditional on-premise or cloud licensing couldn’t. Used by global companies of all sizes and sectors, it’s been a very successful model but with one caveat; SaaS is great at delivering the keys to the car but not so great at getting to the destination. Anyone who’s worked around technology in the last decade or so has seen the unused licenses, complex integrations that don’t always deliver and the excitement that fades due to challenges with user adoption. The burden of success (in other words, the outcome) still falls on the customer. This model, while efficient (and generally profitable) for the vendor, creates several challenges for the client: integration complexity, customization struggles and most relevant, a lack of tangible and measurable return on investment (ROI).
Several SaaS pain points have impacted its true success, including limited customization/flexibility, integration complexities with legacy systems, the “user adoption resistance” challenge, difficulty managing licenses against true cost of ownership and proving ROI.
The Outcome-as-a-Service Evolution: Results Focused and Technology Enabled
The next evolution for many businesses is outcome-as-a-service (OaaS), where technology is the enabler of the service, and the vendor's success is directly tied to the client's outcome. As enterprise technology evolves, what we are seeing isn't just a better product; it’s also about developing better partnerships with customers. With lower connectivity costs, ease of data sharing and more powerful AI, OaaS ushers in a new paradigm that is changing not only the vendor-client relationship but also, the revenue cycle. OaaS relies on a simple and powerful mindset; technology exists to deliver a specific, measurable service or outcome. It becomes an operational nervous system, where its value lies in the expert service delivery it facilitates. The right OaaS solution delivers validated AI, machine learning and actionable insights that deliver revenue recovery efficiency gains. With this model, licenses and installation aren’t the focus; they are the tools by which the service is delivered.
What really makes OaaS a different and valuable alternative is the change in the vendor/customer relationship and enablement. With OaaS, there’s a shift from usage to results, so put another way, customers pay based on performance, not a feature set. While AI and machine learning are a core part of this offering, it also keeps humans in the loop to take advantage of their embedded expertise. This means that the service, the human knowledge and the process of continuous monitoring and optimization are built into the solutions’ delivery model. Making this even more appealing, especially for procurement, is that there’s no up-front risk of failure, and it generally comes at a limited cost. The OaaS model incentivizes the vendor to ensure success before the customer pays the full value, usually with pay-for-performance or outcome-based contracts. Essentially, in an effective OaaS engagement, the customer doesn’t pay unless they see measurable results or revenue impacts.
Achieving Tangible Value: ROI and the Outcome Mandate
The case for moving to an OaaS model is pretty clear when businesses start to incorporate this updated approach, especially considering that it is an outcome-focused investment. While the model is newer to the market, organizations that have gone through multiple SaaS installations, whether successful or not, will quickly see the value in exploring this as an option.
That said, not every category is built for an outcome-based model. Some solutions rely heavily on internal behaviors and/or cultural or workflow styles that an OaaS vendor can’t deliver. For example, tools like Slack, Asana or Figma depend on how teams communicate, how they share their knowledge and the different ways that people work. An OaaS solution can’t really guarantee improved collaboration or faster project delivery when those outcomes are reliant on leadership styles, team dynamics and organizational maturity.
For these categories, the traditional SaaS model is still the right choice because the customer controls the activities that determine success. The value emerges from usage, not from a measurable, vendor-executed service. This doesn’t change the case for OaaS; it just means that when the vendor can directly influence execution, it’s more valuable than just a platform.
Where OaaS will have the greatest impact lies in how the vendor can control the operational engine behind the result. Use cases that depend on specialized expertise, continuous monitoring and data-driven intervention (where technology is only part of the solution and execution is the value driver) are prime examples. Healthcare claim remediation, revenue cycle optimization, cybersecurity response, fraud detection, supply chain exception management, etc. are processes where customers don’t want another dashboard or tool. They want results, a resolved issue or recovered revenue.
It is imperative that organizations looking to adopt an OaaS offering should recognize that the best solution is one where they own the identification, the prioritization and the remediation logic and processes. The customer/provider doesn’t have to worry about whether their team has the time or experience to interpret a dashboard or chase claims backlogs. They know they’ll get a clear, measurable revenue outcome or guidance for a solution from a blend of AI, automation and embedded expertise. This is the fundamental difference. OaaS vendors aren’t selling usage; they’re delivering resolution—outcomes.
By aligning payment to demonstrable results, such as a specific reduction in operational spend or a measurable increase in care quality, the vendor acts as a committed partner, not a disengaged provider. Businesses that champion this “service-oriented agenda” can see clearer results as research shows that organizations that maintain high customer satisfaction (generally correlating with a successful service delivery) achieve stronger revenue growth and higher earnings before interest, taxes, depreciation and amortization than their peers.
The Visionary Context: Insights from Gartner
Industry leaders are recognizing this fundamental redefinition of software. Vuk Janosevic, an analyst at the research firm Gartner, has a lot to say about this transition. He talks about the shift from SaaS to “outcome-as-an-agentic-solution” and states that AI-native companies are scaling 40% faster than traditional SaaS providers by focusing on this model. He also commented that “execution becomes the new standard for value delivery, which signals a fundamental shift in how software value is defined.”
This is not just a new pricing model; it's a shift where execution becomes the new standard for delivering value, moving the focus of successful execution from the user to the provider. The OaaS model is a version of outcome-as-software, essentially a technology stack designed to automatically and expertly execute a service, focusing on delivering an outcome. This is a cultural change as much as a technological one. The days of purchasing a software license and then hoping for positive results are changing. This is the promise of OaaS: a technology-enabled partnership where the vendor's financial success is directly linked to the client's measured success.
Doug Kimball is a marketing advisor at Red Sky Health, creators of a proprietary AI platform called Daniel that makes recommendations to reduce claim denials. Formed by healthcare and technology start-up veterans, the company’s mission is to combat health insurance claim denials and ensure proper compensation for medical services to help patients receive the full scope of care they deserve. To learn more, visit them at RedSkyHealth.com or follow them on LinkedIn.