YOU OWN THE RELATIONSHIP. WE OWN THE CARE BETWEEN visits

Between Visits,

Outcomes Are Decided.

Your patients don't stop being sick between appointments. What happens between visits is what's driving your quality scores, your readmissions, and whether your sickest patients get the care they need.
Health systems · ACOs · Medical groups · 95+ patient NPS
Happening right now
    No new workflow
    Your EHR, untouched.
    No new budget
    Funds itself through reimbursement.
    Almost none of your physicians' time
    Everything teed up. They stay in oversight.
    Paid only when it works
    The risk is ours.

    What Welby is

    We run the care that happens between visits

    You own the relationship with your patient. We're the clinical team and the system that keeps their care running after they leave the office, so the people who need attention actually get it.

    1 What we are

    The clinical operating layer for physician practices. Your patients go home and we keep running their care, on your systems and under your name.

    2 Who we help

    Practices, medical groups, and health systems that own the patient relationship but can't be everywhere between visits. You keep the patient. We cover the gap.

    3 Why we do it

    Patients don't stop being sick between appointments. That's where the readmissions and the quality misses come from. Someone has to be watching, and usually no one is.

    4 What it looks like

    You hand us the patients who need eyes between visits. Our clinicians watch their numbers every day, reach out when something moves, work it through, and put it all back in the chart. Your team hears from us only when it needs to.

    The patient journey

    One path. Every patient.

    This is the care between visits, from the day we find a patient to the outcomes we report back. The same journey runs for everyone you send us.

    Clinical rigor

    One framework. Every patient.

    Before we build a care plan, every patient is scored against the same universal acuity framework, so the intensity of care matches the actual risk. Here's how it works, and you can test it yourself.

    Low acuity
    Stable, at or near goal
    • No hospitalizations in 12 months
    • Simple, stable medication regimen
    APCM or CCM (+/- RPM)
    15–30 min / month
    Moderate acuity
    Suboptimal control, intermittent symptoms
    • 0–1 hospitalizations in 12 months
    • Multiple agents, recent titration
    CCM + RPM
    40–60 min / month
    High acuity
    Poorly controlled, frequent symptoms or crises
    • 2+ hospitalizations in 6–12 months
    • Complex, frequent medication changes
    CCM + RPM (intensive RN)
    60+ min / month
    Try it yourself

    Classify a patient

    Vitals vs. goal
    Chronic conditions
    Hospitalizations (12 mo)
    Medication complexity
    LowModerateHigh
    Low acuity APCM or CCM (+/- RPM) · 15–30 min / month Score: 15

    The part your CFO won’t believe

    If it doesn’t pay for itself, you don’t pay

    We take the risk on codes. In value-based arrangements, we take risk on outcomes. No platform license, no sunk cost, no bet you have to carry on faith.

    This is a contract term, not a marketing line. Hold us to it.

    From our standard contract

    Clause 3b · Invoicing & Payment Method

    “In no event shall Welby charge or collect fees in excess of amounts actually collected by Customer for the Services during the applicable billing period.”

    In plain terms

    We can only bill you out of what the payer actually pays you. Not a dollar more.

    Why we're different

    Put us head-to-head with anyone.

    Same categories. A different model. Here's the honest comparison.
    Workflow & EMR
    Customized to your practice, built inside your EMR.
    We map to your protocols and your athenahealth or eClinicalWorks setup. Your team keeps working where they already work.
    The market standard
    A separate portal login, one workflow for everyone.
    Your staff toggles into another system and bends to their process, not the reverse.
    Clinical model
    Care runs on Welby Care Pathways.
    Evidence-based protocols, standardized where safety demands it and tailored to your standard of care everywhere else.
    The market standard
    Generic workflows, applied to every client.
    The guideline basis is rarely published, so you can't see what's driving decisions.
    Financial model
    We take the risk. If it doesn't pay for itself, you don't pay.
    The program is funded by the reimbursement it generates. We only get paid when it works.
    The market standard
    Per-member fees plus an implementation fee.
    You carry the cost up front and the risk if enrollment or results fall short.
    Branding
    Your brand on every patient touchpoint.
    Patients experience your practice. We stay invisible behind your name.
    The market standard
    The vendor's brand fronts your patients.
    Your patients build the relationship with someone else.
    Clinical team
    Licensed RNs and nurse practitioners.
    A dedicated clinical team accountable to your standard of care, with real continuity.
    The market standard
    Staffing and licensure vary.
    Often lower-cost or non-clinical staff, with turnover between calls.
    Compliance
    Every patient touch documented to the timestamp.
    A full audit trail lands in your chart, ready for review whenever you need it.
    The market standard
    Documentation depth and transparency vary.
    You may not see exactly what happened between visits, or when.
    The proof

    We put real numbers on the care between visits.

    The metrics marked Welby are from our live programs, not a pilot deck. Alongside them, the published evidence the model is built on.

    We publish our own dollar results only when claims data proves them, not before. That restraint is the point.

    Welby · live program
    26%
    reduction in A1c within 90 days
    Welby program data
    Medicare data
    $72 PMPM
    lower Medicare spend for CCM patients
    Mathematica / CMS evaluation
    Welby · live program
    97 days
    to sustained systolic blood pressure under 140
    Welby program data
    Welby · active programs
    95+
    patient NPS across active programs
    Welby program data
    Published research
    48%
    fewer ED visits and hospitalizations with remote monitoring
    JMIR, 2025 (older adults, multiple conditions)
    Welby · active programs
    30–50%
    patient enrollment in target populations
    Welby program data
    Welby · directional
    Fewer
    ED visits, admissions, and readmissions
    Dollar impact reported once claims data proves it
    From our founder

    Why I started Welby

    I spent years inside the big payers, Blue Cross, Aetna, and CVS. The whole system is built around the short office visit and almost nothing for what happens after the patient goes home.

    That gap isn't abstract for me. This past year I watched my mom go through cancer, and my dad, about as capable and dedicated as they come, could still barely keep up with her medications and the coordination between every appointment. If it was that hard for our family, I know what it looks like for the ones without someone like him.

    The space between visits is where outcomes get decided, and it's the part nobody is built to own. So we built Welby to own it.

    Seth Merritt
    Founder and CEO, Welby
    Reviews

    What people are saying

    Your next five hires

    Your quality scores don't have a strategy problem. They have a capacity problem.

    Here are five care managers to fix it. They're ours, not new headcount. We deploy them on your population in about 30 days, and the care they run between visits funds itself through reimbursement. If it doesn't pay for itself, you don't pay. How is that even possible? That's the conversation.

    Build my deployment plan
    What five care managers do in a month
    600
    Annual wellness visits completed
    1,500
    Post-discharge patients contacted
    1,250
    Colorectal screening outreach (FIT)
    1,800
    Chronic-care check-ins
    600
    Annual wellness visits completed
    1,500
    Post-discharge patients contacted
    1,250
    Colorectal screening outreach (FIT)
    1,800
    Chronic-care check-ins
    Illustrative monthly capacity for a team of five, shown per activity. The real mix is built to your priorities.
    Our blog
    UnitedHealthcare is pulling RPM coverage for hypertension, diabetes, and COPD, calling it "unproven." At the same time, CMS is launching ACCESS -- a 10-year payment model that ties Medicare Part B dollars directly to technology-enabled chronic care outcomes -- and the FDA's TEMPO pilot is fast-tracking digital health devices to support it. The evidence overwhelmingly supports RPM.
    March 30, 2026

    The Largest Payer in America Just Declared RPM "Unproven." CMS and the FDA Disagree. Here's What That Means for Your Organization.

    UnitedHealthcare is pulling RPM coverage for hypertension, diabetes, and COPD, calling it "unproven." At the same time, CMS is launching ACCESS -- a 10-year payment model that ties Medicare Part B dollars directly to technology-enabled chronic care outcomes -- and the FDA's TEMPO pilot is fast-tracking digital health devices to support it. The evidence overwhelmingly supports RPM.
    CMS is making three structural moves in 2026 that change the economics of chronic care management: a 10% reimbursement increase on all CCM codes, new RPM billing flexibility that rewards continuous patient engagement over episodic check-ins, and the launch of ACCESS -- a ten-year payment model that ties Medicare Part B dollars directly to technology-enabled outcomes.
    March 20, 2026

    The Reimbursement Shift Nobody's Talking About -- and Why Your Tech Stack Matters More Than Ever

    CMS is making three structural moves in 2026 that change the economics of chronic care management: a 10% reimbursement increase on all CCM codes, new RPM billing flexibility that rewards continuous patient engagement over episodic check-ins, and the launch of ACCESS -- a ten-year payment model that ties Medicare Part B dollars directly to technology-enabled outcomes.
    For National Kidney Month, learn how to tackle the silent crisis of Chronic Kidney Disease (CKD) affecting 35.5 million American adults. Our upcoming article explores how combining Remote Patient Monitoring (RPM) and Chronic Care Management (CCM) closes gaps in traditional care by providing continuous patient visibility and structured care coordination.
    March 2, 2026

    The Silent Crisis in Your Patient Panel

    For National Kidney Month, learn how to tackle the silent crisis of Chronic Kidney Disease (CKD) affecting 35.5 million American adults. Our upcoming article explores how combining Remote Patient Monitoring (RPM) and Chronic Care Management (CCM) closes gaps in traditional care by providing continuous patient visibility and structured care coordination.
    Hiring a cheap MA to run your CCM program looks like a smart move on paper. But when you factor in audit risk, missed code stacking, patient attrition, physician oversight time, and scope limitations, the "cheaper" option often costs more than doing it right.
    February 24, 2026

    The Hidden Cost of "Doing CCM Cheaper"

    Hiring a cheap MA to run your CCM program looks like a smart move on paper. But when you factor in audit risk, missed code stacking, patient attrition, physician oversight time, and scope limitations, the "cheaper" option often costs more than doing it right.
    Most medical groups say they're "doing CCM." The numbers say they're barely scratching the surface.
    February 24, 2026

    The Math Your Practice Hasn't Done on Chronic Care Management

    Most medical groups say they're "doing CCM." The numbers say they're barely scratching the surface.
    Texas just secured the largest rural health investment in state history. For rural hospitals and providers, the question is no longer whether to modernize, but how fast.
    February 19, 2026

    How AI-Powered Virtual Care Fits Into Texas's Rural Health Transformation

    Texas just secured the largest rural health investment in state history. For rural hospitals and providers, the question is no longer whether to modernize, but how fast.
    MARKUS matters not because it’s intelligent, but because it reshaped how our internal teams make decisions, where human judgment stays essential, and where work quietly disappears instead of accumulating.We market it. We demo it. We’re proud of it. Not because anyone else can use it, but because it proves what’s possible when AI is built to serve real operations, not abstract users.
    January 8, 2026

    The Things I Got Wrong Building an Internal AI OS in 2025

    MARKUS matters not because it’s intelligent, but because it reshaped how our internal teams make decisions, where human judgment stays essential, and where work quietly disappears instead of accumulating.We market it. We demo it. We’re proud of it. Not because anyone else can use it, but because it proves what’s possible when AI is built to serve real operations, not abstract users.
    If you run a primary care group, an ACO, or a Medicare Advantage plan, you’ve felt the tension: chronic disease is eating your day alive, but the “visit-based” system still rewards you for the moment, not the month.The 2026 Medicare Physician Fee Schedule (PFS) changes don’t magically fix that. But they do something important: they reinforce that CMS is not treating remote care like a side quest.
    January 7, 2026

    Medicare’s 2026 fee schedule just got louder about remote care, and it’s basically a green light for the Welby model

    If you run a primary care group, an ACO, or a Medicare Advantage plan, you’ve felt the tension: chronic disease is eating your day alive, but the “visit-based” system still rewards you for the moment, not the month.The 2026 Medicare Physician Fee Schedule (PFS) changes don’t magically fix that. But they do something important: they reinforce that CMS is not treating remote care like a side quest.
    I'm the CTO at Welby Health, where we build technology for Remote Patient Monitoring and Chronic Care Management. Over the past year, we've built Markus, an internal AI assistant that helps our nurses and clinical staff with everything from patient lookups to workflow automation. Markus connects to our EHR, BigQuery, Looker, HubSpot, and a dozen other systems via MCP servers.
    January 7, 2026

    Why I'm Building a Browser Extension to Make AI Agents Actually Reliable

    I'm the CTO at Welby Health, where we build technology for Remote Patient Monitoring and Chronic Care Management. Over the past year, we've built Markus, an internal AI assistant that helps our nurses and clinical staff with everything from patient lookups to workflow automation. Markus connects to our EHR, BigQuery, Looker, HubSpot, and a dozen other systems via MCP servers.
    The 2026 Medicare Physician Fee Schedule (PFS) final rule dropped — and it’s not just another annual update. CMS is shifting how value is rewarded, how care management is reimbursed, and what operational plays practices must master to stay financially healthy in 2026 and beyond.
    December 27, 2025

    CMS 2026 Medicare Physician Fee Schedule: What’s Real, What’s New, and What Practices Must Do Now

    The 2026 Medicare Physician Fee Schedule (PFS) final rule dropped — and it’s not just another annual update. CMS is shifting how value is rewarded, how care management is reimbursed, and what operational plays practices must master to stay financially healthy in 2026 and beyond.
    Healthcare struggles because time is fragmented across too many systems that do not talk to each other. Point blank. At Welby, we stopped trying to optimize around that reality. We built something new instead. Markus OS.
    December 27, 2025

    Markus OS: How We’re Reclaiming Time and Raising the Ceiling on Clinical Care at Welby Health

    Healthcare struggles because time is fragmented across too many systems that do not talk to each other. Point blank. At Welby, we stopped trying to optimize around that reality. We built something new instead. Markus OS.
    Remote patient monitoring (RPM) stopped being a gadget experiment years ago. Today it’s a real clinical service line — and the difference between a pilot that looks good on slides and a program that actually moves the needle is integration, escalation design, and honest math on ROI.Below is a clear-eyed snapshot of where RPM and hospital-at-home (H@H) stand today, what the evidence actually tells
    November 23, 2025

    Remote monitoring — from pilots to performance

    Remote patient monitoring (RPM) stopped being a gadget experiment years ago. Today it’s a real clinical service line — and the difference between a pilot that looks good on slides and a program that actually moves the needle is integration, escalation design, and honest math on ROI.Below is a clear-eyed snapshot of where RPM and hospital-at-home (H@H) stand today, what the evidence actually tells
    CMS has finalized the 2026 Medicare Physician Fee Schedule (PFS), and this year’s rule delivers some of the most substantial improvements to Remote Care Management since the programs were created. The updates sharpen the structure of Chronic Care Management (CCM), expand flexibility in Remote Patient Monitoring (RPM), and accelerate the shift toward comprehensive, proactive, team-based care.
    November 23, 2025

    CMS 2026 Physician Fee Schedule: What’s Changing in Remote Care Management

    CMS has finalized the 2026 Medicare Physician Fee Schedule (PFS), and this year’s rule delivers some of the most substantial improvements to Remote Care Management since the programs were created. The updates sharpen the structure of Chronic Care Management (CCM), expand flexibility in Remote Patient Monitoring (RPM), and accelerate the shift toward comprehensive, proactive, team-based care.
    AI isn’t a futuristic buzzword; it’s here and now, delivering tangible benefits in primary care practices nationwide. By leveraging Welby Health’s MARKUS AI within our full-service remote monitoring program, physician offices can provide top-notch care for complex chronic patients with ease and efficiency.
    March 13, 2025

    How AI is Transforming Nurse Workflows and Improving Patient Care in Remote Monitoring

    AI isn’t a futuristic buzzword; it’s here and now, delivering tangible benefits in primary care practices nationwide. By leveraging Welby Health’s MARKUS AI within our full-service remote monitoring program, physician offices can provide top-notch care for complex chronic patients with ease and efficiency.
    Choosing the right virtual care partner is crucial for physician offices. Prioritize vendors with highly qualified staff who embody your practice's values. Look for comprehensive program capabilities, including diverse offerings, integrated technology, and robust administrative support. Ensure compliance with HIPAA and data security standards. Select a partner that offers scalability, flexibility
    January 4, 2025

    Beyond the Bottom Line: Choosing the Right Virtual Care Partner for Your Practice

    Choosing the right virtual care partner is crucial for physician offices. Prioritize vendors with highly qualified staff who embody your practice's values. Look for comprehensive program capabilities, including diverse offerings, integrated technology, and robust administrative support. Ensure compliance with HIPAA and data security standards. Select a partner that offers scalability, flexibility
    Physician burnout is a complex issue, but it's not insurmountable. External care management programs, like those offered by Welby Health, provide a lifeline for overburdened physicians, allowing them to reclaim their passion for medicine and provide the best possible care to their patients. It's time to move beyond simply acknowledging the problem and embrace solutions that empower physicians an
    January 1, 2025

    Beyond the Breaking Point: How External Care Management Programs Can Rescue Physicians from Burnout

    Physician burnout is a complex issue, but it's not insurmountable. External care management programs, like those offered by Welby Health, provide a lifeline for overburdened physicians, allowing them to reclaim their passion for medicine and provide the best possible care to their patients. It's time to move beyond simply acknowledging the problem and embrace solutions that empower physicians an
    Advanced Primary Care Management (APCM) has emerged as a transformative solution, empowering practices to enhance patient outcomes and streamline care delivery. At Welby, we leverage cutting-edge technology and a patient-centric approach to revolutionize APCM implementation and management.
    December 19, 2024

    Advanced Primary Care Management: Enhancing Patient Care Through Innovative Technology

    Advanced Primary Care Management (APCM) has emerged as a transformative solution, empowering practices to enhance patient outcomes and streamline care delivery. At Welby, we leverage cutting-edge technology and a patient-centric approach to revolutionize APCM implementation and management.
    In summary, embracing remote patient monitoring is a strategic decision and a path to transforming patient care and delivering exceptional outcomes. By harnessing the power of RPM, you can revolutionize your practice, enhance patient engagement, improve clinical efficiency, and ultimately improve the health and well-being of your patients. As the healthcare industry embraces technology, RPM presen
    October 23, 2024

    Transforming Healthcare: The Power of Remote Patient Monitoring for Improved Patient Outcomes

    In summary, embracing remote patient monitoring is a strategic decision and a path to transforming patient care and delivering exceptional outcomes. By harnessing the power of RPM, you can revolutionize your practice, enhance patient engagement, improve clinical efficiency, and ultimately improve the health and well-being of your patients. As the healthcare industry embraces technology, RPM presen
    Choosing the right RPM provider depends on your specific needs and priorities. Welby Health is here to offer valuable solutions that can help you improve patient outcomes, reduce costs, and prepare for the future of value-based care.
    January 4, 2024

    Remote Patient Monitoring: Fee-for-Service vs. Value-Based Care with Welby Health

    Choosing the right RPM provider depends on your specific needs and priorities. Welby Health is here to offer valuable solutions that can help you improve patient outcomes, reduce costs, and prepare for the future of value-based care.
    Outsourced patient engagement programs can be a valuable tool for medical practices looking to improve patient outcomes and satisfaction. By outsourcing patient engagement to a third-party provider, medical practices can free up their staff to focus on other tasks, such as providing direct patient care.
    October 25, 2023

    How Outsourced Patient Engagement Programs Improve Patient Outcomes and Satisfaction

    Outsourced patient engagement programs can be a valuable tool for medical practices looking to improve patient outcomes and satisfaction. By outsourcing patient engagement to a third-party provider, medical practices can free up their staff to focus on other tasks, such as providing direct patient care.
    Remote patient monitoring (RPM) and chronic care management (CCM) are two innovative healthcare programs that can help improve patient outcomes while reducing costs for providers. However, setting up and managing these programs internally can be time-consuming and challenging.
    October 8, 2023

    Remote Patient Monitoring and Chronic Care Management: A Win-Win for Providers and Patients

    Remote patient monitoring (RPM) and chronic care management (CCM) are two innovative healthcare programs that can help improve patient outcomes while reducing costs for providers. However, setting up and managing these programs internally can be time-consuming and challenging.
    Integrating Remote Patient Monitoring (RPM) and Chronic Care Management (CCM) services into your physician practice can significantly enhance patient care and improve outcomes for those with chronic conditions. By understanding the process of billing for RPM and CCM codes, you can ensure your practice receives the rightful reimbursement while providing your patients with the highest level of care.
    July 25, 2023

    Simplifying Billing for Remote Patient Monitoring and Chronic Care Management: A Guide for Physician Practices

    Integrating Remote Patient Monitoring (RPM) and Chronic Care Management (CCM) services into your physician practice can significantly enhance patient care and improve outcomes for those with chronic conditions. By understanding the process of billing for RPM and CCM codes, you can ensure your practice receives the rightful reimbursement while providing your patients with the highest level of care.
    Hypertension, or high blood pressure, is a chronic condition affecting millions worldwide. Left untreated, it can lead to serious health complications like heart disease, stroke, and kidney failure. Care coordination is critical in managing hypertension and improving patient outcomes.
    April 13, 2023

    Can Care Coordination Programs Help Your Patients With High Blood Pressure?

    Hypertension, or high blood pressure, is a chronic condition affecting millions worldwide. Left untreated, it can lead to serious health complications like heart disease, stroke, and kidney failure. Care coordination is critical in managing hypertension and improving patient outcomes.
    Care coordination programs have become increasingly important for physicians as they aim to improve the overall health outcomes for their patients.
    April 24, 2023

    How Care Coordination Is Changing The Game For Physicians

    Care coordination programs have become increasingly important for physicians as they aim to improve the overall health outcomes for their patients.
    60% of Americans have at least one incurable disease, and approximately 90% of all healthcare expenditures are spent managing chronic symptoms – nearly $3.7 trillion. Medicare and Medicaid debuted chronic care management (CCM) in 2015 to reduce ambulatory care through proactive monitoring.
    May 14, 2023

    Highly Effective Yet Super Impractical: Why Chronic Care Management (CCM) is Hard to Manage

    60% of Americans have at least one incurable disease, and approximately 90% of all healthcare expenditures are spent managing chronic symptoms – nearly $3.7 trillion. Medicare and Medicaid debuted chronic care management (CCM) in 2015 to reduce ambulatory care through proactive monitoring.