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Just some updates on what we are working on here at Welby

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CMS just delivered the strongest pro RPM and CCM rule in five years, including a roughly 10 percent reimbursement lift, a new 10-minute RPM code, and a 2 to 15-day measurement code that opens up patient populations that were previously unreachable. In the same window, UnitedHealthcare announced and then postponed a January 2026 rollback that would have stripped RPM coverage.
May 21, 2026

The Payer Map Just Split. Where Health Systems Plant Their Flag Will Define the Next Three Years.

CMS just delivered the strongest pro RPM and CCM rule in five years, including a roughly 10 percent reimbursement lift, a new 10-minute RPM code, and a 2 to 15-day measurement code that opens up patient populations that were previously unreachable. In the same window, UnitedHealthcare announced and then postponed a January 2026 rollback that would have stripped RPM coverage.
Seth Merritt
May 18, 2026
5 min read
The 2026 CMS Final Rule raised chronic care management reimbursement by roughly 10%, created a new 10-minute RPM code (CPT 99470), added APCM behavioral health add-on codes, and incorporated AI-augmented services into CPT for the first time. In parallel, the OIG launched a multi-year CCM eligibility audit, and the healthcare workforce is projected to shrink by 4 million workers by year end.
May 11, 2026

CMS Just Sweetened Chronic Care Reimbursement. The Workforce Crisis Will Decide Who Cashes In.

The 2026 CMS Final Rule raised chronic care management reimbursement by roughly 10%, created a new 10-minute RPM code (CPT 99470), added APCM behavioral health add-on codes, and incorporated AI-augmented services into CPT for the first time. In parallel, the OIG launched a multi-year CCM eligibility audit, and the healthcare workforce is projected to shrink by 4 million workers by year end.
Grace Tolson
May 11, 2026
5 min read
Healthcare is heading into a structural workforce shortfall that recruiting will not solve. HRSA projects a shortage of nearly 700,000 physicians and nurses by 2037, while 55 percent of healthcare employees plan to job-search in 2026. The only realistic path forward is extending the capacity of the clinicians you already have through AI.
May 9, 2026

The Nursing Math Health Systems Don't Want to Do

Healthcare is heading into a structural workforce shortfall that recruiting will not solve. HRSA projects a shortage of nearly 700,000 physicians and nurses by 2037, while 55 percent of healthcare employees plan to job-search in 2026. The only realistic path forward is extending the capacity of the clinicians you already have through AI.
Seth Merritt
May 8, 2026
5 min read

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