The Welby Model · How this gets funded

It pays for itself. Or you don't pay.

The work Welby runs between visits is reimbursable. The reimbursement covers the operation. If a population doesn't generate enough to cover the work, you don't pay for it. No capital outlay, no new overhead line.

Reimbursable · Risk-shared · Live in Medicare's ACCESS Model

We run it on ourselves

We don't just bill these codes. We bear the risk on them.

The strongest thing a partner can tell you about a payment model is that they're inside it too.

CMS ACCESS Model

Welby Health Medical Group participates in Medicare's ACCESS Model.

ACCESS, Advancing Chronic Care with Effective, Scalable Solutions, is a national CMS Innovation Center model that pays for technology-enabled chronic care on outcomes for Original Medicare patients. We operate inside the exact model we sell, at risk, through our own medical group. What we ask you to trust, we already run on ourselves.

How each job pays

Every job maps to a way it gets paid.

The work your team can't scale is also work Medicare already reimburses. We run it and handle the documentation and claims inside your EHR.

Enrollment & consentThe setup that makes everything below reimbursable.
Enables CCM · APCM · RPM
Monthly chronic care managementRecurring check-ins, care-plan management, coordination.
CCM & APCM
Remote monitoring & alertsDevice vitals watched and triaged around the clock.
RPM & RTM
Post-discharge follow-upThe 48-hour call that catches readmissions.
TCM
Annual wellness visitsCompleted and documented, not left on the table.
AWV
Behavioral health check-insIntegrated and collaborative-care support.
BHI & CoCM
Screenings & quality-gap closureCancer screening, med adherence, open measures.
Stars & HEDIS incentivesvalue-based upside

Exact codes and rates get worked through with your finance team. The point of this page is simpler: none of it comes out of your operating budget.

The risk is ours

If a population doesn't pay for itself, you don't pay.

We scope a pilot to a population, run it on our own team and platform, and let the reimbursement carry it. You take on the upside, not the downside.

Risk-shared from day one. That is a contract term, not a tagline.
The first step

Run the numbers on one population.

Start with a pilot. We'll model the reimbursable opportunity in your panel, run it at risk, and show you the math before you scale.

Book a Pilot Conversation