Shared savings and quality scores are decided in the weeks between appointments, when no one is watching your attributed patients. Welby owns that gap, the outreach, monitoring, chronic-care management, and transitions, so total cost of care comes down and your measures go up.
Lower total cost of care · Stars & HEDIS lift · Reimbursable, and at risk alongside you
Admissions, readmissions, and ED visits, the events that blow up total cost of care, rarely start in the exam room. They build in the weeks in between, when your attributed patients are on their own.
The same between-visit work does both: it prevents the expensive events and it closes the measures your contracts pay on.
Continuous monitoring catches problems while they’re still cheap to fix, and post-discharge follow-up catches readmissions in the 48-hour window, not at the next visit.
Screenings, wellness visits, medication adherence, and chronic-care documentation, handled for the whole attributed panel and written back to the record.
Your clinicians own the relationship and the plan. We run the between-visit operation under your brand, so panels grow without burning out the people who see them.
The work is reimbursable, CCM, APCM, RPM, TCM, and AWV, so it funds itself while it lowers your total cost of care. And we don’t just bill these codes; we bear the risk on them.
Read and write access across the EHRs your practices live in. We reach the whole attributed population in 20+ languages and route anything clinical to a licensed human, so nothing about a patient’s risk depends on whether they think to call you.
Start with a pilot. We'll model the reimbursable opportunity and the total-cost-of-care impact in your panel, run it at risk, and show you the numbers before you scale.
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