Your value-based contracts pay you to keep patients healthy between appointments. Your system is built to see them during appointments. That gap is where your readmissions, your Stars and HEDIS scores, and your total cost of care are decided.
Live with enterprise health systems today · Epic Connection Hub · 95+ patient NPS
The move from fee-for-service to value-based care changes what you are paid for. It does not change how your system is built.
The distance between those two columns is the between-visit gap. It is the part no one owns. We own it.
Welby is a care-management organization that runs the between-visit layer for you: on your brand, inside your EHR, accountable to your quality and utilization targets.
Licensed RNs and NPs, outreach and enrollment specialists, running monthly touchpoints, remote monitoring, and post-discharge transitions as an extension of your team.
AI agents handle outreach, enrollment, check-ins, and alert triage in 20+ languages, under your brand. Your clinicians see roughly the 1% of alerts that need a human.
The programs behind it are reimbursable. If a population does not generate the reimbursement to cover the work, you do not pay for it.
The programs (CCM, APCM, RPM, TCM, AWV) are how the work is reimbursed, and we will walk your finance and compliance teams through every code in the room. On this page, what matters is that the operation runs, and that it pays for itself.
Read and write access, not another portal to check. Referrals flow in, vitals and documentation flow back to the record.
Epic Connection Hub, read and write access: automated referrals in, vitals written back to the flowsheets. Live today with Epic, athenahealth, NextGen, eClinicalWorks, and Veradigm. Oracle Cerner and TrueBridge are integration-ready.
Specialized agents run outreach, check-ins, and alert response around the clock, under your brand, working for your licensed clinicians.
Introduces the program, confirms eligibility, collects consent, sets up devices.
Monthly wellness check-ins: conditions, meds, care-plan progress.
Ongoing chronic-care coordination between visits.
Watches monitoring data and triages what crosses a threshold.
We scope a pilot to a population and a set of quality and utilization targets, then run against them. You see the results before you scale.
The numbers below are from live programs, and they are the ones we are willing to be measured on.
These are outcomes from live enterprise programs, not projections from a pilot deck.
Security, compliance, and scale are the first questions your team will ask. They are the first ones we are built to answer.
Patient data handled to HIPAA standards end to end, ready for your security review.
Live in your EHR through certified integrations, not a parallel portal your staff has to police.
Running in production with enterprise health-system populations, not a pilot-only tool.
Every patient interaction carries your name, your clinicians, and your standard of care.
The partner you pick decides whether your between-visit care becomes an advantage or a commodity.
A vendor that runs one standardized playbook for every system. Your between-visit care becomes interchangeable. Plug the same partner into System A and System B and they start to look the same. You have rented a model, not built an advantage.
We shape the program around your protocols, your strengths, and your brand, inside your EHR. You keep owning the patient and the model. We amplify what makes you distinct instead of replacing it, so the care between visits stays yours.
The care between visits should make you more like yourself, not more like everyone else.
One department or one population. Defined quality and utilization goals. A clear read on results before you scale. And if it doesn't pay for itself, you don't pay.
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