Between visits, outcomes are decided

You own the relationship. We own the care between visits.

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.
Book a Pilot ConversationTalk to our AI agent right now
Health systems · ACOs · Medical groups · 95+ patient NPS
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.
Why we're different

They scale sameness. We scale fit.

Care runs on Welby Care Pathways, our proprietary protocols built on clinical best practice. Everything else we tailor to how your system works. The big platforms run one playbook on every health system and call it efficiency.
The Welby playbook
Your workflows, your EHR, integrated and untouched
Your clinical protocols, proprietary protocols built on clinical best practice
Paid from what the program generates, not a license fee
Your brand on every patient touchpoint
Licensed nurses with AI behind them, not a dashboard
Fit isn't a configuration screen. It's the whole model: we shape the program to the health system, never the other way around.
Welby Care Pathways keep care consistent and safe at scale. Everything that touches you gets built for you.

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.

Proof, from live programs

We count what the visit-based system can't see

The numbers below aren't from a pilot deck. They're from live programs, and they're the ones we're willing to be measured on.
20–30%
Reduction in A1c for enrolled diabetic patients
<90 days
To sustained systolic blood pressure improvement
95+
Patient NPS across active programs
30–50%
Patient enrollment in target populations
Programs also show directional reductions in admissions, ER use, and readmissions. We'll publish our own dollar results when claims data proves them, not before. That restraint is the point.
The AI care team

Don't take our word for the AI. Interrogate it.

Specialized agents run outreach, check-ins, and alert response in multiple languages, under your brand, working for licensed RNs and NPs. Every one tells patients it's an AI. This one will pitch you Welby right now.

Click an agent to see how it works

You’ll reach our demo agent. It tells you it’s an AI, every time.

Integration

We meet your EHR where it already is.

Pick your system to see the exchange, the standards, and the path to go-live.

What patients say
"They have kept me on the right path... letting me know the baby is important but I'm also important."
Stephanie D. · Google review, one of 160+
95+ patient NPS across active programs
Between visits, outcomes are decided

The catches that never made it to the ER

Real patient stories from active programs.
226/124 to 130/76
The reading that changed everything
A new patient's weekend readings climbed to a critical 226/124. Her nurse pushed for the ER, where a hidden infection was found. Today she's at 130/76.
Afib caught in time
The Apple Watch that called for help
A patient felt his heart racing with his doctor's office already closed. His Welby nurse recognized a cardiac event and sent him to the ER, where he was diagnosed with atrial fibrillation.
Preeclampsia caught
The new mom who didn't slip through
During a routine enrollment call, a nurse noticed a new postpartum mom had worrisome blood pressure while visiting her baby in the NICU. She got her to the ER that night.
Glucose 443 to 169
The ice pack that changed everything
A patient's blood sugar swung wildly. His nurse kept asking how he took his insulin until she found the real issue: no refrigerator at work. A lunch bag with ice packs changed everything.
Emergency caught early
A ray of sunshine on the hardest night
When her blood pressure was flagged, a patient with a stroke history reported jaw pain and difficulty speaking. Her nurse got a family member to call 911, then stayed with her through the night.
Peace of mind
Someone on her side
For one patient, Welby wasn't about the readings. It was the texts and check-ins that made her want to be healthier, and the peace of mind of knowing someone was on her side.
Names and details adjusted to protect privacy. Every outcome is real.
Reviews

What people are saying

Our blog
There's a study out in JAMA Network Open that should stop a lot of people mid-sentence. Researchers looked at roughly 16,000 Medicare fee-for-service patients, about 4,200 of them treated through hospital-at-home and the rest admitted the normal way. The hospital-at-home group did better on the things you'd hope. In-hospital mortality was 0.4% versus 3.6%. ED visits ran 8.8% versus 10%. ICU escala
July 16, 2026

You moved the hospital into the house. Readmissions still didn't move.

There's a study out in JAMA Network Open that should stop a lot of people mid-sentence. Researchers looked at roughly 16,000 Medicare fee-for-service patients, about 4,200 of them treated through hospital-at-home and the rest admitted the normal way. The hospital-at-home group did better on the things you'd hope. In-hospital mortality was 0.4% versus 3.6%. ED visits ran 8.8% versus 10%. ICU escala
On July 2, CMS dropped the CY 2027 outpatient payment proposed rule. It's a fat, sleepy document that most people will skim and forget. Buried in it is one line that should make every health system CFO put down their coffee. CMS wants to keep expanding site-neutral payment, and this year it goes after imaging without contrast done in hospital-owned outpatient departments. Same scan, same machine,
July 8, 2026

Medicare Just Admitted You've Been Paying for the Building, Not the Care

On July 2, CMS dropped the CY 2027 outpatient payment proposed rule. It's a fat, sleepy document that most people will skim and forget. Buried in it is one line that should make every health system CFO put down their coffee. CMS wants to keep expanding site-neutral payment, and this year it goes after imaging without contrast done in hospital-owned outpatient departments. Same scan, same machine,
CMS put out its 2026 participation numbers and the value-based crowd took a victory lap. 511 ACOs in the Medicare Shared Savings Program now. 12.6 million people in traditional Medicare attributed to them. The largest the program has ever been, up from 476 ACOs the year before. Add the most recent reconciled results on top of it, where ACOs earned around $4.1 billion in shared savings and saved Me
June 23, 2026

Record Numbers Joined an ACO This Year. Most of Them Will Change Nothing About Care.

CMS put out its 2026 participation numbers and the value-based crowd took a victory lap. 511 ACOs in the Medicare Shared Savings Program now. 12.6 million people in traditional Medicare attributed to them. The largest the program has ever been, up from 476 ACOs the year before. Add the most recent reconciled results on top of it, where ACOs earned around $4.1 billion in shared savings and saved Me
Becker's ran a snapshot this week. Around 50 US health systems are now running clinical AI at enterprise scale. CommonSpirit alone reportedly sits on something like 250 active AI tools across its hospitals and claims north of $100 million in annual value. Big numbers. Big press releases. Every system wants to be on the list, and most of the people on those panels sound like they already won.
June 17, 2026

Everybody Bought Clinical AI. Almost Nobody Uses It. The Money Is in the Wrong Room.

Becker's ran a snapshot this week. Around 50 US health systems are now running clinical AI at enterprise scale. CommonSpirit alone reportedly sits on something like 250 active AI tools across its hospitals and claims north of $100 million in annual value. Big numbers. Big press releases. Every system wants to be on the list, and most of the people on those panels sound like they already won.
Then start moving work down a level and out of the building, deliberately, one pathway at a time. You'll keep more nurses than any retention bonus will ever buy you.The systems that win the next five years won't be the ones who recruited hardest. They'll be the ones who figured out their best nurses were never the constraint. The way they used them was.‍
June 10, 2026

You Don't Have a Nursing Shortage. You Have a Misallocation Problem.

Then start moving work down a level and out of the building, deliberately, one pathway at a time. You'll keep more nurses than any retention bonus will ever buy you.The systems that win the next five years won't be the ones who recruited hardest. They'll be the ones who figured out their best nurses were never the constraint. The way they used them was.‍
Twenty-one health systems have terminated Medicare Advantage contracts so far in 2026. Mayo Clinic, Mount Sinai, UNC Health, Memorial Hermann, BayCare, Providence. NewYork-Presbyterian and UnitedHealthcare went out of network on May 1 with no new agreement in place. About 2.9 million MA enrollees, roughly one in ten, are being forced into a new plan this year because their insurer pulled out
June 2, 2026

Walking Away From Medicare Advantage Isn't Strategy. It's a Confession.

Twenty-one health systems have terminated Medicare Advantage contracts so far in 2026. Mayo Clinic, Mount Sinai, UNC Health, Memorial Hermann, BayCare, Providence. NewYork-Presbyterian and UnitedHealthcare went out of network on May 1 with no new agreement in place. About 2.9 million MA enrollees, roughly one in ten, are being forced into a new plan this year because their insurer pulled out
The U.S. is short roughly 250,000 nurses and 85,000 physicians, with nearly two thirds of nurses operating at high burnout and a projected 70,000 primary care physician shortfall by 2038. Most health systems are responding by deploying AI on top of broken workflows, which makes burnout more efficient rather than expanding capacity.
May 22, 2026

The Real Chronic Care Bottleneck Is Not Technology. It Is People. Most C-Suites Are Solving the Wrong Problem.

The U.S. is short roughly 250,000 nurses and 85,000 physicians, with nearly two thirds of nurses operating at high burnout and a projected 70,000 primary care physician shortfall by 2038. Most health systems are responding by deploying AI on top of broken workflows, which makes burnout more efficient rather than expanding capacity.
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.
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.
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.
Nurses Week 2026 runs May 6 to 12, with the ANA's theme The Power of Nurses anchoring the week. The data tells a harder story behind the celebration: more than half of U.S. healthcare workers plan to switch jobs in 2026, 41.5 percent of departing nurses cite burnout as the primary cause, and turnover-driven costs reach an estimated $4.6 billion annually with roughly $52,350 to replace a single RN
May 5, 2026

Nurses Don't Need Another Pizza Party. They Need a Better Operating Model.

Nurses Week 2026 runs May 6 to 12, with the ANA's theme The Power of Nurses anchoring the week. The data tells a harder story behind the celebration: more than half of U.S. healthcare workers plan to switch jobs in 2026, 41.5 percent of departing nurses cite burnout as the primary cause, and turnover-driven costs reach an estimated $4.6 billion annually with roughly $52,350 to replace a single RN
The remote patient monitoring market is projected to reach $88.3 billion by 2035, but only 3 percent of health systems have deployed agentic AI in live clinical workflows. The gap between AI hype and real-world deployment is where most health systems will lose the next decade. Agentic AI alone does not solve chronic care, because the bottleneck is operating model, not algorithm.
May 1, 2026

Healthcare's $88 Billion AI Bet Will Fail Without Nurses

The remote patient monitoring market is projected to reach $88.3 billion by 2035, but only 3 percent of health systems have deployed agentic AI in live clinical workflows. The gap between AI hype and real-world deployment is where most health systems will lose the next decade. Agentic AI alone does not solve chronic care, because the bottleneck is operating model, not algorithm.
CMS approved more than 150 organizations on April 13 for the ACCESS Model, a 10-year outcome-aligned chronic care payment program launching July 5. Combined with the bipartisan Chronic Care Management Improvement Act introduced April 14 (which would eliminate beneficiary coinsurance on CCM) and the new RPM CPT codes that took effect January 1, the economics of chronic care in Original Medicare.
April 28, 2026

CMS Just Placed 150 Bets on Tech-Enabled Chronic Care. Most Health System CEOs Missed the Signal.

CMS approved more than 150 organizations on April 13 for the ACCESS Model, a 10-year outcome-aligned chronic care payment program launching July 5. Combined with the bipartisan Chronic Care Management Improvement Act introduced April 14 (which would eliminate beneficiary coinsurance on CCM) and the new RPM CPT codes that took effect January 1, the economics of chronic care in Original Medicare.
Healthcare's AI investment is accelerating, but the dollars are concentrated in administrative and documentation use cases that will commoditize within eighteen months. The AI deployments producing real clinical and financial returns are the ones that shorten time-to-intervention rather than time-to-bill, including bedside predictive monitoring, continuous remote monitoring, and clinical workflow
April 28, 2026

Healthcare's AI Money Is Going Big. The Outcomes Math Is Lagging.

Healthcare's AI investment is accelerating, but the dollars are concentrated in administrative and documentation use cases that will commoditize within eighteen months. The AI deployments producing real clinical and financial returns are the ones that shorten time-to-intervention rather than time-to-bill, including bedside predictive monitoring, continuous remote monitoring, and clinical workflow
Two federal actions in the past week, the launch of CMS's ACCESS Model with 150+ accepted participants and the introduction of the bipartisan Chronic Care Management Improvement Act of 2026, just rewrote the economics of chronic care. ACCESS pays providers for outcomes over a ten-year horizon. The new bill would eliminate the 20 percent patient cost-share that has suppressed CCM enrollment for a d
April 21, 2026

The Floor Just Moved: Two Federal Actions in One Week That Should Reshape Every Chronic Care Strategy

Two federal actions in the past week, the launch of CMS's ACCESS Model with 150+ accepted participants and the introduction of the bipartisan Chronic Care Management Improvement Act of 2026, just rewrote the economics of chronic care. ACCESS pays providers for outcomes over a ten-year horizon. The new bill would eliminate the 20 percent patient cost-share that has suppressed CCM enrollment for a d
UnitedHealthcare attempted to strip RPM coverage for chronic hypertension, diabetes, and COPD, limiting it to heart failure and gestational hypertension only. They delayed after industry backlash but still plan to enforce the policy in 2026. The evidence directly contradicts their "no evidence" claim: large studies show RPM reduces blood pressure by 7-17 mmHg and cuts uncontrolled hypertension rat
April 16, 2026

The Largest Commercial Payer Just Tried to Kill RPM for Chronic Disease. The Evidence Says They're Wrong.

UnitedHealthcare attempted to strip RPM coverage for chronic hypertension, diabetes, and COPD, limiting it to heart failure and gestational hypertension only. They delayed after industry backlash but still plan to enforce the policy in 2026. The evidence directly contradicts their "no evidence" claim: large studies show RPM reduces blood pressure by 7-17 mmHg and cuts uncontrolled hypertension rat
CMS's 2026 Final Rule lowered the RPM threshold from 16 days and 20 minutes to as few as 2 days and 10 minutes, raised CCM reimbursement roughly 10 percent, and made the Ambulatory Specialty Model for heart failure and low back pain mandatory.
April 13, 2026

The 2026 Reimbursement Reset Is Here. Health Systems That Treat It As A Billing Update Will Lose.

CMS's 2026 Final Rule lowered the RPM threshold from 16 days and 20 minutes to as few as 2 days and 10 minutes, raised CCM reimbursement roughly 10 percent, and made the Ambulatory Specialty Model for heart failure and low back pain mandatory.
CMS is launching the ACCESS model in July 2026, a 10-year initiative that ties chronic care payments directly to measurable patient outcomes rather than time-based billing. At the same time, UnitedHealthcare tried to gut RPM coverage for chronic hypertension, diabetes, and COPD, only to postpone after industry backlash. These opposing moves create a defining moment for health system leaders.
April 9, 2026

The Two Futures of Chronic Care: CMS Is Betting on Outcomes While the Largest Payer Retreats

CMS is launching the ACCESS model in July 2026, a 10-year initiative that ties chronic care payments directly to measurable patient outcomes rather than time-based billing. At the same time, UnitedHealthcare tried to gut RPM coverage for chronic hypertension, diabetes, and COPD, only to postpone after industry backlash. These opposing moves create a defining moment for health system leaders.
CMS's new ACCESS model, launching July 5, 2026, introduces outcome-aligned payments for technology-enabled chronic care management across conditions like hypertension, diabetes, chronic pain, and depression. This is a 10-year model that ties full reimbursement to measurable patient health outcomes, not just documented activities.
April 6, 2026

CMS Just Told You the Future of Chronic Care Is Outcome-Based. Are You Ready?

CMS's new ACCESS model, launching July 5, 2026, introduces outcome-aligned payments for technology-enabled chronic care management across conditions like hypertension, diabetes, chronic pain, and depression. This is a 10-year model that ties full reimbursement to measurable patient health outcomes, not just documented activities.
The U.S. is short roughly 84,000 physicians and 250,000 RNs, and traditional hiring strategies cannot close that gap. AI adoption in healthcare has nearly doubled since 2024, but most organizations are deploying it without redesigning workflows around their clinical teams.
April 2, 2026

You Can't Hire Your Way Out of the Healthcare Workforce Crisis. The Math Doesn't Work.

The U.S. is short roughly 84,000 physicians and 250,000 RNs, and traditional hiring strategies cannot close that gap. AI adoption in healthcare has nearly doubled since 2024, but most organizations are deploying it without redesigning workflows around their clinical teams.
American healthcare is failing its doctors, not the other way around. I started Welby Health because physicians deserve a system built around keeping people healthy, not one that burns them out treating preventable crises. On National Doctors' Day, let's honor the people and fix the model.
March 30, 2026

The System Is Broken. The Doctors Aren't.

American healthcare is failing its doctors, not the other way around. I started Welby Health because physicians deserve a system built around keeping people healthy, not one that burns them out treating preventable crises. On National Doctors' Day, let's honor the people and fix the model.
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.
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
The first step

Start with a pilot, not a budget cycle.

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.
Book a Pilot Conversation