The 2026 Medicare Physician Fee Schedule (PFS) final rule dropped — and it’s not just another annual update. CMS is shifting how value is rewarded, how care management is reimbursed, and what operational plays practices must master to stay financially healthy in 2026 and beyond.

Healthcare struggles because time is fragmented across too many systems that do not talk to each other. Point blank. At Welby, we stopped trying to optimize around that reality. We built something new instead. Markus OS.

Remote patient monitoring (RPM) stopped being a gadget experiment years ago. Today it’s a real clinical service line — and the difference between a pilot that looks good on slides and a program that actually moves the needle is integration, escalation design, and honest math on ROI.Below is a clear-eyed snapshot of where RPM and hospital-at-home (H@H) stand today, what the evidence actually tells