I'm the CTO at Welby Health, where we build technology for Remote Patient Monitoring and Chronic Care Management. Over the past year, we've built Markus, an internal AI assistant that helps our nurses and clinical staff with everything from patient lookups to workflow automation. Markus connects to our EHR, BigQuery, Looker, HubSpot, and a dozen other systems via MCP servers.

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.