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Description
Compatibility Level
Clients
Product Capabilities
Use cases
EHR integrations
Client types
Differentiators
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Company details
Jump to:
Categories
Solutions
Description
Compatibility Level
Clients
Product Capabilities
Use cases
EHR integrations
Client types
Differentiators
Keywords
Media
Company details

Categories

Solutions

Description

Product Description:

Welby Health is a healthcare technology company that provides a platform for remote patient monitoring (RPM) and chronic care management (CCM). Their mission is to empower healthcare providers to deliver better care to patients with chronic conditions while reducing the overall cost of care. They achieve this by combining cutting-edge technology with a human touch, utilizing both a sophisticated digital platform and experienced clinical staff.

Here's a breakdown of key aspects of Welby Health:

**Technology:**

* **Remote Patient Monitoring:** Welby Health's platform allows patients to use connected devices (like blood pressure cuffs, glucometers, and weight scales) to track their health data at home. This data is transmitted to the platform, where it is monitored by healthcare providers. This allows for early detection of potential problems and timely intervention, reducing the need for hospitalizations.

* **Chronic Care Management:** The platform also supports comprehensive care management for patients with chronic conditions. This includes medication management, care plan development, and patient education.

* **Patient Engagement Tools:** Welby Health offers tools to help patients stay engaged in their care, such as educational materials, reminders, and secure messaging with their care team.

**Clinical Team:**

* Welby Health employs licensed registered nurse case managers who are trained in NCQA-accredited care protocols. These nurses work closely with patients to provide personalized support, education, and care coordination.

**Financial Model:**

* Welby Health's services are designed to be financially sustainable for healthcare providers. They help practices access new billable codes for RPM and CCM, which can boost revenue and improve financial stability.

**Benefits:**

* **Improved Patient Outcomes:** By providing continuous monitoring and proactive care, Welby Health helps improve patient outcomes, reducing hospitalizations and improving quality of life.

* **Reduced Costs:** Early intervention and effective chronic disease management can help reduce the overall cost of care.

* **Increased Efficiency:** The platform automates many tasks, freeing up healthcare providers to focus on patient care.

* **Enhanced Patient Satisfaction:** Patients appreciate the convenience and personalized support provided by Welby Health.

**Value-Based Care:**

Welby Health is well-positioned to support the shift towards value-based care. Their focus on proactive care, prevention, and patient outcomes aligns with the goals of value-based care models. They offer solutions for both fee-for-service and value-based care arrangements, allowing healthcare providers to choose the model that best suits their needs.

In summary, Welby Health is a comprehensive platform that empowers healthcare providers to deliver high-quality, cost-effective care to patients with chronic conditions. Their combination of technology, clinical expertise, and financial sustainability makes them a valuable partner for healthcare organizations looking to improve patient care and thrive in the evolving healthcare landscape.

About Welby Health:

Welby Health is a tech-enabled service provider offering case management services to physicians. Its products generate revenue for its clients by leveraging reimbursement for Remote Monitoring, Chronic Care Management, and virtual care codes made available through its tech platform. We use proprietary technology and a team of nurses trained in remote patient engagement to leverage billable codes on FFS business and improve clinical outcomes to maximize VBC bonus programs.

Product Description:

OnCare360 addresses the patient’s journey between point-of-care visits with a continuous care management platform that captures and transmits daily health data through devices, wearables, and patient interactions. OnCare360 takes a 360-degree approach to managing value-based care by combining Care Management (CCM, RPM, TCM, PCM, RTM), medication, adverse event, and general wellness, clinical communication, and data analytics to create a circle of support between patients, providers and payers.

About OnCare360 Inc.:

OnCare360 addresses the patient’s journey between point-of-care visits with a continuous care management platform that captures and transmits daily health data through devices, wearables, and patient interactions. OnCare360 takes a 360-degree approach to managing value-based care by combining Care Management (CCM, RPM, TCM, PCM, RTM), medication, adverse event, and general wellness, clinical communication, and data analytics to create a circle of support between patients, providers and payers.

Compatibility level

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Clients

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Product Capabilities

OnCare360 collects a wide range of data, including clinical information such as vital signs, diagnoses, medications, and post-discharge details; care management data like time spent on coordination and care plan updates; and patient-generated health data from RPM and RTM devices. It also gathers social determinants of health (SDOH) data, including housing, transportation, and other socioeconomic factors, along with behavioral health metrics such as mental health screenings and care plans. Preventive care data, such as Health Risk Assessments (HRA), Fall Risk Assessments (FRA), and Advance Care Planning (ACP) directives, are also collected, as well as engagement data from patient portals, communication logs, and reminders. Additionally, OnCare360 tracks billing and compliance data, including CPT codes and audit-ready documentation.

OnCare360 provides advanced analytics to support comprehensive care management and decision-making. These analytics include real-time dashboards for tracking patient outcomes, care plan adherence, and program performance across RPM, CCM, TCM, and other CMS programs. Risk stratification tools identify high-risk patients for targeted interventions, while utilization metrics assess resource efficiency and care delivery effectiveness. The platform also offers insights into social determinants of health (SDOH), highlighting barriers to care and tracking the impact of interventions. Additionally, OnCare360 generates compliance reports, billing accuracy metrics, and CPT code utilization summaries to ensure regulatory alignment and optimize reimbursements. This robust analytics suite enables providers to measure outcomes, improve workflows, and deliver data-driven care.

OnCare360 enables seamless bidirectional communication between healthcare providers, patients, and care teams to enhance coordination and engagement. The platform integrates secure messaging, patient portals, and real-time alerts to facilitate ongoing interactions. Providers can send care plan updates, educational materials, appointment reminders, and alerts to patients directly through the system, while patients can respond with questions, upload health data, or report symptoms via the portal or integrated communication tools. For care teams, OnCare360 supports collaborative workflows, allowing providers, nurses, and social workers to share updates, assign tasks, and communicate in real time. This two-way communication ensures that all stakeholders stay informed and aligned, fostering timely interventions and better care outcomes.

OnCare360 ensures providers can engage eligible patients through cellular-connected devices, eliminating the need for Wi-Fi and enhancing accessibility for underserved populations. For patients with higher technical literacy, OnCare360 offers an intuitive mobile app to streamline access to care plans, reminders, and educational resources. This combination ensures tailored engagement for diverse patient needs.

OnCare360 offers pre-built, condition-specific care plans and pathways that are fully customizable to meet the unique needs of each patient. These templates are designed to support clinical decision-making and streamline patient engagement, providing actionable guidance for care delivery. Integrated directly into the platform, these care plans align with automated workflows, ensuring seamless implementation while enabling providers to personalize interventions, enhance adherence, and optimize outcomes with ease.

OnCare360 seamlessly integrates with existing EHR systems, supporting both HL7 file-based integration and SMART on FHIR protocols. This interoperability ensures smooth data exchange, enabling providers to synchronize patient information, care plans, and clinical workflows directly within their EHR environment. By leveraging industry-standard frameworks, OnCare360 enhances operational efficiency and reduces duplication of effort, allowing healthcare teams to focus on delivering high-quality, coordinated care.

OnCare360 streamlines logistics management, staff training, patient onboarding, and ongoing tech support to enhance the clinician and patient experience. The platform provides intuitive workflows that simplify patient onboarding, ensuring smooth enrollment in care programs with minimal administrative effort. Staff training modules offer step-by-step guidance on using OnCare360’s features, enabling care teams to adopt the platform quickly and effectively. Additionally, the system includes robust tech support, with dedicated resources to address patient and provider needs, reducing disruptions and ensuring seamless operation.

OnCare360 leverages AI-based assistants, tailored learning content, and educational materials to engage patients and support behavior change. The platform delivers personalized insights, automated reminders, and easy-to-understand resources, empowering patients to track progress, set goals, and stay motivated in achieving better health outcomes.

Use Cases

Description:

The WelbyCare program is a turnkey solution for providers who need additional support to achieve improved HEDIS metrics but do not have the necessary capital to implement a new program from scratch. We understand the busy workflows of primary care providers, so we have designed our system to allow physicians to implement the program in under 30 days without any upfront investment and no changes to your existing workflow.

90% of patients in the WelbyCare program comply with reimbursement requirements. Additionally, each patient receives 42 minutes of engagement with our clinical team each month. In anonymous patient surveys, our clinical team has received a 4.95/5 star rating.

Only 1% of clinical alerts require engagement from our client clinicians, and amongst our clients, 84% passed HEDIS measures for SBP control after 90 days, and 81% passed HEDIS measures for A1C control after 90 days.

Pediatric use cases:

None provided

Users:

.

Description:

• A primary care practice is overwhelmed with the administrative burden of managing a large population of patients with chronic conditions like diabetes and hypertension. Care plans are outdated, follow-ups are missed, and staff struggle to accurately track time for billing compliance with Chronic Care Management (CCM) services. This results in poor patient outcomes and underutilization of reimbursement opportunities.

• A cardiology practice focuses on managing patients with advanced heart conditions but faces challenges in coordinating Principal Care Management (PCM) for these high-risk individuals. Providers find it difficult to track detailed interactions, update care plans, and collaborate with primary care teams, leading to gaps in care and reduced efficiency in managing a single complex condition.

• A regional hospital experiences high readmission rates and struggles to optimize patient length-of-stay due to ineffective Transitional Care Management (TCM). Many patients discharged after acute care fail to schedule follow-ups, adhere to discharge instructions, or receive timely medication reconciliation. Additionally, inefficient discharge planning leads to extended hospital stays, straining resources and affecting patient flow. Without a centralized system to monitor post-discharge care, track follow-up visits, and coordinate transitions, the hospital faces challenges in improving recovery outcomes, reducing readmissions, and achieving value-based care benchmarks.

• A rural health clinic struggles to monitor patients with chronic diseases due to limited access to in-person care and delayed identification of worsening symptoms. Patients are often unaware of their health trends, leading to avoidable complications. The clinic needs a solution to integrate FDA-approved RPM devices and deliver real-time insights for timely interventions.

• A payvider serving a diverse population finds that many patients face significant social determinants of health (SDOH) barriers, such as transportation challenges, food insecurity, and housing instability. These barriers prevent patients from adhering to care plans and attending follow-ups, resulting in increased healthcare costs and poor outcomes. The organization lacks tools to systematically capture and address these non-medical factors.

Pediatric use cases:

None provided

Users:

Physician Practices, Hospitals, Health Systems, Accountable Care Organizations, Primary Care Providers, Speciality Providers

EHR Integrations

Integrations:

Acute care EMR, Patient portal, Pop health platform

EMR Integration & Relevant Hardware:

Use case dependent

EMRs Supported:

Cerner, Athenahealth, Allscripts, NextGen, eClinicalWorks, Epic

Hardware Compatibility:

Desktop, Mobile / Tablet (web optimized), Mobile / Tablet (native app)

Integrations:

Acute care EMR, Ambulatory EMR, ADT, Website / public online sources

EMR Integration & Relevant Hardware:

Recommended, but not required

EMRs Supported:

Epic, Cerner, eClinicalWorks, Allscripts, Meditech, NextGen, Athenahealth

Hardware Compatibility:

Desktop, Mobile / Tablet (web optimized), Mobile / Tablet (native app), Other

Client Types

Differentiators

Differentiators vs EHR Functionality:

We are specialized in monitoring patients in their homes and engaging not just vital data, but SDOH and lifestyle factors that typical staffing in a clinic is not trained or equipped to handle. We help our practices not only drive new revenue but improve their clinical outcomes through our comprehensive programs.

Differentiators vs Competitors:

We offer a turnkey solution not only for your technical needs to deploy remote monitoring to patients but as well as all the clinical staff to support it. Our goal is to offer not just staffing to satisfy the time requirements for RPM but actually licensed professionals working at the top of their license to provide a truly outsourced care management function.

Differentiators vs EHR Functionality:

OnCare360 enhances care management by addressing key gaps:

1. Comprehensive Care Management: Specialized tools for CMS programs like CCM, RPM, TCM, and SDOH, including workflows, time tracking, and care plan templates.

2. Automated Compliance: Built-in CPT code tracking and billing workflows ensure accurate reimbursements and CMS compliance.

3. Patient Engagement: Offers portals, reminders, and secure messaging for proactive communication and improved adherence.

4. Advanced Analytics: Real-time dashboards track care outcomes, program performance, and at-risk patients.

5. SDOH Integration: Dedicated tools to assess and address social barriers to care, linking patients to resources.

OnCare360 complements EHR systems by focusing on care delivery, compliance, and patient-centric tools.

Differentiators vs Competitors:

OnCare360 stands out with its comprehensive, integrated platform designed to streamline workflows and improve patient outcomes:

1. All-in-One Platform: Combines tools for RPM, CCM, TCM, PCM, AWV, SDOH, ACP, and more, eliminating the need for multiple systems.

2. Program-Specific Features: Tailored workflows, care plan templates, and automated time tracking for each CMS program ensure ease of implementation and compliance.

3. Patient Engagement Tools: Secure portals, reminders, and educational resources promote adherence and satisfaction, surpassing basic communication solutions offered by competitors.

4. Compliance Automation: Preloaded CPT codes, billing accuracy checks, and audit-ready documentation reduce errors and maximize reimbursements.

5. SDOH and Holistic Care: Advanced tools to assess and address non-medical factors, linking patients to resources and improving health equity.

6. Scalability and Flexibility: Suitable for small practices, large health systems, and ACOs, with customizable workflows for diverse needs.

7. Real-Time Insights: Analytics dashboards provide actionable data on care outcomes, performance metrics, and patient risks.

OnCare360 delivers unmatched versatility, compliance, and patient engagement features.

Keywords

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