
Welby's APCM service is designed to proactively manage chronic conditions and improve patient health outcomes through personalized care coordination. Thiservice complements and enhances existing Chronic Care Management (CCM) and Remote Patient Monitoring (RPM) programs, offering an additional layer of comprehensive support. We leverage a combination of experienced registered nurses and our cutting-edge AI assistant, Markus, to provide comprehensive, continuous support beyond traditional office visits, ensuring seamless integration and improved patient engagement across all care management modalities.


Personalized Care Plans & Goal Setting: Tailored plans to meet individual patient needs.
Patient Education & Support: Comprehensive guidance and emotional support.
Care Coordination: Seamless transitions, referrals, and communication.
Clinical Monitoring & Assessment: Regular check-in sand proactive intervention.
Complex Case Management: Advanced care and intervention for high-risk patients.
Automated Patient Communication: Reminders, follow-ups, education.
Data Collection & Risk Identification: Symptom tracking, vital sign monitoring, data analysis.
24/7 Information Access: Answers, resources, support.
Medication Adherence Support: Reminders, tracking.
Care Coordination Assistance: Scheduling, symptom alerts, outcome tracking.


Your dedicated Client Success Manager is here to answer your questions and discuss how APCM can benefit your practice.