June 30, 2025 • 6 mins
Highlights from our conversation with Seth from Welby Health in episode 25.
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Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
(00:11):
I can see why these doctors offices could use this kind of help when it's that kind of amaze you got to run through for every patient just to make sure, you know, stuff's getting
paid for.
Yeah.
I mean, I think of it as if you're a physician, you're seeing 20 patients in a 10 hour dayand then doing like your charting at nine o'clock at night and putting your notes in the
(00:34):
EMR.
When are you ever supposed to figure out?
Well, this is why Mrs.
Smith's diabetes is not getting under control.
And like, this is what's happened to her A1C over the last like six months and what'shappening.
Like, let's tweak her medication like slightly.
That is how you get healthier patients.
But asking a person to go do that who's working in the current healthcare system is notrealistic.
(00:56):
And it never will change unless we are doing something different.
I found that our best customers are physician practices who are just like reallyinterested in like patient care and quality who have like internal quality programs.
They're trying to like move the needle and we can come and do it for them at no cost andactually generate some profit on the back end for it.
(01:24):
So if the ultimate goal is I just want better patient care, you're 100 % going to getbetter patient care.
There's like no.
questioning, you have more access, you have more data, we're going to improve outcomes forthose patients and you're going to get some incremental revenue out of it as well.
(01:44):
And like one thing I realized is the traditional like health plans have a very perverseincentive to like not get people well because it like it's so transient.
Like if you spent money to get me well and you're at and then two years from now I switchjobs and I go work for you.
You know my employer gets United or Blue Cross or whatever.
(02:06):
I I invest in Seth I got him healthy and I now my competitor is getting the benefit.
like right.
If it's not going to move the needle financially in the next year or two years, I'm notgoing to spend all that much time on Seth unless he's a frequent flyer ER person.
And by that point, there's very little you can really do.
(02:30):
Like if you think about, you know, patients who have diabetes, they've had diabetes for 30years and they've just been like managing it and dealing with it and like letting it get
worse and not really like knowing how to like do anything about it.
And then all of a sudden they kind of want to try to improve their condition and don'treally know where to start.
That's typically like the person we're dealing with.
So in like normal context, it be someone who's like, you know, been overweight for 30years and now they want to go to the gym.
(02:58):
there's gonna be a lot of stumbling blocks and then I'm just gonna show up and go to thegym every single day and change their diet and lose 100 pounds in the next three months.
If there's not somebody who's gonna help encourage them, like, it's okay to fall down andkeep going and stuff, that's one of the things we need to keep pushing on these patients
to deal with, because it's really easy to just fall off, get lost in the system and notreally continue on your journey to better health.
(03:28):
Yes, so the main thing that our app is doing is one, it's suggesting all the information,automating anything back to the patients.
So sending them reminders of things that they should be doing, pushing messages abouttheir care plan that they need to be working on, all that type of stuff.
It's also triaging all this stuff for our team.
So when a nurse comes in to work at Welby, it's like, here's my panel of 150 patients.
(03:51):
It's automating who they need to talk to based on what their...
prior vital readings were or like follow up things for the patients.
So like I said, if you don't have underlying technology, it's hard to just like do thiskind of program.
We're just pushing everything to the nurses like, hey, call Heather or call Jeremy callSeth.
Like this is what happened last week.
This is what you need to do.
It like automates all those soap notes for them and like records the call that they're ongenerates.
(04:15):
So the nurse doesn't have to do anything.
It can push it back into the EMR.
If there's like
elevated readings or things.
It'll just like push that data back into the EMR and like push a message to the providers.
If you think about the health system, there's really kind of like three constituents.
(04:35):
There's health plans, there's health systems, and there's pharmaceutical companies.
And all three of them like do not want you healthy.
Like fundamentally, it's not in their business interest to do so.
I mean, sure, there's like, there's amazing people in there that want that.
But like at the end of the day, like the business dynamics of those things aren't designedto
get people healthy, no one gets paid when everybody's healthy.
(04:56):
So I was just thinking maybe just coming from a different perspective, take what I'velearned in the healthcare field and then go use more technology and like have some direct
mechanism into patients was how I ended up starting what is now, you know, well, obviouslylike we've evolved and there's different things we do beyond that.
But that was my initial concept of like how we can, how we can like tackle the problem ofhealthcare and getting people to like manage their own care a little bit better.
(06:16):
This has been a Shut Up
I can see why these doctors offices could use this kind of help when it's that kind of amaze you got to run through for every patient just to make sure, you know, stuff's getting
paid for.
Yeah.
I mean, I think of it as if you're a physician, you're seeing 20 patients in a 10 hour dayand then doing like your charting at nine o'clock at night and putting your notes in the
(00:34):
EMR.
When are you ever supposed to figure out?
Well, this is why Mrs.
Smith's diabetes is not getting under control.
And like, this is what's happened to her A1C over the last like six months and what'shappening.
Like, let's tweak her medication like slightly.
That is how you get healthier patients.
But asking a person to go do that who's working in the current healthcare system is notrealistic.
(00:56):
And it never will change unless we are doing something different.
I found that our best customers are physician practices who are just like reallyinterested in like patient care and quality who have like internal quality programs.
They're trying to like move the needle and we can come and do it for them at no cost andactually generate some profit on the back end for it.
(01:24):
So if the ultimate goal is I just want better patient care, you're 100 % going to getbetter patient care.
There's like no.
questioning, you have more access, you have more data, we're going to improve outcomes forthose patients and you're going to get some incremental revenue out of it as well.
(01:44):
And like one thing I realized is the traditional like health plans have a very perverseincentive to like not get people well because it like it's so transient.
Like if you spent money to get me well and you're at and then two years from now I switchjobs and I go work for you.
You know my employer gets United or Blue Cross or whatever.
(02:06):
I I invest in Seth I got him healthy and I now my competitor is getting the benefit.
like right.
If it's not going to move the needle financially in the next year or two years, I'm notgoing to spend all that much time on Seth unless he's a frequent flyer ER person.
And by that point, there's very little you can really do.
(02:30):
Like if you think about, you know, patients who have diabetes, they've had diabetes for 30years and they've just been like managing it and dealing with it and like letting it get
worse and not really like knowing how to like do anything about it.
And then all of a sudden they kind of want to try to improve their condition and don'treally know where to start.
That's typically like the person we're dealing with.
So in like normal context, it be someone who's like, you know, been overweight for 30years and now they want to go to the gym.
(02:58):
there's gonna be a lot of stumbling blocks and then I'm just gonna show up and go to thegym every single day and change their diet and lose 100 pounds in the next three months.
If there's not somebody who's gonna help encourage them, like, it's okay to fall down andkeep going and stuff, that's one of the things we need to keep pushing on these patients
to deal with, because it's really easy to just fall off, get lost in the system and notreally continue on your journey to better health.
(03:28):
Yes, so the main thing that our app is doing is one, it's suggesting all the information,automating anything back to the patients.
So sending them reminders of things that they should be doing, pushing messages abouttheir care plan that they need to be working on, all that type of stuff.
It's also triaging all this stuff for our team.
So when a nurse comes in to work at Welby, it's like, here's my panel of 150 patients.
(03:51):
It's automating who they need to talk to based on what their...
prior vital readings were or like follow up things for the patients.
So like I said, if you don't have underlying technology, it's hard to just like do thiskind of program.
We're just pushing everything to the nurses like, hey, call Heather or call Jeremy callSeth.
Like this is what happened last week.
This is what you need to do.
It like automates all those soap notes for them and like records the call that they're ongenerates.
(04:15):
So the nurse doesn't have to do anything.
It can push it back into the EMR.
If there's like
elevated readings or things.
It'll just like push that data back into the EMR and like push a message to the providers.
If you think about the health system, there's really kind of like three constituents.
(04:35):
There's health plans, there's health systems, and there's pharmaceutical companies.
And all three of them like do not want you healthy.
Like fundamentally, it's not in their business interest to do so.
I mean, sure, there's like, there's amazing people in there that want that.
But like at the end of the day, like the business dynamics of those things aren't designedto
get people healthy, no one gets paid when everybody's healthy.
(04:56):
So I was just thinking maybe just coming from a different perspective, take what I'velearned in the healthcare field and then go use more technology and like have some direct
mechanism into patients was how I ended up starting what is now, you know, well, obviouslylike we've evolved and there's different things we do beyond that.
But that was my initial concept of like how we can, how we can like tackle the problem ofhealthcare and getting people to like manage their own care a little bit better.
(06:16):
This has been a Shut Up
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