Wellth

Members submit a daily photo showing their pills in hand via the Wellth smartphone app. Computer vision algorithms confirm the medication is correct, hasn't been substituted, and matches the prescribed dose. The photo must be submitted within a time window each day to count toward the reward. Gamification has not been a significant problem because the platform's primary users are older adults with serious chronic conditions who are less likely to attempt systematic fraud.

Health plans and risk-bearing entities (Medicare Advantage plans, Medicaid managed-care organizations, and some commercial payers) fund the member rewards and pay Wellth a per-member-per-month service fee. Members receive the daily incentives directly to a connected debit card or similar account. No out-of-pocket cost falls on the patient.

The firm has reported a 40–45% reduction in inpatient hospital admissions among enrolled members, based on its own peer-reviewed and white-paper published data. The strongest results appear in congestive heart failure, COPD, and type 2 diabetes cohorts — conditions where medication non-adherence reliably triggers avoidable hospitalizations (per the firm's official communications).

Wellth operates as a technology vendor and service provider to health plans, not as a licensed healthcare provider. It does not prescribe medications, make clinical decisions, or employ clinicians. Its contracts are structured as business-to-business agreements with payers, and the platform sits as an engagement layer between the health plan and the member.

Wellth ties a portion of its revenue to measured reductions in medical utilization, rather than charging a flat per-member-per-month fee disconnected from outcomes. That makes its contracts resemble value-based arrangements more than traditional software subscriptions, aligning the company's revenue with the payer's medical-cost reduction targets.