Software-as-labor for independent GLP-1 practices

Scale the care,
not the payroll.

Every GLP-1 patient needs ongoing support between visits, and staffing it is your largest margin drain, growth bottleneck and operational headache. Elyva is the between-visit intelligence layer of your practice. It proactively coaches every patient on their own behavioral needs and guides them through every stage of their GLP-1 journey, delivering the ongoing comprehensive lifestyle intervention the FDA label and standard of care call for. It reports and documents its work and reasoning across your whole panel as it goes, hands you every moment that needs a clinician, and answers any question about any patient, anytime. You stay closer to your patients, without a wall of staff in between. At $30 a patient, the care you’re required to provide becomes the margin you grow on: expand your panel, increase recurring care profit and elevate the care you charge for, without adding a single dollar to payroll.

The between-visit care problem
01
The capacity constraint
Real between-visit care you charge for is deep, continuous work: personalized behavioral coaching, plus guiding each patient through titration, setbacks, plateaus, and side effects, not just replying when they text. Done by hand, that depth of attention doesn’t scale, and it sets a hard ceiling on your panel or erodes your margin.
02
Care & Margin erosion
Human support scales one hire at a time: real between-visit care runs $180–270 per patient a month in staff time, against a care fee near $150. Deliver it by hand and growth eats your margin; hand it to MAs between front-desk tasks and the care patients pay for quietly thins into reactive triage. However you slice it, you lose the margin or the care.
03
Management overhead & care degradation
Hiring your way past the ceiling turns you into an HR department: recruiting, scheduling, covering PTO, and retraining through 20–30% annual turnover, every hour pulled from the medicine you actually want to practice. And it backfires: hurried, transactional check-ins from overstretched staff alienate the very patients they’re meant to keep, breaking the high-trust relationship they came to you for.
04
Reactive by default
Manual support only moves when a patient reaches out. You at 10pm or an overloaded MA both end up firing off transactional replies, not the consistent, proactive support these patients actually need.
05
Between-visit invisibility & silent churn
Between visits you’re flying blind, with no signal until a patient cancels. Patients sit unmanaged in a black box, so roughly one in five leave within 90 days, each one recurring revenue you already earned. Then you work to acquire their replacements, refilling a leaky bucket instead of growing your panel.
06
Mounting liability
Undocumented, unmonitored between-visit care is growing legal exposure as the standard of care rises. Every patient you serve by hand is care that’s increasingly difficult to prove you delivered.
This trap doesn’t end at 50 patients. It compounds at 500.
Assesses every patient.

The care of a full team. The cost of software.

Sarah M.Assessment
Eating›
Capabilityslips in the evenings
Opportunitytempting home setup
Motivationwants it but shaky
Rhythm›
Capabilitylate nights
Opportunitynoisy schedule
Motivationwilling
Environment›
Capabilitystocked well
Opportunitysupportive home
Motivationon board
Movement›
Capabilityknows how
Opportunitytime-poor
Motivationopen to it
Mindset›
Capabilityself-critical
Motivationbelieves in part
HIPAA-compliant, out of the box
HIPAA compliance holds across every touchpoint, from model inference to storage, with BAAs in place.
The clinician’s call stays yours
Medical, clinical, and crisis moments that arise are handed to you proactively. Elyva knows it is not a licensed clinician, and flags anything that requires clinical attention for your review.
Documented by default
Every escalation and check-in is timestamped in your portal: the between-visit record you’re liable for having.
BAA-covered, never trained on
Patient data is stored encrypted and handled under a signed BAA, and never used to train models.