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Customer Case Study

GLP-1 Prescribing at Scale.
One Programmable Platform.

A venture-backed telehealth obesity medicine practice switched from a legacy EMR to Canvas, migrated their entire patient panel, and now manages high-volume GLP-1 prescribing nationwide with 34 custom plugins.

34Custom Plugins
1.7Rx per Patient
335Vitals per Patient
85%Insurance Coverage
The Customer

Obesity Medicine at Telehealth Scale

This telehealth-based obesity medicine practice pairs patients with obesity specialists and registered dietitians. Their model combines FDA-approved GLP-1 medications, nutrition therapy, and remote patient monitoring - all delivered via video, messaging, and connected medical devices.

The Care Model

Telehealth obesity medicine pairing patients with obesity specialists and registered dietitians. Combines FDA-approved GLP-1 medications (tirzepatide/semaglutide), nutrition therapy, and remote patient monitoring with connected medical devices. Average patient weight loss: ~13% in 6 months, up to 21% in 12 months. Multi-disciplinary care team managing full GLP-1 titration pathways.

Growth & Scale

Venture-backed by leading healthcare investors with deep operator experience. In-network with major national payers including Medicare and Medicaid, operating nationwide. Strategic healthcare operator-investor backing validates the care model at scale.

Why They Switched

From a legacy EMR to a Programmable EMR

This practice switched from a legacy EMR to Canvas to get the programmability their care model demanded. GLP-1 prescribing at scale requires deep workflow customization - prior authorization automation, pharmacy API integrations, benefit verification, and RPM device data ingestion - none of which a legacy EMR could support without workarounds.

The Legacy EMR Limitation

Legacy EMRs like a legacy EMR are built for general practice workflows. The company needed custom prior authorization protocols, real-time benefit verification, automated pharmacy integrations, and tight RPM device data flows - the kind of programmability that requires an open platform, not a walled garden.

The Canvas Advantage

Canvas gave the company a programmable EMR they could mold to their GLP-1-focused care model. Their engineering team built 34 plugins - including prior authorization automation, pharmacy API integration, benefit verification, CCM webhooks, and automated note signing - while Canvas handled scheduling, encounters, billing, and e-prescribing natively.

The Migration

Full Patient Panel. Millions of Data Points. One Migration.

Migrating an active obesity medicine practice from a legacy EMR to Canvas wasn't a lift-and-shift. It was a full-scale data operation - millions of vital signs from RPM devices, complete medication histories, and years of clinical data, all mapped and validated for a new platform.

What Was Migrated

Full patient panel migrated from a legacy EMR with complete clinical history. Medication records preserving the entire prescribing timeline. Millions of vital sign records from connected RPM devices (scales, blood pressure monitors). Historical conditions, appointments, and insurance coverages. Canvas Solutions Engineering led the migration, processing records through automated migration tools.

Scale of the Challenge

This wasn't a typical EMR switch. Migrating an active practice with millions of RPM data points required careful data mapping, validation, and post-migration cleanup. The scale of the data - averaging 335 vitals per patient - demonstrates that Canvas can absorb enterprise-volume clinical datasets from legacy platforms without losing fidelity.

Prescribing at Scale

GLP-1 Prescribing at Nationwide Scale

This practice runs one of the highest-volume GLP-1 prescribing operations on Canvas - managing full titration pathways, prior authorization, and pharmacy coordination at a scale that drives meaningful cost savings for payers managing obesity-related chronic disease.

1.7Rx per Patient1.7 prescriptions per patient on average - primarily GLP-1 medications (tirzepatide, semaglutide) with full dose titration management.
335Vitals per PatientContinuous longitudinal monitoring from connected RPM devices (scales, BP monitors).
6.2Visits per PatientVideo consults, messaging, and monitoring touchpoints across the patient panel.
6.2Visits per PatientConsistent engagement through video consults, messaging, and monitoring touchpoints.
13%Avg Weight Loss (6mo)Up to 21% at 12 months, managed through structured GLP-1 titration pathways.
85%Insurance Coverage RateIn-network across major payers - critical for expensive GLP-1 medications requiring prior auth.
Plugin Architecture

34 Plugins Powering GLP-1 Workflows

The engineering team built a comprehensive plugin suite on Canvas's SDK - automating prior authorization, pharmacy coordination, benefit verification, RPM data ingestion, and clinical documentation across every step of the GLP-1 prescribing pathway.

API & Integration
Workflow
Clinical
HyperscribeAI ambient scribe converting visit audio into structured clinical commands
PrescribingGLP-1 titration pathway management with dose tracking across visits
Pharmacy SearchPharmacy lookup and routing for GLP-1 specialty medications
Prior AuthAutomated prior authorization workflows for payer-required GLP-1 approvals
Benefit VerificationReal-time insurance benefit checks for medication coverage eligibility
Lab OrdersStructured lab ordering for metabolic panels and obesity-related monitoring
Lab ReportsLab result ingestion and clinical review with abnormal flagging
Med ManagementMedication reconciliation and interaction monitoring across complex regimens
CCM WebhookChronic care management event triggers for RPM data and follow-up tasks
CCM AssessmentMonthly chronic care management assessments for billing compliance
Auto-SigningAutomated note finalization for completed encounters meeting sign-off criteria
Note LockingPrevents edits to signed notes for audit trail and compliance integrity
Task AutomationAuto-generated follow-up tasks based on visit outcomes and care gaps
Intake FormsPatient onboarding questionnaires capturing weight history and comorbidities
Health Data ExchangeInteroperability integration for clinical data sharing with referring providers
Patient PortalPatient-facing portal for scheduling, messaging, and document access
Order TrackingEnd-to-end tracking of pharmacy orders from submission through fulfillment
WorklistCustom task queue for clinical team prioritization and daily workflow management
Clinical Profile

A Practice Built Around GLP-1 Titration

This practice's prescribing profile and patient population reflect a highly specialized obesity medicine operation - managing complex, multi-comorbidity patients through structured GLP-1 titration pathways with insurance-backed coverage.

GLP-1 Forward

Tirzepatide (Mounjaro/Zepbound) dominates the prescribing profile across all dose strengths (2.5mg through 15mg), showing full titration pathway management. Semaglutide (Ozempic/Wegovy) is secondary. Phentermine complements as traditional pharmacotherapy. The dose distribution reflects long-term patient management, not one-off prescriptions.

Complex Patient Population

Morbid obesity stratified by BMI class (40-44.9, 45-49.9, 50-59.9), alongside the comorbidities that drive the highest downstream healthcare costs - hypertension, hyperlipidemia, prediabetes, obstructive sleep apnea, and GERD. BMI stratification is critical for insurance authorization of GLP-1 medications, and treating the full comorbidity profile generates the largest long-term cost savings for payers.

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