The pattern we kept running into wasn't a lack of good doctors or good intentions. It was the gap between visits — the days and weeks when patients are on their own, trying to follow a complex care plan with minimal support and no structured way to stay on track.

Some practices try to bridge this gap manually — a follow-up call here, a check-in text there. But it doesn't scale, and it still leaves providers walking into follow-ups without a clear picture of what happened in between.

"Providers don't want something that chases patients with notifications. They want something that quietly keeps the thread of care intact — surfacing what's falling through the cracks, without adding to anyone's burden."

We spent months in discovery interviews with functional medicine providers, integrative practitioners, and health coaches, pressure-testing this insight. What we heard confirmed it: patients fall off between visits, and clinicians have no visibility into why.

Btwn exists to close that gap — with infrastructure that keeps care continuous, not just episodic.

What we believe

Care should be continuous, not episodic

A 60-minute visit can't carry 29 days of silence. The most important part of a patient's health journey happens between appointments — when they're making decisions about labs, supplements, diet, and lifestyle changes with no one watching. We believe the care experience should extend beyond the visit, not end at it.

Quiet systems over noisy tools

The best healthcare technology doesn't create more work. It surfaces what matters and stays out of the way — no notification fatigue, no extra portals, no burden on the people it's supposed to help.

Context changes outcomes

When a provider walks into a follow-up knowing what happened between visits — what worked, what didn't, what fell off — the conversation changes. Care moves forward instead of starting over. That context is what's missing today.

Provider-informed, always

Every feature we build starts with a provider insight. We don't design in a vacuum — we design from conversations with the people who feel this gap every day.

Join Us

We're building this in the open

If you've experienced the between-visit gap — as a provider, coach, or patient — we want to hear your story.

Get in Touch