Smart healthcare is foot-powered.

Belle’s care and predictive analytics drive real outcomes. Guaranteed.

Net Promoter Score
Avg Net Value PEMPY
Learn how from our leadership & members

Our discovery

Belle’s journey into healthcare was unplanned and unexpected


Founded as an in-home salon & spa service

Not originally meant for healthcare, Belle launches a tech marketplace that delivers in-home hair, massage, nail and other wellness services.


Seniors take over and demand pedicures

Seniors quickly become the largest demographic, demanding regular pedicures. Two key learnings emerge:

  1. ⅓+ of seniors can no longer reach or see their feet
  2. ⅓ of diabetes spend is driven by foot ulcers and amputations alone – 85% of which are preventable

Belle sunsets the legacy marketplace and dedicates its mission to closing this massive gap in care


Belle launches its first health plan partnership

Free ‘medical pedicures’ are wildly popular with health plan members across all ages, genders and backgrounds

Belle expands across multiple states and clients


The feet predict!

Furthest from your central nervous and circulatory systems, feet are often first to deteriorate and manifest imminent systemic health issues. This makes the foot the perfect predictor of your overall wellness.

Your feet tell us where you’ve been and where you are going.


Outcomes guaranteed through intelligent data science

The data from our 250k+ visits allow us to accurately predict issues, identify at-risk members and determine optimal utilization.

“I love this program. It’s because of this program I’d never leave my health plan.“

Member, South Florida

How we partner

Implementation requires a data feed which jumpstarts our predictive targeting model. We take care of the rest.

Partner Data Feed

Partners provide Belle with a data feed of eligibility, claims, pharma, labs, and more.

Targeting Model

Belle’s predictive model identifies which members are at-risk and most likely to be value accretive to the program

In-home Visit

Bell conducts outreach to at-risk members with 40%+ enrolling. Our in-home data collection flow back to the predictive model, determining future visits and utilization.

Case Management

27% of members receive Belle case management / care coordination to prevent emerging health issues.

2x-4x ROI

Joy for members. Savings for our partners.

of members are value targets

Intelligent Targeting

  • 40% of a typical MA book creates net value in the Belle program
  • Visit dosage varies based on member risk (lower risk members may have 1 visit a year, while high risk up to 12)
  • Belle manages all member outreach
of targets enroll in Belle

Member Engagement

  • Members love the service and the halo effect is real
  • Our partners consistently experience a 40% reduction in voluntary disenrollment – members do not want to lose access to the Belle service
  • 95% share a positive Belle/partner experience with family or friends
net value created PEMPY

Value Creation

  • Prevalent and costly episodes like ulcers, amputations, cellulitis, open wounds are all measurably prevented
  • SDoH and other emerging ‘above the knee’ issues are identified
  • Our clinicians’ care coordination drive value added in-home wellness assessments, annual physicals and other important care interactions

Case studies & research

See our value come to life in these real case studies


Belle’s targeting model identifies an at-risk member who admits “today is the first time ever in my life I let someone touch my feet!”


A member’s first appointment results in important discoveries. Belle’s clinical team jumps into action, ensuring immediate and proper care is received.

of targeted members enroll

2x – 3x the average program engagement

in-home visits to-date

Our experience allows us to predict and drive outcomes

of members rebook

Members gladly invite us back into their home

of visits reviewed by clinician

Clinical oversight and safety are critical to outcomes

of members have a clinical case opened

We reduce spend by discovering a high rate of serious issues

NPS Score

“Belle’s NPS is a nearly unheard of 98 points” – Deft Research


What is your network coverage?

Belle’s network covers six states. New geographies can be up and running in just 60 days even with as few as hundreds of target members.

How do you contract with partners?

We contract in a variety of ways including a clinical/quality program, through an existing routine foot care benefit or a dedicated supplemental benefit.

Who are your nail techs and what is their background?

Nail technicians are licensed by state boards and undergo extensive background checks. They receive immersive training, examination and preceptorship before fieldwork, at which point they become ‘Belle Technicians’. Belle Techs are employees (not contractors) and receive a continuous feedback loop on each appointment’s performance as well as ongoing continued education from our clinical staff.

How do you ensure member safety?

All employees are thoroughly background checked before employment. Members have an opportunity to rate their appointment on a 1 to 5 scale after each appointment. Every score of 3 or lower is investigated.

Who is most likely to benefit with the Belle program?

Through a variety of data inputs, our predictive model outputs members who are most likely to benefit from the program and be accretive to partner ROI. Member characteristics typically include diabetes, CKD, neuropathy, vascular disease and a history of foot complications. Belle serves both Medicare and Medicaid members.

"It brings a smile to my face when I think of Belle at my door."

Member, Kansas City

  1. Andrew J.M. Boulton, David G. Armstrong, Stephen F. Albert, Robert G. Frykberg, Richard Hellman, M. Sue Kirkman, Lawrence A. Lavery, Joseph W. LeMaster, Joseph L. Mills, Michael J. Mueller, Peter Sheehan, Dane K. Wukich; Comprehensive Foot Examination and Risk Assessment: A report of the Task Force of the Foot Care Interest Group of the American Diabetes Association, with endorsement by the American Association of Clinical Endocrinologists. Diabetes Care 1 August 2008; 31 (8): 1679–1685.
  2. Lavery LA, Peters EJG, Armstrong DG. What are the most effective interventions in preventing diabetic foot ulcers? Int Wound J 2008;5:425–433.
  3. Iraj B, Khorvash F, Ebneshahidi A, Askari G. Prevention of diabetic foot ulcer. Int J Prev Med. 2013 Mar;4(3):373-6. PMID: 23626896; PMCID: PMC3634178.
  4. Wu SC, Driver VR, Wrobel JS, Armstrong DG. Foot ulcers in the diabetic patient, prevention and treatment. Vasc Health Risk Manag. 2007;3(1):65-76. PMID: 17583176; PMCID: PMC1994045.
  5. Soyoye DO, Abiodun OO, Ikem RT, Kolawole BA, Akintomide AO. Diabetes and peripheral artery disease: A review. World J Diabetes. 2021 Jun 15;12(6):827-838. doi: 10.4239/wjd.v12.i6.827. PMID: 34168731; PMCID: PMC8192257.
  6. Centers for Disease Control and Prevention. Chronic Kidney Disease in the United States, 2019. Atlanta, GA: US Department of Health and Human Services. Centers for Disease Control and Prevention; 2019.
  7. American Diabetes Association. Economic costs of diabetes in the U.S. in 2012. Diabetes Care 2013;36:1033–1046
  8. Singh N, Armstrong DG, Lipsky BA. Preventing foot ulcers in patients with diabetes. JAMA 2005;293:217–228
  9. Margolis D, Malay DS, Hoffstad OJ, et al. Incidence of diabetic foot ulcer and lower extremity amputation among Medicare beneficiaries, 2006 to 2008 [article online], 2011. Available from: products/287/627/Datapoints_2_Diabetic-Foot-Ulcer_Report_02- 2011.pdf.