If successful, awareness of the relevant digital health opportunities and expertise in their appropriateutilization would by that point be located in the individual functional areas.
If the government wanted to regulate, they could demand an annual report on each patient they support, giving the actual utilization, health care outcomes and proof of appropriate management of common illnesses, immunizations and cancer screening.
WellPoint will be using the system internally for its nurses and clinicians who handle utilization management, the process by which health insurers determine which treatments are fair, appropriate and efficient and, in turn, what it will cover.