Digital Health Business Models: Reconciling Individual Focus and Equity?

The question of the financial balance of the health system is crucial for every country. The digitalization of health impacts strongly this issue and offers a new way to reconfigure the financial regulation. In the first section, we introduce the idea of cycle of care borrowed from Porter and his colleagues to escape from the traditional cost object, that is, the episode of care. In the second section, we explore new kinds of regulation applying the responsibilities of the actors inspired by the concept of commons (Ostrom, Governing the Commons—The Evolution of Institutions for Collective Action, Cambridge University Press, 1990). In the last section, we present examples where digitalization in health should promote this new way of regulation. Finally, we claim for a vision that articulates individualization of the health and collective empowerment of the actors.