[jyl]

I'm not sure how that system would work when a patient would be cared for by many different specialists. How would a rheumatologist be able to manage the wellness of his patients, who have all sorts of issues outside the rheumatologist's purview? Ditto a surgeon who only sees a patient for specific issues, etc. Maybe this system could work for a general practioner.

I'm not sure how you deal with the perverse incentives Noah mentioned, or how you measure wellness in a practical manner.