Value creation in healthcare calls for the design of care plans that integrate the activities of clinical and non-clinical actors of both the provider and patient ecosystems as they work towards the shared goal: ensure patient adherence outside the provider ecosystem. Given the differing institutional mechanisms that influence actor behavior, intelligence gathered through digital services has two objectives. The first objective is to use digital services to track patient adherence to care plans, so that these care plans can be adapted as needed. The second objective is to learn about the characteristics of the patient ecosystem, so that incentives can be designed to ensure that all actors are working towards the same shared goal. This chapter uses a service modeling approach to explicate the interconnected role of actors across ecosystems and develop strategies to address these two objects. Several use cases are used to illustrate this approach.