This is not exactly what I'd call a shocker. "Finding better ways" is not a patient care advocating organization, and anyone who buys into their hype is a fool. They are notorious for suing people strugging to survive for between 15 and 20k per year, so they can get every dime of "lost revenue." They refer to patients who wind up getting out of network referrals as "leakage." Carilion and Virginia Tech big wigs should play golf together, they have a lot in common with their mentalities ahd philosophies.
By the way, currently Carilion is squandering MILLIONS setting up a "paperless" health care medical records system...the true purpose of which is to cut down on that out of network "leakage."