The number of newly developed and distributed health apps is legion and they are offered by healthcare providers, insurers and private companies alike. Although a sound business model is not always perceptible at first hand, it can be observed that in many cases payers and providers are either trying to bind patients with lock in effects and proprietary protocols or want to gather sensitive personal data for further use. New health care programs and solutions are rather made for marketing purposes than to serve the individual need of the customer (e.g. patient). Our project discusses the urgent need for regulatory rules ensuring that competition between providers of these health care apps serves the patients needs and leads to an improvement of patient relevant outcomes. In the course of the young lions “Health Parliament” the issue at hand was brought up by the authors in the board of competition at the example of the chronic disease of diabetes. To highlight the importance of continuous support in behavioral change we asked patients about their individual incentives and their expectations in a regulatory framework of health care competition to satisfy their needs. Following several discussions and a delphi-panel like process a regulatory framework was developed which could ensure that competitive forces act in a way that the patient’s needs are met for all kind of chronic diseases. To align the competitive forces onto patient centered outcomes the following aspects need to be addressed: 1) Market access; 2) Quality assurance; 3) Protection of data privacy; 4) Open standards for interchangeability; 5) Pricing and reimbursement mechanisms. With our poster we would like to present our claims to an international audience to gain further insights on the topic and to foster the discussion into a more patient centered competition.