Payments. Meaningful use. Populations. Communities. For as many interesting ideas that were presented on day one at Health 2.0, these points of friction in the health value chain appear to be the barriers to change.

Much like HL7 and CDISC have only 15% adoption due to privacy concerns, these topics, payments especially, appear to be the elephants in the room at Health 2.0.

There is lots of innovation at various points in the system from American Well to Practice Fusion to YourNurseIsOn, but all of these exist in the current plane of competition (Innovator's Prescription, Clayton Christiansen). Without reorienting the system from the user, ME, out, we'll be putting fancy Internet and Web interfaces on top of the problem but not fix it. A CLOUD-enabled world means to change that plane of competition, so all these innovators have a new standard to work with that actually solves the problem.