Healthcare innovation has been led by technology providers, almost entirely, over the period we consider relevant to “innovation” (1970′s – current). Innovation has been a supply-side approach, led by information technology (EMRs and Health IT platforms) and medical devices (ranging from user-controllable diffusion pumps to CAT machines). Only recently have clinical services become the focus of innovation, ranging from patient-centered care to new practice models (the ACO and PCMH) and business models.