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  • Paddy Padmanabhan

Custodians, Enablers, Arbitrageurs, Innovators: the key principles for success in Digital Health



The Big Unlock refers to the massive opportunity unfolding in healthcare from the digitization of patient medical records and the emerging tsunami of data from a wide range of medical and non-medical sources, especially unstructured data such as text and speech. Collectively, these data will enable the unlocking of insights for improving the quality of care, reducing costs, and creating new sources of value for healthcare providers, consumers, and technology firms.


In this book, Paddy Padmanabhan offers a framework for understanding the competitive landscape of digital health solutions and a set of key principles for success in the digital health marketplace.



Custodians, Enablers, Arbitrageurs and Innovators

Custodians : these are the big electronic health record (EHR) vendors like Epic and Cerner who have the data and the workflow.

Enablers : big technology firms such as Google, GE Healthcare, Microsoft, Salesforce and IBM’s Watson Health business have built technology stacks that integrate multiple emerging and traditional data sources, including EHR systems, and have incorporated some proprietary data sources as well, such as images in the case of GE Healthcare.

Arbitrageurs : are mostly technology agnostic consulting firms such as Accenture and Deloitte, as well as India-heritage firms such as Wipro and Infosys, that rely on information and labor-arbitrage models to build digital experiences from scratch using the preferred technology tools that exist in health systems.

Innovators : are typically startups that have come up with a whole new way of addressing an existing problem with technology-enabled healthcare experiences, or for filling a gap in the current healthcare experience with technology.


Along with a shift towards value-based care, a digital transformation is under way in health care. However, health care enterprises are having a hard time keeping up with advances in information technology.

Organizations that could once spend months or years developing a strategy to deliver solutions now must implement changes on a near real-time basis. Complicating matters is the emergence of new data sources, new technology architectures and models, and new methods to analyze an avalanche of data.

This book provides a framework for understanding the competitive landscape for digital health and advanced analytics solutions that are harnessing data to unlock insights. It reveals a set of key principles, or universal themes, for success in the digital health marketplace.

Whether you’re a health care information technology specialist, a digital health startup or technology firm with a strategic focus on health care, a venture capitalist, or just interested in the industry structure and the emerging technology landscape in health care, you’ll learn how to grow revenue and profits while creating a sustainable competitive advantage.

Take a key step in navigating the exciting transformation of health care, and harness the power of data and analytics with The Big Unlock.

About the Author

Paddy Padmanabhan is the founder and CEO of Damo Consulting, a health care growth strategy firm based in Chicago. He has worked extensively with CIOs and CXOs in the healthcare sector as a consultant and trusted advisor to large global organizations and technology startups.

Paddy is a regular columnist for CIO magazine and publishes opinion pieces on healthcare IT and digital health strategies. He has written for other technology publications and has been featured in Becker’s Hospital Review and Modern Healthcare. Paddy is a frequent speaker at leading industry conferences and leads panel discussions on technology markets, emerging technologies and digital health. He is actively involved in industry organizations such as HIMSS.

Paddy earned a BS in chemical engineering from the Indian Institute of Technology and an MBA in marketing and finance from the Indian Institute of Management. He is an alum of the CMI executive program of the University of Chicago’s Booth School of Business. He has worked in health care information technology for two decades, serving in leadership roles at global tech firms Wipro and Accenture, as well as with Silicon Valley startups that saw successful exits.

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