The future of health outcomes depends on the disruptive forces shaping access and care. As technological advances are made, the ability of emerging and developed countries to increase the speed, lower the cost and improve the quality of care is unparalleled. Real innovation will forever change the way therapies and tools differentiate themselves from the toys, products get to and are disseminated in the market, and systems are designed. Whether a true startup or a government initiative, instigating and supporting change is what we at HHR love most.