Just 36, is one of the very promising innovators inside the strategy arm of behemoth McKesson. Spent the last year incubating Advanced Diagnostics Management, McKesson’s answer to the excessive testing that bloats cost overruns. Launched in March, ADM pulls patient data from payor vaults and delivers it to physicians in real time, so they may order only the necessary and safe tests for their patients. We like ADM’s "de-coding" feature even better: McKesson says doctors can use it to instantly inform patients of how much a test will cost, and whether their insurance will cover it. A partial-dividend of the RelayHealth acquisition, we assume ADM is a pilot in McKesson’s grander plan to dominate data exchange -- just as soon as that heath information superhighway gets built.

"Intelligent diagnostic decisions need smart pipes. To make good clinical and financial choices, providers need automatic access to rules for coverage and cost. ADM catalogs these rules as web services for providers, payors, and labs to exchange. We're starting with genetics, with the medical benefit to come."