Health Transformation

Working with the generic process models in healthcare I see a trend in preparing for more services oriented thinking and more demand for centralized functions like patient overview, security infrastructure and patient centric portals, drugs etc. in a national perspective. Sweden is moving strong on this path and I can see similar trends in the other Nordic countries.
In the other hand I see a strong technical potential coming in parallel. Take a look at Microsoft future vision video by clicking on the picture at the end of the linked webpage on the left side.

Do we have an upcoming dispute between a more centralized landscape with fewer actors in the market and strong regulations vs. a marketplace containing a lot of actors in all sizes on a services oriented framework? What are your visions?