Abstract
Innovation in healthcare through information systems can be seen as the land of opportunities. Ehealth promises both quality improvements and higher efficiency but many of these systems end up as “successful pilots”. Although end users are satisfied and initial objectives are reached in terms of product quality and testing results, most of the innovations never reach the real world. In this study the main question is how to break through the impasse of e-health diffusion? With five cases empirical proof of the impasse is found and with business model theory these cases are analyzed. The practical contributions of this study show an emphasis on the financial business model and show that most of the innovations are technology driven. The case studies add dynamism and context to the model and change the perspective from ex post research to ex ante research. This result facilitates further research in business modeling by delivering a dynamic business model research framework.