The digital health community is on a journey to deliver health impact. It has achieved considerable success in the past decade, demonstrating that information and communication technology (ICT) can improve health services delivery in the developing world. Although its achievements implementing pilots should be celebrated, the global health community must also acknowledge that digital health interventions are not yet routinely used as part of all global health service delivery and have not yet been proven to demonstrate large scale health impact. This paper was commissioned by the Bill & Melinda Gates Foundation to motivate the digital health community to consider new approaches to scaling digital health interventions.