This document discusses deriving meaning from wearable sensor data to unlock its potential for health insights and behavior change. It describes the growth of wearable devices and sensor data collection over time. Infrastructure is proposed to aggregate sensor and context data from wearables and mobile phones at scale. Methods are outlined for processing, analyzing and exploring this data to develop models for activity and sleep detection, as well as personalized insights and behavioral recommendations. The goal is to leverage this wealth of health data for chronic disease prevention and management through behavioral nudges.