Get schooled on medical homes, payer reform, and what the future might look like for primary care with Dr. Sue Bornstein, MD, FACP and Executive Director of the Texas Medical Home Initiative and Chair of the Health and Public Policy Committee at the ACP. Dr Alex Lane of Cooper University Hospital joins Matt as cohost! Full show notes available at http://thecurbsiders.com/podcast Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com. Time Stamps 00:00 Intro 02:42 Guest CV and background 04:42 Getting to know our guest 10:40 Helpful resources for learning health policy 12:10 Who are the major players/influencers in health care and how do their interests align 15:02 Defining “medical home” 18:45 Where did the idea for a “medical home” originate 22:33 How does medical home affect cost 29:45 Payer reform and the quality payment program (QPP) 33:06 Recap and defining terms 37:18 How will the QPP be implemented? 41:04 Repeal and replace 43:37 Cuts in funding for safety net hospitals that care for the poorest, sickest patients 46:59 Take home points 48:55 Outro Tags: medicare, medicaid, health, care, policy, spending, quality, improvement, advanced, payment, macra, mips, qpp, apm, medical, home, pcmh, affairs, super, utilizer, texas, physician, doctor, assistant, nurse, practitioner, foamed, meded