Asaf Bitton MD, MPH is our guest this week. Asaf talks with us about what he sees as crucial steps in improving primary care in the US and what we can learn from primary care systems globally, particularly drawing on a recent healthcare system reform in Costa Rica which he wrote about last year in Health Affairs. We also talk about a noteworthy editorial he wrote in the Annals of Family Medicine laying out what he sees as a path forward in primary care, with parsimony and also being clear-eyed about the limits of current capitation efforts.

Dr. Bitton is the Director of Primary Health Care at Ariadne Labs where he leads the Primary Health Care Performance Initiative, a joint effort with the Bill and Melinda Gates Foundation, The World Bank, the World Health Organization, and The Results for Development Institute. He is also a senior advisor to the Center for Medicare and Medicaid Innovation (CMMI) on their Comprehensive Primary Care Plus initiative. He practices primary care in the Boston area.

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