In this episode of Creating a New Healthcare, Dr. Zeev Neuwirth interviews Bob Matthews, CEO of Medisync & VP of Quality at PriMed Physicians.  Bob has been engaged in Population Health & Value Based Care since the early 1990’s and brings a practical wisdom, refreshingly honest insights, and ambitious goals to this increasingly important movement within healthcare delivery.  He shares how he has, along with his colleagues at PriMed Physicians, constructed a unique approach to chronic disease management that has led to significantly superior and consistent outcomes.  This approach, based on the principles of Six Sigma, makes it easier for physicians to practice good medicine and easier for patients to engage in their own care.  Bob teaches us the distinction between pathways, algorithms & processes; emphasizing that ‘a process is a way to make sure that we do the right thing, every time, for every patient, every day…  If you don’t have a repeatable process, you don’t have crap!”.  Bob drives home the point that embracing payment-for-value and the practice of outcomes-based medicine is the only viable option if we plan to be able to deliver medical care to all Americans.