IBM has sponsored a discussion about health care reform that is a very interesting and informative. The discussion is a part of the IBM Healthcare 2015 series. The most recent webcast is available on demand and offers commentary by Peter Budetti on why reform will happen this time as opposed to 1993 and Len Nichols on what are the potential obstacles. More imprtantly, is the discussion by Paul Grundy MD, chair of the Patient Centered Primary Care Collaborative on the patient centered home. This is not a new concept but one that has not been implemented because of funding. It looks good for a change in how healthcare is paid for and delivered.