For the 10 or more states that are active stakeholders in multi-payer medical home initiatives, the promise of Medicare getting in the sandbox with them and playing (a.k.a. paying) is an exciting proposition. The addition of Medicare as payer to some of these state initiatives may be the critical tipping point that results in widespread primary care delivery system reform in states by involving more practices, payers and patients. During this webcast, NASHP facilitated a discussion among states with multi-payer initiatives underway or in development to see how they measured up against Medicare’s proposed Advanced Primary Care demonstration criteria. Opportunities for questions and answers from webcasts participants were provided.