In the newest Kinda Different episode, Matt sits down with Caroline McLeod, Value-Based Solutions Manager at CareQuest Institute and practicing dental hygienist, to unpack what it really takes to move medical-dental integration from idea to execution. They explore tech barriers, incentive design, and what CareQuest has learned running the MORE Care framework in multiple states. Caroline shares a practical view of shared goals, why some pilots stall, and one question every clinician can use to make care more human today.Timestamps00:00 Welcome and why payment reform matters01:34 Caroline’s path and role at CareQuest04:30 What “integration” means in the real world08:07 Tech barriers and why EHRs slow collaboration10:30 The incentive gap between medicine and dentistry12:34 Designing an alternative payment model with shared goals14:48 Pilots, iteration, and learning fast16:10 Community care and bringing services to patients19:11 A future vision for integrated, human healthcare21:46 One question to ask in every visit24:07 Where to connect with Caroline and CareQuestKey takeawaysIntegration is a team sport. Collaboration stalls when tech does not enable simple, secure data sharing.Incentives must match outcomes. Shared goals across medical and dental teams create motion where fee-for-service does not.Pilot design matters. Keep the lift small, measure leading indicators, and commit to iteration.Make it human. Start every visit with “What matters most to you today?” then build the plan together.GuestCaroline McLeodValue-Based Solutions Manager, CareQuest Institute for Oral Health. Practicing dental hygienist in North Carolina. Leads multi-state pilots on medical-dental integration and payment reform.

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