With the heath care debate heating up on the Hill, we’re examining how some communities cut costs and improve the quality of care. Recently, lawmakers have been looking to Grand Junction, Colorado, as a model. The Dartmouth Atlas (a 20-plus year project that examines the wide variation in Medicare use and cost across the U.S.) has ranked Grand Junction one of the most cost-efficient areas in the whole country. Joining us to talk about the Grand Junction model is one of the town’s medical leaders, Dr. Michael Pramenko. He is a family physician and serves on the Colorado Medical Society’s Congress for Health Care Reform.