This document discusses gaps in primary care for older adults and proposes ways to bridge those gaps. It identifies three main gaps: 1) lack of communication between all those involved in a patient's care, 2) an overemphasis on immediate needs rather than coordinated long-term care, and 3) lack of clarity around who is ultimately in charge of and responsible for a patient's health. It proposes putting more control and responsibility into the hands of patients, using motivational interviewing and care transition coaches. Integrated primary care networks and databases are mentioned as current initiatives, but increasing patient numbers and aging providers are challenges.