Inclusion Criteria:  Diagnosis of recognized or probable Mild cognitive impairment (MCI) or mild dementia determined by either ICD10 diagnostic codes or electronic health record (EHR) Risk of Alzheimer's and Dementia Assessment Rule (eRADAR) Have decisional capacity according to their primary care physician (PCP) to complete ACP Completed visit with their PCP within the past 12 months Affiliated with an Accountable Care Organization. English-speaking  Exclusion Criteria:  Moderate to severe hearing loss that would preclude participating in a video or telephone intervention No phone number available for patient. Lives in a long-term care facility