Welcome to TCN Talks. This podcast is designed to be a pithy, talk of relevant need to know to help you in your role in hospice palliative care serious illness care.
In Part Two of Protecting Patients at the End of Life: Why CON Still Matters, host Chris Comeaux continues the conversation with two of the nation's most respected hospice policy leaders—Paul A. Ledford, President & CEO of the Florida Hospice & Palliative Care Association, and Tim Rogers, President & CEO of the Association for Home & Hospice Care of North Carolina.This episode moves beyond regulatory theory and into the real-world patient and family experience—especially in states without hospice Certificate of Need (CON) laws. Drawing on decades of leadership, personal stories of loved ones in hospice, and data-informed insights, Paul and Tim explore what families actually face when hospice markets are oversaturated, fragmented, or poorly regulated.The conversation examines how too many choices can overwhelm families, how small, unsustainable hospice programs can dilute quality, and how fraud and inappropriate enrollments disproportionately affect vulnerable populations—often stripping patients of access to Medicare benefits when they need them most.Listeners also gain a deeper understanding of how Florida and North Carolina use CON to balance:Access to hospice careProgram sustainability and scaleRural and underserved community coverageInpatient hospice availabilityProtection against bad actorsThe episode concludes with a forward-looking discussion on what principles—not politics—should guide states that are reconsidering or redesigning hospice CON laws today.This is an essential conversation for healthcare leaders, policymakers, hospice executives, board members, and anyone committed to protecting quality end-of-life care.Guest:Paul A. Ledford, President & CEO of the Florida Hospice & Palliative Care AssociationTim Rogers, President & CEO of the Association for Home & Hospice Care of North CarolinaHost:Chris Comeaux, President / CEO of TELEIOSTeleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast
Protecting Patients at the End of Life: Why CON Still Matters / Part ONECertificate of Need (CON) laws are among the most debated—and misunderstood—regulatory frameworks in healthcare. In this timely Part One conversation, host Chris Comeaux is joined by two of the most respected voices in hospice policy and advocacy: Paul A. Ledford, President & CEO of the Florida Hospice & Palliative Care Association, and Tim Rogers, President & CEO of the Association for Home & Hospice Care of North Carolina.Together, they unpack why CON laws were originally created, what problems they were designed to solve, and why hospice continues to raise unique concerns that set it apart from other healthcare services. Drawing on decades of leadership and real-world experience, Paul and Tim explain why hospice does not function like a traditional free market—highlighting fixed reimbursement rates, demographic-driven demand, and the responsibility to serve entire communities, including rural and complex patient populations.This episode explores what actually happens in states without hospice CON: oversaturation in urban markets, reduced access in rural areas, fragmented care, and increased vulnerability to fraud and abuse. The discussion challenges common assumptions about competition and access, using data, policy insight, and firsthand examples to illustrate the unintended consequences of deregulation.Part One lays the foundation for a deeper conversation about quality, equity, and patient protection at the end of life—and why thoughtful oversight still matters in preserving the integrity of the hospice benefit.
In Part One, organizational behavior scholar Colin M. Fisher dismantles the myth of the lone genius, showing that performance is shaped less by individual talent and more by the groups people belong to. He reframes leadership around social norms, group dynamics, and collective context—arguing that leaders often misdiagnose performance problems by focusing on people instead of the group system they operate within.Part Two builds on that foundation with practical guidance for leaders. Fisher explains why teams frequently underperform—not because of effort or ability, but because organizations are designed to reward and manage individuals, not collective work. He introduces the concept of relaunching teams, offering a roadmap for resetting goals, norms, and roles so groups can move from friction to true collaboration. The episode closes with a powerful shift in perspective: sustainable performance improves when leaders stop fixing individuals and start strengthening the group.Episode Highlights• Why teams often perform worse than individuals—and how leaders can change that.• The 60–30–10 rule that explains what really drives team performance• How to relaunch a struggling or inherited team• The role of shared goals, norms, and “superpowers” in building trust• Moving from me vs. you to us vs. the problemGuest: Colin M. Fisher, Ph.D. author of the book,The Collective Edge: Unlocking the Secret Power of Groups Host, Chris Comeaux, President / CEO of TELEIOS and author of The Anatomy of Leadership.Teleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast
In this episode of Anatomy of Leadership, host Chris Comeaux is joined by Colin Fisher, professor, researcher, author, and jazz trumpeter, to explore what decades of research reveal about how groups really work—and why so many teams struggle to reach their potential.Drawing from his book The Collective Edge, Colin challenges the myth of the “lone genius” and reframes leadership as a discipline of design. Instead of motivating harder or managing individuals more closely, leaders are invited to think like architects—intentionally shaping team size, structure, norms, and psychological safety so collaboration and learning can emerge naturally.This conversation dives into why most teams are too large to function effectively, how hidden norms silently shape behavior, and why harmony is often mistaken for real collaboration. With practical examples from healthcare, hospice, and other mission-driven environments, the episode offers research-backed insight into building teams that learn, adapt, and perform under pressure.Episode Insights •Why teams are often less than the sum of their parts•How team size and structure impact decision-making•What psychological safety really looks like in practice•Why disagreement is essential for strong teams•How leaders can unlock collective intelligence—not suppress itIf you lead teams, sit in meetings, or want collaboration to actually work, this episode will fundamentally change how you think about leadership and group performance.Subscribe for more conversations on leadership, systems, and human behavior.
In this episode, Part 2 of Top News Stories from 2025, and Predictions for 2026, Chris Comeaux and Cordt Kassner break down the most important healthcare and hospice stories from 2025—and share clear, grounded predictions for what's coming in 2026. Rather than headline-driven chaos, 2025 revealed a year of incremental change, with persistent challenges around staffing, Medicare Advantage, hospice quality, reimbursement pressure, and cautious AI adoption shaping the landscape.Looking ahead, 2026 is framed as a hinge year for healthcare leadership. Policy decisions made today—including the long-term impact of healthcare legislation, reimbursement shifts, and political volatility leading into the midterms—are expected to create pressure without immediate resolution. This episode explores why 2026 may feel turbulent, yet ultimately serves as the setup year for deeper structural change across healthcare and hospice in 2027 and beyond.Chris and Cordt also examine emerging trends in healthcare technology and innovation, including artificial intelligence, virtual reality training, workforce models, and quality transparency. Rather than rapid disruption, they argue that healthcare—especially hospice and palliative care—will adopt these tools deliberately, balancing efficiency with trust, ethics, and human connection.At its core, this conversation is about leadership in uncertain times. As systems grow more complex, leaders must navigate policy, technology, and workforce challenges while staying anchored to mission and care quality. This episode offers insight for healthcare executives, hospice leaders, clinicians, and anyone shaping the future of care.
Part 1 | Top Stories from 2025, and Predictions for 2026 by Chris Comeaux and Cordt KassnerThis episode of TCNtalks / Anatomy of Leadership brings together a year-in-review and a forward-looking conversation, as Chris Comeaux and Cordt Kassner reflect on the most important healthcare and hospice stories from 2025 and share their predictions for what lies ahead in 2026.In Part One, Chris and Cordt review key headlines from late 2025, connecting policy shifts, technology trends, workforce realities, and financial pressures to the everyday leadership decisions facing hospice and healthcare organizations. Rather than reacting to news in isolation, the discussion focuses on how these forces intersect at the front lines of care.A central theme throughout the episode is the role of technology and artificial intelligence. While AI continues to gain momentum, the conversation reinforces a critical insight: technology is an accelerator, not a solution. Leadership, governance, and values ultimately determine whether innovation strengthens care or amplifies existing challenges.The episode also examines hospice-specific issues, including Medicare Advantage pressures, care pathways in skilled nursing facilities, financial strain on nonprofit providers, and the often underutilized role of volunteers in extending care and culture.The discussion concludes by framing 2026 as a hinge year—one where deeper forces are shaping the future beneath the surface. While change may come incrementally, the choices leaders make now will influence care delivery, trust, and sustainability in the years ahead.Episode Continues in Part II - Dropping Friday, January 16th, 2026Host: Chris Comeaux, President/CEO of TELEIOSCo-Host:Cordt Kassner, PhD, Publisher of Hospice & Palliative Care Today& CEO and Founder of Hospice AnalyticsTeleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast
A new year often feels like a clean slate, yet most resolutions fade because they add complexity instead of clarity. In this episode, Chris Comeaux makes the case for a simpler, more enduring tool: choosing One Word as your theme for the year. A single word sharpens focus, clarifies priorities, and guides daily decisions without a bloated checklist. Leadership is about changing trajectories—not reacting to noise—and a clear theme helps leaders stop drifting and lead with intention.The process begins with reflection, not prediction. Look back before you look forward. Review the past year for lessons and patterns, revisit your mission, and clarify your role—not as a job description, but as the part you are meant to play in the story. Deeper questions like Why am I alive? and What am I willing to die for? cut through distraction and reveal what truly matters. From that clarity, a word emerges that helps you say yes faster and no sooner.Once chosen, the word becomes a companion for the year. Document it, return to it, and allow its meaning to deepen as circumstances change. Pair it with rhythms of rest and intentional time, because sustainable leadership requires margin. When your word and your time align, leadership shifts from reaction to design. Choose the word. Live the word. Let it change your trajectory.https://www.teleioscn.org/tcntalkspodcast/choose-a-word-change-your-trajectory-lead-with-intentionTeleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast
A Year of Insight, Impact, and Leadership in Hospice & Palliative Care. As 2025 comes to a close, we pause to say thank you—to our listeners, leaders, clinicians, and partners who make this work meaningful. This special Christmas Eve episode is our gift back to you: a highlight reel of the most impactful, downloaded, and talked-about TCNtalks episodes of the year.With nearly 45,000 total downloads across TCNtalks and Anatomy of Leadership, this milestone reflects a shared commitment to thoughtful leadership, courageous conversations, and care as it should be. We've curated standout moments from episodes that challenged assumptions, clarified complexity, and pointed toward a better future for serious-illness care.
What if aging services led the way in redesigning care—combining smart technology with deeper human connection? That's the challenge Katie Smith Sloan, President and CEO of LeadingAge, brings to the table as we unpack the data, the headwinds, and the promise across nonprofit senior living, home-based care, and hospice.Katie, also brings a powerful blend of policy insight, sector leadership, and human-centered vision to a wide-ranging conversation about the future of aging, workforce challenges, technology, dementia care, and the urgent need to break down silos across the continuum of care.Together, Chris and Katie explore how collaboration, innovation, and values-driven leadership can reshape aging services to better serve older adults—and those who care for them. Join us, it is a great listen. Guest:Katie Smith Sloan, President and CEO of LeadingAge Host:Chris Comeaux, President/CEO of TeleiosTeleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast
In this crossover episode TCNtalks and Anatomy Of Leadership, Andrew Reed, CEO and Chief Teaching Officer of Multiview Incorporated, shares his journey as a recording artist with Universal Virgin Music Groups and his experiences in the music industry. He discusses with Chris Comeaux his unique podcast, "What Are You Willing to Throw Your Life Away On?", where he offers practical advice and philosophical insights. Andrew reflects on his bold life, marked by significant achievements and catastrophic losses, and how these experiences have shaped his music, public speaking, business ventures, and his consulting in the hospice field.The conversation delves into the importance of quality, leadership, and the balance between art and science in both personal and professional realms especially in hospice and palliative care.Guest: Andrew Reed, CEO & Chief Teaching Officer Multi-View Incorporated & Recording Artist with Universal/Virgin Music Groups Host:Chris Comeaux, President / CEO of TELEIOSTeleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast
In this episode of TCNtalks, Chris Comeaux and Cordt Kassner reflect on the significance of hospice and palliative care, especially during the holiday season. They discuss the evolution of the field, the importance of fostering well-being for patients, and the transformative impact of hospice on healthcare. Dr. Ira Byock, a pioneer in the field, shares insights on the need to reframe the narrative around hospice, emphasizing its role in life completion and the importance of strategic planning for the future. The conversation highlights the overwhelming positive feedback received on Dr. Byock's strategic framework for hospice and palliative care, showcasing the ongoing relevance and necessity of these services in modern healthcare. In this conversation, Ira Byock discusses the importance of equity in palliative care, emphasizing the need for inclusivity and a rethinking of existing frameworks to better serve diverse populations. He addresses barriers to quality care, the role of health plans in ensuring quality, and the necessity of implementing clear standards for hospice and palliative care. Byock also advocates for a compassionate approach to dying, celebrating life while acknowledging the challenges of mortality.Guest:Dr. Ira Byock, MD, FAAHPMHost:Chris Comeaux, President / CEO of TELEIOSCo-Host:Cordt Kassner, PhD, Publisher of Hospice & Palliative Care Today & CEO and Founder of Hospice AnalyticsTeleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast
In this episode Scott Tarde talks about how a lab breakthrough became a lifeline for families, and why immersive reminiscence, caregiver coaching, and data-driven collaboration can change dementia care. Tarde, is the CEO of the George G. Glenner Alzheimer's Family Centers, emphasizes the significance of collaboration over competition in business, particularly in the healthcare sector. He advocates for organizations to support one another and engage in meaningful discussions to foster community and transformation within healthcare. Tarde believes that there is ample opportunity for synergy among organizations, and that intentional conversations are crucial to prevent individuals from being left behind in the evolving landscape of healthcare. He also covers the incredible innovative model that the Glenner Alzheimer's Family Centers has implemented for dementia care and is now franchising nationwide as Town Square. Join us, it is a great listen.Be sure to subscribe to both of our podcast, Anatomy of Leadership and TCNtalks. Some Highlights • Origins of Glenner Centers and caregiver-first mission • Town Square immersive reminiscence model and design • Virtual Glenner Care to upskill family caregivers • Reducing ER visits and hospitalizations with coaching • Franchising strategy with local adaptation and standards • Data, EHR, and AI for trend spotting and prevention • Leadership practices: expectations, accountability, consistencyGuest: Scott Tarde, CEO of the George G. Glenner Alzheimer's Family CentersHost: Chris Comeaux, President / CEO of TeleiosTeleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast
This TCNtalk episode explores the multifaceted role of thrift stores in hospice care, highlighting their impact on community engagement, grief support, and economic sustainability. Our guests, Lin Sue Flood, Director of Community Engagement at Hospice of the Valley, and Mark Cohen, retired Editor & Publisher of Hospice News Today, and Principal, Cohen-Fyfe Communications, discuss how thrift stores serve as vital assets for hospices, providing not only financial support but also fostering community connections and environmental sustainability. They reveal how these stores generate essential financial support, strengthen community ties, provide meaningful volunteer opportunities, and even offer gentle pathways through grief. You'll hear how mission-aligned messaging, environmental stewardship, and a new generation of thrift-loving shoppers are reshaping the future of hospice support.Lin Sue and Mark share how purposeful messaging can ignite the interest of younger generations, who aren't just hunting for treasures— they're seeking ways to make their shopping choices count for something bigger.It's an inspiring look at how everyday purchases can make an extraordinary impact. Join us — this is truly a conversation worth hearing.Guest:Lin Sue Flood, Director of Community Engagement at Hospice of the Valley Mark Cohen, retired Editor & Publisher of Hospice News Today, and Principal, Cohen-Fyfe CommunicationsHost:Chris Comeaux, President / CEO of TELEIOShttps://www.teleioscn.org/tcntalkspodcast/the-hidden-value-of-thrift-stores-in-hospice-careTeleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast
In this week's special joint episode of TCNtalks and Anatomy of Leadership, host Chris Comeaux welcomes Andrew Molosky, President and CEO of Chapters Health System. Together, they explore what it means to lead with perseverance, authenticity, and vision in times of change.Andrew shares powerful insights on cultivating culture, navigating uncertainty, and the role of vulnerability in leadership. The conversation provides a thoughtful examination of how clarity of mission and purpose can guide teams through even the most challenging seasons.Guest:Andrew Molosky, President and CEO of Chapters Health SystemHost:Chris Comeaux, President and CEO of TELEIOSTeleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast
Top News Stories October 2025In this episode of TCNtalks, Chris Comeaux and Cordt Kassner discuss the top news stories of October, focusing on AI in healthcare, innovations in hospice care, and the impact of personal experiences on healthcare practices. They explore the ethical implications of AI surrogates in life-or-death decisions, the importance of equitable access to hospice care, and the role of technology in improving care delivery. The conversation also highlights the significance of personal stories in shaping healthcare perspectives and the ongoing challenges in the hospice industry.Co-host:Cordt Kassner, PhD, Publisher of Hospice & Palliative Care Today & CEO and Founder of Hospice AnalyticsHost:Chris Comeaux, President / CEO of TELEIOSTeleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast
In this episode of TCNtalks, host Chris Comeaux welcomes back Jason Bradshaw, a seasoned benefits consultant with USI Insurance Services. Together, they unpack why healthcare premiums are rising, where volatility is coming from, and how employers can regain control without gutting benefits. Jason shares practical funding models, transparency tools, and a playbook for building a cost culture that actually moves behavior.Also, they delve into the complexities of the U.S. healthcare insurance market, discussing the key drivers of rising premiums and the challenges employers face in managing costs while maintaining competitive benefits.Jason shares insights on innovative plan designs and funding models, emphasizing the importance of developing a cost culture within organizations. Tune in to explore strategies for balancing affordability and sustainability in healthcare benefits.. Guest: Jason Bradshaw, Benefits Consultant with USI Insurance ServicesHost:Chris Comeaux, President / CEO of TELEIOSTeleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast
In this episode of TCNtalks, host Chris Comeaux welcomes Dr. Khai Nguyen, a geriatrician and age-friendly care champion. They discuss the 4Ms framework for age-friendly care, which includes what matters, mentation, medications, and mobility. Dr. Nguyen shares his personal journey into geriatrics, inspired by his father's health challenges, and emphasizes the importance of integrating the 4Ms into healthcare practices, particularly in hospice and home health settings. The conversation highlights the need for a paradigm shift in care, focusing on quality and patient-centered approaches. Be sure to hit that subscribe button. Pay this one forward, especially to your friends, your co-workers, your colleagues. We want the forums to catch on like wildfire, so we can make a significant difference as we go forward into this future.Guest: Dr. Khai Nguyen, Geriatrician and Age-Friendly Care Champion for Care-At-Home with CHAP - Medical Affairs & Innovation at Community Health Accreditation Partners. Host:Chris Comeaux, President / CEO of TELEIOSTeleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast
In this conversation, Peter Benjamin and Chris Comeaux discuss the impact of COVID-19 on mortality rates, particularly the concept of 'death pull forward' and its implications for hospice care. Peter highlights the significant role of assisted living facilities in hospice days and explores macro trends in healthcare, emphasizing the shift from vertical to horizontal care models. The discussion also covers the evolution of palliative care, frail elderly practices, and institutional special needs plans (iSNPs), while stressing the importance of measuring quality of care, particularly in pain management. The conversation concludes with reflections on the future of healthcare and the necessity of collaboration across various care models.Guest:Peter Benjamin, Partner, The Huntington Consulting GroupHost:Chris Comeaux, President / CEO of TELEIOShttps://www.teleioscn.org/tcntalkspodcast/conspiracy-of-verticals-rethinking-healthcare-models-with-peter-benjaminTeleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast
As the seasons shift, so do the conversations shaping Hospice and Palliative Care. In this week's episode, host Chris Comeaux and Hospice Analytics expert and co-host Cordt Kassner explore the latest headlines, challenges, and innovations impacting Hospice and Palliative Care.Together, they provide timely insights and thoughtful reflection on what matters most right now for providers, patients, and families, with discussion on the latest trends and insights in Hospice and Palliative Care. Covering a range of topics, including the impact of AI on Hospice Care, the importance of end-of-life visits, and the challenges of Hospice utilization trends. Also highlights significant events and stories from the Hospice community, such as the launch of a new nursing scholarship program and the impact of Hurricane Helene one year later.More than just a news recap, this episode offers perspective, encouragement, and a reminder of why Hospice and Palliative Care are both urgent and deeply meaningful. Whether you're a healthcare leader, frontline caregiver, or simply someone passionate about end-of-life care, this conversation will keep you informed and inspired as we enter the fall season.Highlights• Projected RN, LPN, NP shortages through 2032 and what that means for bedside care• Waste, fraud, abuse headlines and the urgency of last week's visit quality• Byock's four pillars as a roadmap for standards, data, competition, and brand• Mental health in palliative care and dignity therapy as practical tools• HOPE implementation and iQIES readiness across hospices• Scholarships and legacy programs to build CNA-to-RN pipelines• AI use cases, editing pitfalls, and critical thinking guardrails• PACE vs hospice at end-of-life and “rehab to death” incentives• Utilization trends, COVID death pull-forward, and state disparities• Disaster preparedness lessons when communications fail• Leadership training gaps and the masterclass: return to fundamentalsCo-host:Cordt Kassner, PhD, Publisher of Hospice & Palliative Care Today & CEO and Founder of Hospice AnalyticsHost:Chris Comeaux, President / CEO of Teleios Collaborative Network, Teleios Consulting GroupPlease subscribe, share TCN Talks with a colleague, and help us reach more hospice and palliative leadersTeleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast
Are we headed for a healthcare train wreck? The warning signs are flashing: skyrocketing premiums, looming Medicaid cuts, significant reductions in home health funding, and major insurers experiencing substantial stock losses. These aren't isolated issues but symptoms of fundamental structural flaws in our healthcare system.Rita E. Numerof, co-founder and president of Numerof & Associates, returns to TCNtalks with a powerful analysis of the healthcare industry's trajectory and a bold vision for transformative change. As an "equal opportunity critic" with over 30 years of experience spanning the entire healthcare ecosystem, Numerof offers a uniquely comprehensive perspective on why our current system is failing and what must change.Host Chris Comeaux and Rita explore the pressing issues facing the healthcare industry and the train wreck they foresee in 2026 and 2027, but this may be the opportunity to finally fix healthcare for our country. From policy reform to consumer empowerment, with her extensive experience, Rita offers a visionary perspective on how to reform healthcare, despite its complexities, and to truly create meaningful change.Guest: Rita E. NumerofCo-founder and President of Numerof & AssociatesHost: Chris ComeauxPresident / CEO of TeleiosTeleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast
Hospice and palliative care face significant challenges amid broader failures in the healthcare system, with experts anticipating a critical opportunity for reform by 2026-2027 as Medicare faces potential bankruptcy and employers confront double-digit premium increases.Join Chris Comeaux and Cordt Kassner as they delve into the latest trends and challenges in hospice care. From the impact of AI to the importance of research and innovation, this episode covers it all.The healthcare system stands at a critical inflection point. With Medicare facing potential bankruptcy in the 2030s and employers confronting double-digit premium increases, experts suggest that we may be approaching a once-in-a-generation opportunity to fundamentally reform healthcare by 2026-2027.Explore how the hospice field is evolving and its implications for both providers and patients.Co-host Cordt KassnerPhD, Publisher of Hospice & Palliative Care Today & CEO and Founder of Hospice AnalyticsHostChris ComeauxPresident / CEO of TELEIOSTeleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast
The healthcare landscape is transforming before our eyes, shifting away from hospital-centered care toward home-based models. This fundamental change raises urgent questions about Medicare's outdated reimbursement systems, particularly for hospice providers facing the reality of a mere 2.6% rate increase while battling significant inflation.Join us in this illuminating conversation and in-depth discussion with industry experts Annette Kiser, Chief Compliance Officer with Teleios, and Judi Lund Person, Principal, Lund Person & Associates LLC, as they sit down with Chris and explore the complexities of the final 2026 Hospice Wage Index and its impact on hospice organizations. Discover the challenges and opportunities within the current regulatory framework and gain valuable insights into strategic actions for the future. So join us, this is a great listen for staff, leaders, and Boards of hospice and palliative care organizations. This is timely and relevant. GuestAnnette KiserChief Compliance Officer with TELEIOSJudi Lund PersonPrincipal, Lund Person & Associates LLC HostChris ComeauxPresident / CEO of TELEIOSTeleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast
"Connection isn't new, it's just neglected. And it's neglected now more than ever." These powerful words from Wall Street Journal bestselling author Ryan Jenkins set the stage for a transformative conversation about what might be our most critical yet overlooked human need.Despite our hyperconnected world of social media, texting, and endless digital communication, genuine connection continues to slip through our fingers. Jenkins reveals the crucial distinction between mere communication and true connection – explaining how our brains process these experiences differently and why it matters so profoundly. The stakes couldn't be higher: lacking social connection is actually more harmful to your health than smoking twenty cigarettes daily for forty years. In this episode of the Anatomy of Leadership, Ryan also discusses the critical importance of connection in leadership and the workplace. He emphasizes that connection is often neglected despite being a fundamental human need. The conversation explores generational differences in experiencing loneliness, the challenges of remote work, and the innovative AI tool Rivet designed to foster connections. Jenkins shares actionable insights for leaders to cultivate meaningful relationships within their teams, highlighting the necessity of being intentional about connection in an increasingly digital world. Guest: Ryan Jenkins, Wall Street Journal Bestselling Leadership Author and Keynote SpeakerHost: Chris Comeaux, President / CEO of TELEIOS and author of The Anatomy Of Leadershiphttps://www.teleioscn.org/tcntalkspodcast/the-future-of-work-prioritizing-human-connectionTeleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast
The Path to the Future May be the Un-obvious - Top News Stories, July 2025 The future of hospice care hangs in the balance as providers navigate a perfect storm of challenges and opportunities. From financial pressures closing hospice houses to unprecedented Medicare fraud schemes, from technological disruption to changing consumer expectations – the hospice field stands at a critical inflection point that demands both reflection and action.Join hosts Chris Comeaux and Cordt Kassner as they delve into the latest trends and challenges in Hospice and Palliative Care, discussing key trends, challenges, and innovations shaping the field. This episode covers a wide range of topics, including the impact of healthcare layoffs, disruptive innovations, and the importance of disaster preparedness. They also discuss the evolving landscape of Hospice Care, the role of technology, and the significance of maintaining an authentic brand in the field. Join us.HostChris Comeaux, President / CEO of TELEIOSCohostCordt Kassner, PhD, Publisher of Hospice & Palliative Care Today & CEO and Founder of Hospice Analyticshttps://www.teleioscn.org/tcntalkspodcast/the-path-to-the-future-may-be-the-un-obvious-top-news-stories-july-2025Teleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast
What does it take to lead in one of the most complex corners of healthcare?In this crossover episode with TCNtalks and Anatomy of Leadership, we delve into the complexities of leadership in healthcare, particularly in Hospice and multi-service settings. Rebecca Ramsay and Mark Jarman-Howe, two dynamic leaders who are navigating the evolving world of Hospice and multi-service healthcare with vision and heart, share their experiences in managing diverse service lines, emphasizing the importance of culture, workforce resilience, and community engagement.Rebecca and Mark discuss the challenges of balancing mission and margin while fostering innovation and collaboration. The conversation underscores the importance of strategic planning, mentorship, and understanding regulatory frameworks to navigate the healthcare landscape effectively. Highlights:Leading through culture and communityManaging diverse service lines under pressureInnovating within regulatory constraintsThe power of mentorship and planning for long-term impact This episode is a powerful listen for anyone passionate about healthcare leadership.Guest: Rebecca Ramsay, Chief Executive Officer of Housecall Providers in Portland, Oregon Mark Jarman-Howe, Chief Executive of St Helena Hospice, based in Colchester, EnglandTeleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast
Is Hospice Care losing its soul? Dr. Ira Byock thinks so, and after months of soul-searching work, he's offering us the roadmap back to our roots.In this episode, Dr. Ira Byock discusses the current state of Hospice and Palliative Care, emphasizing the need for reform and improvement in the field. He and Chris spend time unpacking Dr. Byock's recently released seminal work, “A Strategic Path Forward for Hospice and Palliative Care: A White Paper on the Potential Future of the Field. This conversation tackles the uncomfortable truth: corporatization is eroding the core values of our field. Dr. Byock highlights the challenges posed by the corporatization of healthcare, particularly in hospice and palliative care, and emphasizes the importance of maintaining high-quality care for patients and their families. Dr. Byock presents a strategic framework that all of us in hospice and palliative care can draw from to chart a path forward. That framework includes:Publishing clear clinical and programmatic standardsMaking meaningful data readily availableDriving quality-based competitionEmbracing the field's authentic brand of expert care that fosters well-being for patients and their familiesThis episode is more than a discussion—it's a wake-up call for every leader, clinician, and team member in Hospice and Palliative Care. Listen now. Share it with your Board. And be part of the movement to safeguard the future of this essential work.Guest: Dr. Ira Byock, MD, FAAHPM, is a leading palliative care physician, author, and public advocate for improving care through the end of lifeHost: Chris Comeaux, President / CEO of TELEIOShttps://www.teleioscn.org/tcntalkspodcast/a-strategic-path-forward-for-hospice-and-palliative-care-with-dr.-ira-byockTeleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast
What if everything you thought you knew about marketing was completely wrong? Dave Mastovich, founder and CEO of MASSolutions and author of the Amazon bestseller "No Bullshit Marketing," challenges conventional wisdom in this eye-opening conversation about the true nature of effective marketing. Dave emphasizes the need for organizations to understand their customers deeply and to gather insights systematically to craft compelling marketing strategies. The discussion also highlights the significance of storytelling in marketing and how aligning the organization's purpose with customer needs can lead to more effective marketing outcomes. Chris and Dave also discuss the importance of aligning client expectations with strategic execution, the necessity of authentic messaging, and the unique challenges faced in healthcare marketing. The conversation concludes with actionable insights on leveraging customer voices and the power of compound messaging to drive growth. Join us, this is a great listen.Guest: Dave Mastovich, founder and CEO of MASSolutionsHost: Chris Comeaux, President / CEO of Teleioshttps://www.teleioscn.org/anatomy-of-leadership/no-bs-marketing-with-dave-mastovichTeleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast
What makes Hospice special isn't magic—it's the masterful implementation of coordinated care plans that align interdisciplinary teams with patient priorities. This month's deep dive into June's most critical Hospice and Palliative Care developments explores how this "secret sauce" remains simultaneously the heart of our philosophy and our most common survey deficiency. In this episode of TCNtalks, host Chris Comeaux and Cordt Kassner, Publisher of Hospice & Palliative Care Today & CEO and Founder of Hospice Analytics, discuss relevant top news stories in Hospice and Palliative Care for June.They also explore technology's dual-edged potential, suggesting that AI and robotics should enhance, rather than replace, the human elements of Hospice Care. As Daniel Pink notes, "if a robot can replace you, you should be"—allowing us to focus our irreplaceable human capacity on meaningful connection rather than routine tasks.Dr. Ira Byock's strategic framework for hospice's future emerges as perhaps the most significant development of the month, offering four concrete paths forward: establishing clear clinical standards (like appropriate caseload sizes), creating meaningful data transparency, driving quality-based competition, and embracing our authentic brand as specialists in fostering well-being through the end of life. Subscribe to TCNtalks for monthly insights. Additionally, we explore leadership strategies for growth and the necessity of a strategic path forward in Hospice and Palliative Care, emphasizing the importance of quality and ethical practices in the field. We respect your time while keeping you informed on what truly matters. Join us.Guest:Cordt KassnerPhD, Publisher of Hospice & Palliative Care Today & CEO and Founder of Hospice AnalyticsHost:Chris ComeauxPresident / CEO of TELEIOShttps://www.teleioscn.org/tcntalkspodcast/plans-of-care-ethics-robotics-and-more-top-news-stories-june-2025Teleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast
Is America's Healthcare System Beyond Repair? Rita Numerof Doesn't Think So.In this powerful crossover episode of TCNTalks and Anatomy of Leadership, Chris Comeaux sits down with healthcare strategist and thought leader Rita Numerof, Co-founder and President of Numerof & Associates. Together, they pull back the curtain on one of today's most urgent crises: the deeply flawed business model driving healthcare in America.Rita offers a bold diagnosis, explaining how misaligned incentives, opaque pricing, and outdated payment systems have derailed care. But she doesn't stop there. With clarity and conviction, she lays out a path forward: a market-based model that ties payment to performance, empowers consumers, and demands transparency and accountability from every player—from providers to payers to policymakers.The episode dives into:Why the current system resists change—and how to break throughThe role of technology in reshaping care deliveryHow insurance companies contribute to the dysfunctionWhat real consumer responsibility in healthcare could look likeRather than offering quick fixes, Rita champions systemic reform with optimism and urgency.
In this episode of TCNtalks, Marcus Escobedo, Vice President of Communications at the John A. Hartford Foundation, joins Chris Comeaux to discuss the future of healthcare for aging populations. Marcus shares how the Foundation's Age-Friendly Health Systems initiative transforms care for older adults through the evidence-based 4Ms framework: focusing on what matters to older adults, medication management, cognitive health, and mobility.The conversation dives into the impact of ageism in healthcare and the importance of reshaping language and practices to serve older adults better. Marcus and Chris explore how healthcare systems can elevate the voices of older adults, address the unique challenges of the workforce, and promote age-friendly practices that honor each person's dignity and preferences.They also tackle communication barriers surrounding serious illness and hospice care, offering valuable insights and resources for enhancing these vital conversations. Given the growing demographic of baby boomers, who comprise most of those served in healthcare, this episode is essential listening for anyone committed to creating better systems for aging with grace and dignity.Guest: Marcus Escobedo, MPA, Vice President of Communications at the John A. Hartford FoundationHost:Chris Comeaux, President / CEO of Teleioshttps://www.teleioscn.org/tcntalkspodcast/the-healthcare-customer-of-the-futureTeleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast
What happens when artificial intelligence meets end-of-life care? How do we reconcile private equity's profit motives with hospice's mission-driven ethos? These questions took center stage in this month's roundup of hospice news with host Chris Comeaux and guest Cordt Kassner.The May edition of TCNtalks' top news stories reveals a healthcare sector at a fascinating crossroads. AI has emerged as both a tantalizing promise and a practical challenge for hospice providers. As Chris notes, "We live in a time where people use sensationalized language for everything," yet the revolutionary potential of AI in healthcare deserves the hype. Meanwhile, some hospices struggle with basic internet connectivity, creating what Chris calls a "weird dichotomy" reminiscent of the 1920s when modern conveniences existed alongside homes without electricity.In this episode of TCN Talks, hosts Chris Comeaux and Cord Kastner reflect on Memorial Day and discuss significant news stories from May, including the complexities of thanking veterans for their service, the role of artificial intelligence in hospice care, and the importance of honest conversations about racism in healthcare.They also explore the leadership skills necessary for healthcare CEOs, the challenges of dementia care, and the implications of private equity in the healthcare sector. Chris also introduces a new initiative called Brain Bookmarks, which aims to provide quick leadership insights. Join us.Guest: Cordt Kassner, PhD, Publisher of Hospice & Palliative Care Today & CEO and Founder of Hospice AnalyticsHost:Chris Comeaux, President & CEO of Teleioshttps://www.teleioscn.org/tcntalkspodcast/storm-clouds-on-the-horizon-for-reimbursement-top-news-stories-may-2025Teleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast
What happens when ancient philosophical questions about "the good life" collide with modern healthcare regulations? In this compelling episode of TCNtalks, host Chris Comeaux welcomes hospice leaders Annette Kiser, Chief Compliance Officer with Teleios, and Judi Lund Person, Principal, Lund Person & Associates LLC, for a deep dive into the regulatory crossroads facing hospice providers.In this episode, we discuss the FY 2026 Proposed Rule, which focused on implementing the HOPE initiative, and two RFIs (Requests for Information) that were part of it. Also, discuss how important it is for us in the hospice field to give CMS feedback via these RFIs. These will impact the Future Quality Measure Concepts for the Hospice Quality Reporting Program, and CMS is asking for input on three concepts for the HQRP Hospice Quality Reporting Program:- The Challenges of Interoperability,- The Evolving Quality Measures related to Patient Well-Being - Nutrition, including Safe Eating Habits, Exercise, Nutrition, and Activity appropriate for end-of-life careLast, they discuss a separate RFI related to the Advanced Digital Quality Measurement (dQM) in the HQRP (Hospice Quality Reporting Program) and the data standards of Health Level Seven® (HL7®) and Fast Healthcare Interoperability Resources® (FHIR®).Annette and Judi have a wealth of experience and knowledge. This is a great listen for staff, leaders, and Boards of hospice and palliative care organizations to become more educated about the tracks being laid with the proposed 2026 Wage Index. This show is timely and relevant, so join us.Guest:Annette Kiser, Chief Compliance Officer with Teleios Judi Lund Person, Principal, Lund Person & Associates LLC Host:Chris Comeaux, President / CEO of TELEIOShttps://www.teleioscn.org/tcntalkspodcast/navigating-the-future-hope-wage-index-and-cms-quality-measuresTeleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast
In this episode, Daniel H. Pink, the world-renowned author of seven bestselling nonfiction books, discusses his interdisciplinary approach to understanding human motivation and the evolving work landscape in the AI age.Pink emphasizes the importance of empathy, creativity, and the need for individuals to augment machine intelligence rather than compete with it. He also explores the role of technology in healthcare, particularly in Hospice Care, and the significance of human connection and listening in providing care.The discussion highlights AI's potential to enhance human capabilities while also addressing its challenges. Daniel and Chris Comeaux also explore the essential skills and mindsets needed for hospice leaders to future-proof their organizations, particularly in the face of advancing AI technologies.The discussion culminates in a reflection on the evolving nature of leadership in an AI-driven world, urging leaders to remain curious and focused on their core values.Join us, this is a great listen.Guest:Daniel H. Pink, Author of the NY Times Bestselling book A Whole New MindHost: Chris Comeaux, President / CEO of Teleioshttps://www.teleioscn.org/tcntalkspodcast/a-whole-new-mind-with-daniel-h.-pinkTeleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast
What defines quality in end-of-life care? How are hospice organizations navigating workforce challenges? And why has medical aid in dying become such a critical conversation? These questions take center stage in this data-driven exploration of April's most impactful Hospice and Palliative Care news stories.In this episode of TCNtalks, Chris Comeaux and Cordt Kassner discuss the top news stories from April, focusing on hospice and palliative care. They explore personal aspirations, data insights, the impact of spiritual care, emerging categories in news reporting, and key themes such as reimbursement and workforce challenges. The conversation also touches on mission moments, regulatory changes, technology innovations, and the evolving nature of leadership in healthcare, particularly in the context of AI and human skills. The conversation also explores the increasing demand for senior living and the legislative changes impacting hospice care, including the ban on for-profit hospices in New York and the introduction of psilocybin access in New Mexico. Cordt closes the show with a Master's Class reviewing the National Hospice Locator, a valuable tool for finding high-quality hospice care anywhere in the country. Join us.Guest: Cordt Kassner, PhD, Publisher of Hospice & Palliative Care Today & CEO and Founder of Hospice AnalyticsHost: Chris Comeaux, President / CEO of TeleiosTeleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast
Ketamine – a medicine long used as an anesthetic – is finding a powerful new purpose in hospice and palliative care settings. Dr. Rohini Kanagante, a physician with expertise spanning both Hospice Care and Integrative Psychiatry, unveils the remarkable potential of this medication in our latest episode of TCNtalks. Chris Comeaux invites Dr. Rohini Kanniganti, a hospice physician, to delve into the incorporation of ketamine in hospice and palliative care. They examine the notion of total pain, how ketamine aids in addressing pain and mental health challenges at the end of life, and the practical applications and regulatory factors involved in its use. Dr. Kanniganti shares her experiences and insights on how ketamine can offer relief to patients in hospice care, highlighting the significance of meticulous administration and a comprehensive approach to patient care. They explore the ethical considerations of ketamine use, its potential future acceptance in hospice environments, and the necessity of empowering staff and leaders to improve patient care. The conversation highlights the importance of a compassionate approach to end-of-life care, emphasizing the well-being of patients and their families in conjunction with this innovative treatment method.This is a great listen for your clinical staff and leaders. Join us - this is a timely and relevant event.Guest: Dr. Rohini Kanniganti, MD, MSPH, HMDC, Hospice Physician Host: Chris Comeaux, President / CEO of Teleios Collaborative Networkhttps://www.teleioscn.org/tcntalkspodcast/breaking-barriers-ketamines-role-in-hospice-medicine-with-dr.-rohini-kannigantiTeleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast
In this episode of TCN Talks, host Chris Comeaux interviews Rebecca Ramsay, CEO of House Call Providers. Rebecca shares her unique journey in healthcare and emphasizes the importance of nonprofit organizations in delivering quality care. Rebecca discusses the evolution of House Call Providers, the significance of home-based primary care, and the interdisciplinary approach required to meet the needs of patients with complex conditions.She also advocates for hospice organizations to expand into home-based primary care, highlighting the growing demand and the gaps in current services. Chris and Rebecca explore the challenges of maintaining a stable workforce, the complexities of payment structures, and the importance of a steady referral stream for viable home-based primary care. Rebecca shares her vision for the future of care, emphasizing the need for integrated services and support for caregivers. The discussion highlights the evolving landscape of healthcare. This is a great listen for staff, leaders, and hospice and palliative care organization boards. Join us; this is timely and relevant. Guest: Rebecca Ramsay, Chief Executive Officer of Housecall Providers Host: Chris Comeaux, President / CEO of Teleioshttps://www.teleioscn.org/tcntalkspodcast/rebecca-ramsay-on-home-based-primary-careTeleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast
In this episode of TCNtalks, Chris Comeaux and Dr. Cordt Kassner, Publisher of Hospice & Palliative Care Today and CEO and Founder of Hospice Analytics, leverage their data and extensive experience to identify key hospice headlines, articles, research, and social media posts that are driving change and transforming end-of-life care and healthcare in America.They share personal experiences with hospice care, emphasizing the importance of social work and discussing the challenges of healthcare reimbursement. The conversation also touches on MedPAC recommendations, new social media trends, and highlights from recent research articles. The hosts explore pressing issues in healthcare, such as workforce challenges, patient demographics, regulatory changes, and the impact of technology. They address the implications of the aging baby boomer population for healthcare services, the influence of corporate interests on healthcare spending, and the critical role of leadership in navigating these challenges. Their discussion underscores the need for innovative solutions and the role of technology in improving care delivery. It also emphasizes the importance of preparing for upcoming Medicare and home-based care changes. The episode concludes with a Masters Class from Chris on what leadership is and why it is so needed during these times. Join us.Guest: Cordt Kassner, PhD, Publisher of Hospice & Palliative Care Today & CEO and Founder of Hospice AnalyticsHost: Chris Comeaux, President / CEO of TCN / TCGhttps://www.teleioscn.org/tcntalkspodcast/transforming-healthcare-hospice-in-the-news-march-2025Teleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast
In this crossover show of TCNalks / Anatomy Of Leadership, host Chris Comeaux interviews NY Times bestselling author T. R. Reid. They discuss T. R. Reid's experiences and insights from researching healthcare systems around the world, particularly focusing on the need for universal coverage and the various models of healthcare delivery.T.R. emphasizes the importance of a key principle in any functional healthcare system at a national level: healthcare for everyone. He wrote about this in his NY Times bestselling book The Healing of America. Some of the key discoveries in the book are the inefficiencies of the U.S. healthcare system compared to others worldwide and the potential benefits of adopting a government-run healthcare model similar to Medicare and the VA. Reid also critiques the profit-driven nature of American health insurance and advocates for reforms prioritizing patient care over profits.T.R. and Chris then discuss the unique window of opportunity in 2025 and the need for a new framing of universal healthcare, suggesting alternatives in language around 'Medicare for All.' T.R. emphasizes the importance of price controls in reducing administrative costs and improving efficiency in healthcare systems. Reid also addresses the role of innovation in healthcare, arguing that high costs do not necessarily lead to better medical advancements. He cites several excellent examples of recent innovations, all from outside the U.S. This is a great listen as the U.S. spends more on healthcare, yet we are not even in the top 10 in the world. It's hard to make one aspect of healthcare successful, like Hospice and Palliative Care, if the broader ecosystem it resides in is flawed and unsustainable. Join us; this is very timely.Guest: T.R. Reid, Author of the NY Times Best Selling book The Healing of AmericaHost: Chris Comeaux, President/CEO of TCN/TCGhttps://www.teleioscn.org/tcntalkspodcast/the-healing-of-america-with-t.r.-reidTeleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast
This show is dedicated in memory of Tali Sutton, who unexpectedly died the week of February 3rd. Tali was an upcoming leader in hospice and palliative care in New York State as CEO of CareFirstNY.In this episode of TCNtalks, Chris Comeaux speaks with Jeanne Chirico, the President and CEO of Hospice and Palliative Care Association of New York State (HPCANYS), about the unique challenges and opportunities facing hospice care in New York State. Many of us think of New York City when we think of New York yet the entire state with New York State is a picture of many of the challenges we will face in healthcare for the country as a whole in the future.Chris and Jeanne started the show remembering Tali Sutton, who unexpectedly died the week of February 3rd. Tali was an upcoming leader in hospice and palliative care in New York State as CEO of CareFirstNY. Jeanne shares her extensive background in hospice and palliative care, highlighting the complexities of providing care in a state with diverse cultural and economic landscapes. The conversation delves into regulatory challenges, workforce issues, and the importance of advocacy in ensuring quality end-of-life care. Jeanne emphasizes the need for innovative service lines and the role of technology in adapting to changing customer demographics. The episode concludes with a call to action for hospice leaders to engage in advocacy and community partnerships to navigate the future of healthcare effectively and to do that at a grass roots level.This episode is a great summary of the challenges facing all hospice and palliative care programs. This is a great listen for staff, leaders, and Board's of hospice and palliative care organizations. Join us, this is timely and relevant.Guest: Jeanne Chirico, , HPCANYS President/CEOHost: Chris Comeaux, President / CEO of TCN/TCGhttps://www.teleioscn.org/tcntalkspodcast/the-challenges-ahead-with-jeanne-chiricoTeleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast
The latest episode dives into important topics affecting hospice and palliative care today, shedding light on key trends from February's news. Our hosts emphasize how personal experiences shape their perspectives on the challenges and innovations within the field. • Overview of TCN Talks and its purpose • Discussion on meaningful personal experiences in hospice care • Key February news stories impacting hospice leadership • Overview of workforce challenges faced in hospice • Exploration of technology's role in hospice care advancements • Insights into improving access to high-quality end-of-life care • Predictions for the future of hospice and palliative care • Importance of continuous learning and innovation in leadership • Encouragement for audience engagement and dialogue Teleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast
In this episode of TCN Talks, host Chris Comeaux interviews Bree Owens, a licensed clinical social worker and co-founder of The Holding Group. They discuss Bree's journey in the healthcare field, particularly in palliative care. Bree shares insights on having learned the importance of having meaningful conversations with patients and families about their care options, which led her to the unique model of The Holding Group. Her organization has held space, hence the name The Holding Group, for a patient-centered approach, helping patients and their families find the right care at the right place at the right time. Bree emphasizes the significance of informed consent and the role of social workers in facilitating these discussions to improve patient outcomes and satisfaction.Chris and Bree also delve into the evolution and current state of palliative care, highlighting the challenges and innovations in the field. Bree emphasizes the importance of integrating social work into healthcare, particularly in serious illness and dementia care. They also discuss the upcoming GUIDE model, which aims to provide comprehensive support for dementia patients and their caregivers.This is a great listen for staff, leaders, and Boards of Hospice and Palliative Care organizations. Join us, this is timely and relevant.Guest: Bree Owens, Licensed Clinical Social Worker and Co-Founder of The Holding Group Host: Chris Comeaux, President / CEO of TCN/TCGTeleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast
In this episode of TCNtalks, Chris Comeaux and Cordt Kassner, PhD, publisher of Hospice & Palliative Care Today and CEO and Founder of Hospice Analytics, begin a new format for the “Top News Stories of the Month.” Cordt joins, stepping in for Mark Cohen, and brings the statistics from the daily newsletter Hospice & Palliative Care Today.Chris and Cordt explore key trends in hospice news, challenges in reimbursement, competition, workforce issues, and the impact of technology on the field. They also touch on demographic trends, regulatory issues, and predictions for the future of hospice care.Their dialogue highlights the challenge of filtering vast information and the excellent service provided to hospice and palliative care leaders. This podcast and Hospice & Palliative Care Today are for the leaders in the hospice and palliative care field.Join us. This is a must-attend opportunity for Hospice and Palliative Care leaders. It's a one-stop shop for catching up on all the essential and relevant news articles and information impacting the field today and tomorrow.Host: Chris Comeaux, President / CEO of TCN/TCGGuest: Cordt Kassner, PhD, Publisher of Hospice & Palliative Care Today & CEO and Founder of Hospice Analyticshttps://www.teleioscn.org/tcntalkspodcast/top-news-stories-of-the-month-january-2025Teleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast
What happens when you blend nearly 25 years of legal expertise with the rapidly changing landscape of healthcare? Join us as we welcome Meg Pekarske, head of the Hospice and Palliative Care Practice Group at Hush Blackwell, who shares her remarkable journey and insights into hospice law. From her early mentorship under Mary Michael to leading a dynamic team of 15 professionals, Meg's story is one of adaptability and growth. As we navigate the complexities of the evolving healthcare market, Meg's unique blend of analytical and creative skills provides invaluable perspectives on fostering resilience and innovation in hospice care. Discover the strategies for financial sustainability in the hospice industry as we explore the significance of revenue diversification. With traditional Medicare reimbursement for palliative care falling short, there's a pressing need for creative financial strategies tailored to organizational needs. You'll learn about the potential of innovative care models and the increasing appeal of PACE (Program of All-Inclusive Care for the Elderly) as we discuss substantial investment and staffing requirements. This conversation emphasizes the urgency for leaders to be agile and inventive in meeting the needs of the community and patients effectively.Our exploration doesn't stop there. We tackle the intricacies of legal structures in healthcare, the resurgence of Independent Practice Associations, and the active landscape of healthcare antitrust concerns. Meg's insights guide us through the potential future of Hospice care, advocating for a broader approach that prioritizes upstream interventions and interdisciplinary care. As we ponder the evolving role of professional skills in the age of AI, don't miss our reflection on the enduring importance of human empathy and emotional intelligence. This episode promises a thought-provoking journey that challenges conventional methods and inspires a broader vision for serving our communities.Guest: Meg Pekarske, Partner and Head of the Hospice and Palliative Care Practice Group at the Law Firm of Husch BlackwellHost: Chris Comeaux, President / CEO of TCN/TCGhttps://www.teleioscn.org/tcntalkspodcast/meg-pekarske-on-model-considerations-for-the-futureTeleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast
In this episode of TCNtalks, Chris Comeaux, Mark Cohen, and Cordt Kassner discuss the top news stories in hospice and palliative care for December 2024. This episode marks the end of Mark's two-year run of partnering with Chris to review the month's top stories, with Cordt taking on that role going forward, along with his colleague at Hospice & Palliative Care Today, Joy Berger.Mark's takes a deeper dive into three big news events in December, Cordt looks at the most-viewed articles from both December and all of 2024, and Chris, as usual, highlhights articles of particular import to hospice C-Suites. Among the biggest stories from December, they reflect on the significance of President Jimmy Carter's hospice journey and the pre-Holiday release by CMS of the 50 lowest quality hospices nationwide. The conversation emphasizes the importance of proactive communication strategies and the need for hospice organizations to be transparent and accountable. This is a do not miss opportunity for Hospice and Palliative Care leaders.Our GuestCordt Kassner, PhDPublisher of Hospice & Palliative Care TodayMark CohenStrategic Communications Consultant/Cohen-Fyfe CommunicationsShow HostChris ComeauxPresident / CEOTeleios Collaborative Network / Teleios Consulting Grouphttps://www.teleioscn.org/tcntalkspodcast/top-news-stories-of-the-month-december-2024Teleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast
In this crossover podcast episode, host Chris Comeaux does a recap of the top podcasts of 2024. First for TCNtalks with amazing guests like New York Times best-selling author John Burke, Peter Benjamin, Dr. Ira Byock, and Judi Lund Person.Chris then does a recap from our first year of our new podcast, the Anatomy of Leadership, with great guests such as Quint Studer, Meridith Elliott Powell, John Locke, and Brian Jaudon.Additionally, Chris introduces the intriguing concept of the "One Word," which serves as a thematic or guiding principle for the upcoming year. This is a great piece of wisdom Teleios and many of it's members practice every year. This is a much more powerful way to set the tone and intention for your upcoming year and is much more useful than a New Year's Resolution which seem to wane about thirty days into the New Year. By looking back on the past year and gazing forward, individuals can gain clarity about their personal causes and purposes. Selecting a One Word for the year can offer a focused and directional approach to both personal and professional life.Host: Chris Comeaux, MLAS, CPA; President/CEO of Teleios Collaborative Network and Teleios Consulting GroupTeleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast
Unlock the transformative potential of palliative care as we sit down with Torrie Fields, the innovative founder and CEO of TFA Analytics. Torrie's unique blend of expertise as a health economist and actuary is driving new approaches to palliative care, particularly through the use of data analytics. Join us as Tori shares her journey from a C-TAC conference meeting to reshaping Medicare guide programs and creating comprehensive care models for patients with serious illnesses. Her insights are changing the way healthcare providers think about aligning patient care with personal goals and reducing unnecessary treatments.Explore the future of palliative care reimbursement and the significant strides being made by pioneering figures like Janet Bowles and Diane Myers. With an eye on 2025, we delve into the exciting developments in healthcare policy and innovative payment models. Discover how collaborative efforts with CMS are shaping a new era in community-based palliative care, and why hospice leaders must urgently adapt to these changes. We dive into the bipartisan nature of palliative care and the importance of educating health insurance companies on its value, ensuring a seamless integration into standard healthcare practices.Witness the evolution towards a co-management model in palliative care, as specialists and primary care providers navigate the challenges of large patient panels. Torrie and I discuss the need for a multidisciplinary approach that supports overwhelmed providers while delivering tailored care. We explore the complexities of integrated healthcare systems and the essential role of palliative care in improving patient experiences and outcomes. Through engaging stories and thought-provoking discussions, this episode celebrates the visionary leaders pushing the boundaries of healthcare solutions, ensuring patients receive the right care at the right time.Teleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast
What if the future of Hospice and Palliative Care depends on understanding the intricacies of integration and regulation in the hospice sector? Join us for an insightful journey through November's most compelling stories that have captured the attention of Hospice and Palliative Care Today's readership. Our conversation reveals the significant impact of national events, from elections to regulatory changes, on shaping news cycles and industry priorities. Also, rising workforce demands and political changes, such as immigration restrictions, paint a concerning picture for the future labor pool in Hospice Care.We provide a comprehensive analysis of the month's key themes that may have been missed, like tackling issues from CMS payment cuts to the Justice Department's stance on UnitedHealthcare Group's acquisition of Amedisys. This episode is a must-listen for those seeking a deeper understanding of the critical yet often overlooked issues in Hospice and Palliative Care today, and Mark delivers another excellent masterclass on creating compelling headlines. Guest: Mark Cohen, Host: Chris Comeaux, President / CEO of TCN / TCGhttps://www.teleioscn.org/tcntalkspodcast/top-news-stories-of-the-month-november-2024Teleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast
Maria Warren, Vice President of McBee, part of NetSmart, joins us to unravel the intricacies of hospice care audits. We promise you'll gain a deeper understanding of how these audits, intended to curb fraud and waste, often end up as resource-draining obstacles that detract from essential patient care. Maria shares her personal journey from starting as an entry-level consultant to leading teams that navigate the complex landscape of compliance and documentation, providing a critical perspective on the balance between regulation and care.The conversation then shifts to the transformative potential of technology in hospice care. With insights from Betsy Hansen, we explore how electronic medical records (EMRs) are not just digital tools but catalysts for improving patient outcomes and operational efficiency. You'll learn about the exciting possibilities of EMRs in enhancing compliance and care quality, as well as the challenges organizations face in adopting innovative yet user-friendly systems. Our discussion underscores the importance of high standards and creative problem-solving in addressing staffing challenges and maintaining a compassionate care environment.In our final segment, we navigate the future of hospice care, emphasizing the need for advocacy and increased awareness to better integrate hospice services into the broader healthcare system. The visionary interdisciplinary approach of hospice is celebrated, along with the call for improved coordination across healthcare services and leveraging technology for better care. We reflect on the importance of staying informed, continuously learning, and adapting to serve the hospice field more effectively. Join us for an episode filled with actionable insights and forward-thinking strategies to enhance care in this vital area of healthcare.Teleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast
What prompts someone to pivot their career path entirely? For Dr. Kyle Lavin, it was the compassionate care he witnessed during his mother's illness that led him to psychiatry and palliative care, despite initially resisting following in his father's footsteps. This episode spotlights Kyle's emotional journey, sparked by personal family challenges, including his mother's battle with severe health issues and substance use disorder. His story is one of resilience and determination, ultimately leading him to champion the integration of behavioral health into serious illness care, aiming to bridge the gap in our fragmented healthcare system.As we navigate through the complex challenges faced by patients trying to access behavioral health services, Kyle underscores the systemic issues within mental health care. The difficulties of seeking help in a siloed system, especially during vulnerable times, are significant. We dissect these hurdles, discussing the critical shortage of mental health providers and the urgent need for a more integrated approach, particularly for the aging population. By examining collaborative care models and the potential role of non-licensed providers, we highlight innovative strategies for expanding care availability and ensuring each team member operates at their fullest potential.In a world increasingly reliant on technology, we explore how AI is reshaping patient experiences, particularly in hospice and mental health services. From AI-enhanced patient intake platforms to the benefits of telehealth, the discussion highlights the transformative potential and ethical challenges of incorporating technology in high-touch fields. We reflect on maintaining a balance between technology and human touch, emphasizing the need for compassionate care. Join us as we delve into the evolving perceptions of mental health, drawing parallels to advancements in palliative care, and consider the future landscape of healthcare in an age of rapid technological change.Guest: Dr. Kyle Lavin, MD. MPH. Assistant Professor of Psychiatry at UNC Chapel Hill and Chief Clinical Officer of Cerula CareHost: Chris Comeaux, President / CEO of TCN / TCGhttps://www.teleioscn.org/tcntalkspodcast/the-mental-and-behavioral-health-challenge-with-kyle-lavinTeleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast
How do leaders rise to the occasion when crises strike? We are joined by Jeannee Parker Martin, the remarkable President and CEO of LeadingAge California, who has blazed a trail in international healthcare and pioneered the first AIDS home care and hospice program in the U.S. Jeannee shares her insights on the power of networking and connectedness in leadership, and her story underscores the vital role of empathy and strategic thinking in serving communities during challenging times. Together, we express gratitude for the extraordinary support in the wake of Hurricane Helene, which profoundly impacted hospices in Western North Carolina, Eastern Tennessee, and Virginia.The landscape of senior living and healthcare is rapidly changing, and we're examining the challenges and opportunities that lie ahead. Leadership, as we discuss, is often more about experiencing and learning in the moment than formal teaching, especially during recovery efforts after natural disasters. Demographic shifts and a shrinking workforce present both hurdles and possibilities, and we explore innovative approaches like "crinking" to navigate these dynamics. The conversation touches on how organizations can strategically plan for the future while embracing new technologies and methods to reshape the industry.Artificial intelligence and adaptability are revolutionizing leadership. Tools like ChatGPT are being harnessed to enhance efficiency, from legal consultations to creative team communications. We delve into the importance of youthful flexibility in adopting new technologies and adapting to post-COVID changes in Medicare hospice benefits. We also reflect on the core attributes of exceptional leaders, from empathy and accountability to strategic vision. With personal anecdotes and valuable advice, we provide guidance for leaders in hospice and palliative care to remain vigilant and proactive in a dynamic and evolving environment.Teleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast
What if the future of hospice care hinges on resilience and adaptation in the face of natural disasters? Join us as we explore how hospices from Western North Carolina to Virginia are navigating the aftermath of Hurricane Helene with remarkable tenacity. Hear firsthand accounts of the challenges faced by organizations like Four Seasons, Amorium, and CCWNC Compassionate Care, and discover the critical role of community support in their recovery efforts. We'll also shed light on the pressing news from September and October—including significant legislative proposals and industry mergers—that are reshaping the hospice sector.In this episode, we tackle the multifaceted landscape of healthcare, focusing on the nuances of Medicare reimbursements, the implications of the recent dip in MA star ratings, and the emergence of "healthcare deserts" that threaten rural hospitals. You'll hear about President Carter's inspiring hospice journey and the broader impact on palliative care, as well as the ongoing legal challenges surrounding Medicare Advantage plans and the controversial Chevron ruling. These discussions highlight the evolving dynamics that healthcare providers must navigate to ensure sustainability and quality care.Communication is key, especially in disaster-prone areas. Discover effective strategies for hospices to connect with their communities, build trust, and prepare for crises. We'll also touch on technological innovations like AI and robotics that promise to revolutionize at-home care. Together, we explore how these advancements, coupled with a proactive approach to emergency preparedness, can strengthen the hospice industry's resilience. Join us for insights into a healthcare landscape that's as complex as it is promising, and learn how leaders can steer their organizations through times of change.Teleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast
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