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The Debate: Vertical Integration, Payvider, or World-Class Care—Which Path Forward? | Part Two23 Oct 202600:14:24

Can vertical integration help hospice organizations deliver better care earlier—and sustain the investment required?

In Part Two of “The Debate: Vertical Integration, Payvider or World-Class Care—Which Path Forward?”, Chris Comeaux examines the case for extending hospice expertise into palliative care and home-based primary care for frail elders.

Paul presents a vision of care built around lasting relationships, interdisciplinary teams, and support that follows patients as their needs change. Chris tests that vision against the realities of capital, reimbursement, workforce shortages, organizational culture, rural access, and patient choice.

The central question: Can healthcare organizations build a connected continuum while protecting world-class quality and every patient’s freedom to choose?

In this episode:
• Why hospice organizations are considering moving upstream
• How home-based care can support patients and caregivers earlier
• Why fee-for-service reimbursement may fall short
• The financial and operational risks of expanding services
• How ethical integration can support timely hospice transitions

For healthcare leaders, nonprofit executives, hospice professionals, and business leaders evaluating vertical integration, payvider strategies, population health, and value-based care.

CHAPTERS
00:00 Sponsor messages
00:45 Welcome to Part Two
01:07 Why hospice should move upstream
03:41 Competition, reimbursement, and the case for integration
06:54 Mary’s story: Supporting patients before a crisis
07:58 Where the integration argument resonates
08:52 The costs and risks of expansion
12:56 Ethical integration and final takeaways


Listen, share this episode with your leadership team, and tell us in the comments: What must an integrated care model do to earn patients’ trust?


Host:
Chris Comeaux

Characters:
Paul: Vertical Integration / Frail-Elder Practice
Christopher: Payvider Strategy
Comeaux: World-Class Hospice and Palliative Care 


Subscribe for more conversations from TCNtalks and Anatomy of Leadership. Join us next Wednesday as THE Debate continues.

Teleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast

The Debate: Vertical Integration, Payvider, or World-Class Care—Which Path Forward? | Part One21 Oct 202600:13:38

What if hospice succeeds at the wrong strategy?  Chris Comeaux explores three paths for the future of hospice and palliative care: vertical integration, the payvider model, and world-class specialty care.

In Part One of THE Debate: Vertical Integration, Payvider or World-Class Care—Which Path Forward?, Chris sets the stage for an unusual conversation—playing three characters, Paul, Christopher and Comeaux, who represent competing visions for serious illness care.

Should organizations build a coordinated continuum of hospice, palliative care, and home-based primary care?  Should they also participate in healthcare financing and risk?  Or should they focus on becoming indisputably world class in their specialties?

This opening installment introduces eight challenges shaping those choices, from reimbursement and workforce pressures to changing patient expectations, artificial intelligence, and caregiver strain.  It also establishes the question at the heart of the debate: Which strategy best serves patients and families, and under what conditions?

For healthcare leaders, nonprofit executives, hospice professionals, and business leaders navigating change, this episode provides a starting point for a deeper strategic conversation.

Which path best fits your organization—and what would need to be true for it to work? Share your perspective in the comments, send this episode to your leadership team, and subscribe for Part Two.

*** Referenced Podcast: https://www.teleioscn.org/tcntalkspodcast/future-proofing-care-the-challenges-we-face-in-hospice-and-palliative-care-part-one



Host: Chris Comeaux

Characters:
Paul: Vertical Integration / Frail-Elder Practice
Christopher: Payvider Strategy
Comeaux: World-Class Hospice and Palliative Care 

Thank you to Netsmart for sponsoring this podcast.

Teleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast

The Workforce Crisis Healthcare Leaders Can’t Afford to Ignore | Part Two16 Oct 202600:37:06

What happens when the demand for care grows faster than the workforce available to provide it?

Ron Hetrick joins host Chris Comeaux on TCNTalks / Anatomy of Leadership to explore the healthcare workforce crisis—and the decisions leaders can make today to prepare for tomorrow’s staffing challenges.

In Part Two, the conversation moves into practical workforce planning: improving care jobs, developing talent pipelines, strengthening employee retention, and understanding how an aging population could reshape competition for caregivers.

They also examine AI in healthcare, the limits of robotics, and why technology’s greatest contribution may be giving people more time and capacity for meaningful care.

In this episode, discover:

• How to make healthcare careers more attractive to new workers
• Why training and retention require sustained investment
• Where AI could reduce administrative burdens and support learning
• How private home care could change competition for talent
• Why local workforce data belongs in every expansion decision
• How collaboration among providers could help protect access to care


Take the conversation into your next leadership meeting: What workforce decision can you make this quarter that will strengthen your organization’s ability to deliver care in 2030?


Subscribe to TCN Talks / Anatomy of Leadership, share this episode with your team, and leave a comment about the staffing challenge your organization is working to solve.


Featured Guest:   Ron Hetrick, Principal Economist with Lightcast

Host:  Chris Comeaux, President / CEO of TELEIOS and author of The Anatomy of Leaderships about The Workforce Crisis Part Two

Teleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast

The Workforce Crisis Healthcare Leaders Can’t Afford to Ignore | Part One14 Oct 202600:31:17

The healthcare workforce crisis is bigger than unfilled jobs. What happens when demand for care keeps growing while the pool of available workers shrinks?

In “The Workforce Crisis Healthcare Leaders Can’t Afford to Ignore | Part One,” Chris Comeaux welcomes Ron Hetrick, principal economist at Lightcast, to TCNtalks / Anatomy of Leadership for a candid conversation about healthcare staffing shortages, demographic change, and the future of work.

Hetrick explains how baby boomer retirement, smaller younger generations, and an aging population are reshaping the labor supply—and why he expects the pressure to intensify between 2030 and 2035.  Together, Chris and Ron explore what these shifts could mean for hospice, palliative care, home health, and the essential workers who keep organizations running.

This conversation also examines the interaction of demographics, artificial intelligence, and geopolitical uncertainty, along with Hetrick’s case for treating immigration as a strategic workforce resource.

Whether you lead a healthcare organization, nonprofit, hospice team, or business, this episode offers a starting point for examining the assumptions behind your workforce planning.


IN THIS EPISODE

• Why healthcare staffing challenges extend beyond COVID-19
• How an aging population changes the demand for care
• Why retirements and smaller graduating classes matter
• How education choices affect essential workforce availability
• The role of immigration in addressing labor shortages


Featured Guest:   Ron Hetrick, Principal Economist with Lightcast

Host:  Chris Comeaux, President / CEO of TELEIOS and author of The Anatomy of Leadership


JOIN THE CONVERSATION

What workforce challenge is putting the most pressure on your organization? Share your perspective in the comments.

Subscribe to TCNtalks / Anatomy of Leadership, share this episode with your leadership team, and watch Part Two for the next conversation: the battle plan.

Teleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast

Hospice at a Crossroads: The Top News Stories Leaders Can’t Ignore | Part Two09 Oct 202600:29:26

Hospice’s future is being shaped by the headlines leaders cannot afford to overlook.

In Hospice at a Crossroads: The Top News Stories Leaders Can’t Ignore | Part Two, Chris Comeaux and Cordt Kassner examine the hospice news and healthcare leadership questions that deserve your attention—from fraud and public trust to caregiver support, workforce sustainability, and AI in healthcare.

Drawing on articles featured in Hospice and Palliative Care Today, they explore what these developments could mean for hospice and palliative care organizations, nonprofit executives, and the leaders supporting frontline teams.

In this episode:

• How hospice fraud threatens public confidence and patient access
• Why caregiver support and workforce sustainability demand attention
• How AI, interoperability, and predictive tools are entering leadership conversations
• What Netflix, software implementation, and branding can teach hospice leaders
• Why policy headlines need careful interpretation

The conversation also considers consolidation, private equity, outside-of-hospice spending, and the enduring importance of mission as organizations adapt.

Which issue deserves the most attention in your organization? Share your perspective in the comments, send this episode to a colleague, and subscribe to TCN Talks / Anatomy of Leadership for more conversations about the decisions shaping care.

Host:
Chris Comeaux, President / CEO of TELEIOS, author of The Anatomy of Leadership

Co-Host:
Cordt Kassner, PhD, Publisher of Hospice & Palliative Care Today & CEO and Founder of Hospice Analytics


Teleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast

Hospice at a Crossroads: The Top News Stories Leaders Can’t Ignore | Part One07 Oct 202600:32:15

Hospice leaders face a defining question: How do we protect trust and deliver exceptional care as the field changes around us?

In Hospice at a Crossroads: The Top News Stories Leaders Can’t Ignore | Part One, Chris Comeaux and Cordt Kassner unpack hospice and palliative care news from July–September 2026.  Using Dr. Ira Byock’s framework and readership insights from Hospice and Palliative Care Today, they connect the quarter’s headlines to the decisions facing healthcare leaders, nonprofit executives, and hospice professionals.

The conversation explores CMS hospice updates and the Service and Spending Variation Index (SSVI), including why the speakers caution against treating it as a standalone quality grade.  They also discuss pediatric hospice and concurrent care, the overlooked role of friend caregivers, and the evolving research on private equity ownership in hospice.

As families turn to Google and AI tools for answers, how can hospice organizations communicate their quality clearly?  And what can community care, pet programs, and support for people without stable housing teach us about hospice’s authentic purpose?

The episode closes with an ethical discussion about organ donation and medical aid in dying.

Continue the conversation: Which issue is most pressing for your organization? Share your perspective in the comments, send this episode to your leadership team, and subscribe for Part Two. 

Host:
Chris Comeaux, President / CEO of TELEIOS, author of The Anatomy of Leadership

Co-Host:
Cordt Kassner, PhD, Publisher of Hospice & Palliative Care Today & CEO and Founder of Hospice Analytics


Thank you to Netsmart for sponsoring this podcast.
https://www.ntst.com/ai?utm_source=tcn-talks&utm_campaign=tcn-talks&utm_medium=display&utm_content=ai

Teleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast

The Future of Palliative Care: Who Will Lead, Who Will Pay, and What Comes Next? | Part Two02 Oct 202600:37:40

Who will lead community-based palliative care—and how will they pay for care that meets patients’ needs?

In Part Two of The Future of Palliative Care: Who Will Lead, Who Will Pay, and What Comes Next?, Chris Comeaux joins CAPC CEO Brynn Bowman to explore palliative care reimbursement, hospice leadership, and the choices shaping serious illness care.

Bowman makes a clear distinction: many organizations can deliver palliative care, but the field must lead on quality. New payment opportunities offer reasons for optimism. Turning those opportunities into sustainable care requires stronger operations, adequate contracts, and teams with the right skills.

The conversation also examines the overlap between home-based primary care and palliative care. As programs consider broader responsibilities, leaders must weigh patient needs against their capacity to deliver—and resist the pressure to keep doing more with less.

In this episode:

  • Define your role in community-based palliative care.
  • Align payment arrangements with the cost of quality care.
  • Strengthen technology, infrastructure, and workforce capabilities.
  • Evaluate opportunities to integrate primary and palliative care.
  • Consider what state initiatives could teach us about a Medicare palliative care benefit.

Whether you lead a hospice, nonprofit, health system, or serious illness program, this discussion offers a practical starting point for decisions about growth, investment, and accountability.

Join the conversation: What does your organization need most to deliver sustainable palliative care: stronger payment, better infrastructure, or expanded clinical capabilities? Share your perspective in the comments.

Guest

Brynn Bowman, CEO of the Center to Advance Palliative Care, and Assistant Professor in the Brookdale Department of Geriatrics and Palliative Medicine at Mount Sinai

Host

Chris Comeaux, President / CEO of TELEIOS, author of The Anatomy of Leadership

Subscribe to TCN Talks / Anatomy of Leadership and share this episode with your leadership team.


Teleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast

The Future of Palliative Care: Who Will Lead, Who Will Pay, and What Comes Next? | Part One30 Sep 202600:27:01

What will it take for palliative care to reach every patient who needs it—and who will ultimately pay for that care?

In Part One of “The Future of Palliative Care: Who Will Lead, Who Will Pay, and What Comes Next?”, host Chris Comeaux sits down with Brynn Bowman, CEO of the Center to Advance Palliative Care (CAPC), for a forward-looking conversation about the forces reshaping palliative care—and what healthcare leaders need to be watching now.

As palliative care principles spread across oncology, home health, Medicare Advantage, health systems, and other serious-illness models, an important question emerges: What actually makes something specialty palliative care? Brynn shares CAPC’s work to establish minimum standards for specialty palliative care programs, helping define expectations around services, staffing, training, quality, and outcomes.  

Chris and Brynn also tackle one of the field’s most persistent challenges: reimbursement. Palliative care programs often piece together multiple revenue streams—from Part B billing and ACO or Medicare Advantage contracts to financial support from their parent organizations. CAPC’s Palliative Care Program Inventory seeks to create a clearer picture of where programs exist, how they are funded, and where significant access gaps remain.  

The conversation then turns to CMS and the future of payment. Brynn explains why recent activity across hospice, home health, and the physician fee schedule may indicate increased federal attention to how Medicare beneficiaries with serious illness access palliative care—and why leaders should be paying attention to what happens next.  


What You’ll Learn

• What palliative care access could look like five years from now
• Why specialty palliative care remains essential as other care models expand
• Why the field needs clearer minimum standards
• How palliative care programs are piecing together reimbursement today
• Where major rural and community-based access gaps remain
• Why training non-specialists and preserving specialty teams must happen together
• What recent CMS activity could signal about future palliative care payment
• What the proposed home health rule actually means for palliative care  


For leaders in hospice, palliative care, serious illness care, healthcare, and value-based care, Part One provides an important look at a field approaching a pivotal moment.

And the conversation isn’t over. Don’t miss Part Two as Chris and Brynn continue exploring what comes next for palliative care and the leaders responsible for shaping its future.


Guest: 

Brynn Bowman, CEO of the Center to Advance Palliative Care, and Assistant Professor in the Brookdale Department of Geriatrics and Palliative Medicine at Mount Sinai

Host: 

Chris Comeaux, President / CEO of TELEIOS, author of The Anatomy of Leadership

Link to Blog:

Teleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast

AI Can’t Replace This: The Leadership Advantage That’s More Human Than Ever | Part Two25 Sep 202600:27:59

What if the greatest leadership advantage in the age of AI is something technology can never truly replicate?

As artificial intelligence transforms how we work, lead, and communicate, the temptation is to use technology to accomplish more—and move even faster. But what if the real opportunity is to use AI to create more margin for the human work of leadership?

In Part Two of “AI Can’t Replace This: The Leadership Advantage That’s More Human Than Ever,” Chris Comeaux continues his conversation with Dr. Andrea Hollingsworth, author of The Compassion Advantage, exploring why self-compassion, resilience, values, hope, and genuine human connection are becoming essential leadership capabilities.

Andrea gets personal about her own experience with a relentless inner critic and burnout—and explains why self-compassion isn’t lowering the bar. It’s learning to respond to mistakes and difficult moments with kindness, accountability, and a growth mindset rather than shame and self-punishment. 

Then the conversation turns directly to AI. Andrea challenges leaders to resist filling every minute technology saves with another task. Instead, she suggests using AI to free cognitive load and create greater capacity for presence, relationships, compassion, and connection. That may be where the true leadership advantage lies.

For healthcare, hospice, nonprofit, and business leaders navigating unprecedented change, this conversation offers both practical tools and an important challenge: Don’t let technology help you become more productive at the expense of becoming less human.

🎯 Highlights — What You’ll Learn

  • Why self-compassion is essential to resilient leadership—not a sign of weakness
  • How to turn down the inner critic without abandoning accountability
  • Why your core values can steady you during uncertainty and disruption
  • Practical habits leaders can use when feeling overwhelmed
  • The power of remembering: “I’m a supporter, not a savior.” 
  • Why small acts of kindness can strengthen emotional resilience
  • How leaders can inspire hope in an increasingly disconnected world
  • Why AI should free your cognitive load instead of adding to it
  • How technology can create more margin for human connection
  • Why compassionate workplace cultures matter for engagement, resilience, innovation, and retention 


If this conversation challenges how you think about AI, compassion, and the future of leadership, share it with another leader who needs to hear it—and subscribe to TCNtalks and Anatomy of Leadership for more conversations designed to help you grow as a leader and as a human being.


▶️ Watch Part Two now, and subscribe.  If you missed Part One, be sure to watch / listen.


Podcast Guest:
Andrea Hollingsworth, Founder and CEO of Hollingsworth Consulting and author of The Compassion Advantage: How Top Leaders Build More Humanizing Workplaces 

Our Host:
Chris Comeaux, President / CEO of TELEIOS, author of The Anatomy of Leadership



Teleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast

AI Can’t Replace This: The Leadership Advantage That’s More Human Than Ever | Part One23 Sep 202600:32:35

What if the greatest leadership advantage in the age of AI is something artificial intelligence can never truly replicate?

As AI becomes smarter, faster, and more embedded in the workplace, Dr. Andrea Hollingsworth believes the qualities that make us distinctly human—compassion, connection, vulnerability, and the ability to care—are becoming more valuable, not less.

In Part One of “AI Can’t Replace This: The Leadership Advantage That’s More Human Than Ever,” host Chris Comeaux sits down with Dr. Hollingsworth, founder and CEO of Hollingsworth Consulting and author of The Compassion Advantage: How Top Leaders Build More Humanizing Workplaces. Together, they explore what effective leadership looks like in a world increasingly shaped by artificial intelligence. 

Andrea introduces the powerful concept of “compassionate agility”—leading with genuine care and connection while still having the courage to make difficult decisions, navigate uncertainty, and drive organizational excellence. She also shares a principle every healthcare leader needs to hear: “Care, don’t carry.” Leaders can support their teams through stress, grief, and change without carrying the emotional weight themselves. 

You’ll also hear an insightful discussion about therapeutic leadership coaching, vulnerability, emotional resilience, and the potential impact of AI on human identity. Rather than asking only what AI can do for us, Andrea challenges leaders to consider a deeper question: Is technology strengthening our capacity to think, create, connect, and solve problems—or slowly replacing the very experiences that help us grow? 


In This Episode, You’ll Discover:

  • Why compassion could become an even greater leadership advantage in the AI era
  • What compassionate agility looks like in practice
  • Why leaders need to “care, don’t carry”
  • How vulnerability can strengthen leadership and organizational culture
  • Why personal healing and self-awareness influence how we lead others
  • How to use AI to enhance human connection rather than replace it
  • Why struggle, friction, and problem-solving remain essential to human growth


AI can make us more efficient. The bigger leadership question is whether we’ll use it to become more human.


▶️ Watch Part One now, and subscribe so you don’t miss Part Two.


Podcast Guest:
Andrea Hollingsworth, Founder and CEO of Hollingsworth Consulting and author of The Compassion Advantage: How Top Leaders Build More Humanizing Workplaces 


Our Host:
Chris Comeaux, President / CEO of TELEIOS, author of The Anatomy of Leadership

Teleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast

The Critical Competencies Hospice Leaders Must Build for Value-Based Care Success | Part Two18 Sep 202600:31:26

Hospice is changing—and the leaders who prepare now will be positioned to shape what comes next.

In Part Two of The Critical Competencies Hospice Leaders Must Build for Value-Based Care Success, host Chris Comeaux continues his conversation with Dr. Jessica Hubbs about what hospice and palliative care organizations need to succeed as healthcare moves toward more integrated, value-based models.

What capabilities should hospice organizations build internally—and when should they partner? Dr. Hubbs explores the growing convergence of home-based primary care, palliative care, and hospice, and why a more seamless continuum could give seriously ill patients access to the right services based on need rather than simply a point in time.  

The conversation also examines complex care management, Medicare Advantage, dementia and length-of-stay challenges, and how hospice can expand upstream without losing what makes the hospice model so valuable. For leaders preparing their organizations for the next 12–24 months, Dr. Hubbs identifies three essential investments: clinical infrastructure, data, and strategic partnerships.  

Highlights — What You’ll Learn

  • Preparing hospice for value-based care
  • Building the right strategic partnerships
  • Integrating primary, palliative, and hospice care
  • Better serving complex and high-need patients
  • Expanding care upstream without losing hospice’s mission
  • Using data to improve care and outcomes
  • Investing in clinical capabilities, data, and partnerships
  • Keeping patients at the center of change


Above all, this episode brings the conversation back to the mission: doing right by the patient. In a healthcare environment filled with reimbursement pressure, regulatory change, and uncertainty, patient-centered leadership can remain the compass for innovation and better serious illness care. 

In this episode discover the competencies hospice leaders should be building today to prepare for the future of value-based care.

Subscribe to TCNtalks and Anatomy of Leadership for conversations designed to help healthcare and hospice leaders learn, grow, and lead with greater impact.


Guest:  Dr. Jessica Hubbs, Internist and the Chief Clinical Officer at Advanced Care Innovations 

Host: Chris Comeaux, President / CEO of TELEIOS, author of The Anatomy of Leadership


Teleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast

The Critical Competencies Hospice Leaders Must Build for Value-Based Care Success | Part One16 Sep 202600:31:51

The future of hospice is being rewritten—and the organizations that prepare now may be the ones best positioned to serve patients in a value-based world.

Healthcare is rapidly moving beyond traditional fee-for-service toward models focused on outcomes, total cost of care, and coordinated care delivery.  In Part One of The Critical Competencies Hospice Leaders Must Build for Value-Based Care Success, host Chris Comeaux sits down with Dr. Jessica Hubbs, Internist and Chief Clinical Officer at Advanced Care Innovations, to explore what this transformation means for hospice and palliative care leaders. 

Dr. Hubbs examines emerging models such as LEAD (Long-term Enhanced ACO Design) and why moving care further upstream could create both disruption and significant opportunity for hospice organizations.  The conversation explores how hospice's strengths in advanced care planning, complex conversations, patient goals and values, and interdisciplinary care could become increasingly valuable across the broader serious illness continuum. 

But succeeding in this new environment will require new capabilities.  Chris and Dr. Hubbs discuss the importance of end-to-end clinical care, complex primary care, care coordination, financial-risk readiness, and collaborative partnerships with ACOs and other risk-bearing organizations—and why the future may be less about competing for the patient and more about building integrated models around them. 


Episode Highlights

  • Why hospice leaders need to understand the shift to value-based care
  • What the LEAD model could mean for serious illness care
  • The opportunity to bring hospice expertise further upstream
  • Critical clinical capabilities hospice organizations need to develop
  • Combining hospice and palliative expertise with home-based primary care
  • What ACOs and risk-bearing organizations want from hospice partners


Guest:  Dr. Jessica Hubbs, Internist and the Chief Clinical Officer at Advanced Care Innovations 

Host: Chris Comeaux, President / CEO of TELEIOS, author of The Anatomy of Leadership

Teleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast

Your Culture Isn't What You Say—It's What You Tolerate | Part Two11 Sep 202600:22:42

Your culture isn’t defined by what your organization says it values—it’s revealed by the behaviors it allows, rewards, and repeats.

In Part Two of Your Culture Isn't What You Say—It's What You Tolerate, host Chris Comeaux continues his conversation with author and leadership expert Tom Foster about what it takes to intentionally build a strong organizational culture.

Tom challenges leaders to look beyond KPIs and productivity metrics and examine whether the behaviors being measured actually support the organization’s mission and purpose. Using examples from healthcare and home health, they explore how well-intentioned performance measures can sometimes work against the outcomes leaders truly want. 

Chris and Tom also discuss practical ways to evaluate culture—including examining behaviors, organizational systems, customs and rituals, and actually going to see the work firsthand. The conversation explores the relationship between leadership, workplace culture, strategy, employee development, organizational behavior, and performance—and why culture and strategy continuously shape one another. 


One leadership principle captures the heart of the episode:

“Reality always wins. The biggest challenge for the leader is simply to get in touch with it.” — Tom Foster


If you're a healthcare leader, hospice professional, nonprofit executive, or business leader, this episode will challenge you to look beyond the culture you intend to create and examine the culture your organization is actually producing.


Featuring: Tom Foster, President of Foster Learning Corporation and author of Premeditated Culture: The Consequences of What We Tolerate,

Host: Chris Comeaux, President / CEO of TELEIOS, author of The Anatomy of Leadership


Topics: Organizational Culture | Healthcare Leadership | Hospice Leadership | Accountability | Leadership Development | Workplace Culture | Organizational Behavior | Purpose-Driven Leadership | Culture Change


Subscribe to TCNtalks and Anatomy of Leadership for more conversations on leadership, healthcare, organizational culture, and building high-performing teams.


Teleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast

Your Culture Isn't What You Say—It's What You Tolerate | Part One09 Sep 202600:35:03

Your culture isn’t what your organization says it values—it’s what your leaders are willing to tolerate.

In Part One of Your Culture Isn't What You Say—It's What You Tolerate, host Chris Comeaux sits down with Tom Foster, President of Foster Learning Corporation and author of Premeditated Culture: The Consequences of What We Tolerate, to explore how leaders intentionally—or unintentionally—shape organizational culture.

Tom challenges leaders to look beyond mission statements, values on the wall, and aspirational language. Instead, he introduces the Culture Cycle and explains why leaders should start by defining the behaviors they want, then examine what happens when those behaviors collide with the consequences of reality. Because ultimately, the behaviors leaders reinforce, ignore, or allow to continue become the organization's real culture. 

Chris and Tom also explore why culture often deteriorates through seemingly small lapses in accountability and how pressures facing healthcare and hospice leaders—including workforce shortages, regulation, compliance, productivity demands, reimbursement pressures, and rapid change—can expose the difference between an organization’s stated values and its actual behaviors. 


In This Episode:

  • Why culture lives in what leaders tolerate
  • The difference between accidental and intentional culture
  • Tom Foster’s Culture Cycle
  • Why leaders should define behaviors before beliefs
  • How accountability—or the lack of it—shapes workplace culture
  • Why consultants should clarify before they fix
  • How small leadership omissions can slowly erode culture
  • How healthcare pressures test organizational values
  • What hospice leaders can learn about connecting behaviors with purpose


The question for every leader: Are the behaviors happening inside your organization consistent with the culture you say you want?


▶️ Listen to Part One now, and subscribe so you don’t miss Part Two of this important leadership conversation.

Featuring: Tom Foster, President of Foster Learning Corporation and author of Premeditated Culture: The Consequences of What We Tolerate,

Host: Chris Comeaux, President / CEO of TELEIOS, author of The Anatomy of Leadership


Topics: Organizational Culture | Healthcare Leadership | Hospice Leadership | Accountability | Leadership Development | Workplace Culture | Organizational Behavior | Purpose-Driven Leadership | Culture Change

Teleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast

The Hospice Moratorium: What CMS Is Really Signaling About the Future | Part Two04 Sep 202600:29:27

The hospice moratorium may eventually end—but CMS scrutiny of hospice is likely here to stay.

In Part Two of The Hospice Moratorium: What CMS Is Really Signaling About the Future, Chris Comeaux and Cordt Kassner continue their conversation with Dr. Jennifer Kennedy, Vice President for Quality, Standards and Compliance at CHAP, about what hospice leaders should expect when the moratorium is lifted—and how organizations should prepare now.

The conversation explores increased CMS enrollment scrutiny, changes of ownership, audits, SSVI, compliance programs, and the growing role of data and AI in identifying fraud and abuse.  Jennifer emphasizes that quality and compliance must work hand-in-hand and that hospices should begin treating audits and regulatory readiness as part of the cost of doing business. 

But greater regulation raises an important question: Can CMS become precise enough to eliminate bad actors without penalizing high-quality providers? The discussion examines how better data and AI could help regulators target fraud more effectively while protecting access, innovation, and legitimate hospice organizations. 

Most importantly, Jennifer reminds leaders that compliance cannot overshadow the mission.  Even in a more regulated future, hospice must remain centered on compassionate, patient-centered care and what matters most to the patient. 


In this episode:

  • What could happen when the hospice moratorium ends
  • Why CMS scrutiny is likely to increase
  • Building a culture of compliance and quality
  • Why hospices should budget for more audits
  • SSVI and the future of hospice oversight
  • Using AI and data to better identify fraud and abuse
  • Protecting legitimate providers from regulatory overreach
  • Keeping compassion at the center of hospice care


🎧 Subscribe to TCNtalks | Anatomy of Leadership for conversations helping healthcare and hospice leaders navigate what’s next.


Guest: Dr. Jennifer Kennedy, Vice President, Quality, Compliance and Standards with CHAP

Co-Host: Cordt Kassner, PHD, Publisher, Hospice & Palliative Care Today

Host: Chris Comeaux, President / CEO of Teleios, author of The Anatomy of Leadership


Teleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast

The Hospice Moratorium: What CMS Is Really Signaling About the Future | Part One02 Sep 202600:31:08

The hospice moratorium may be temporary—but the changes it signals for hospice oversight could be permanent.

In Part One of The Hospice Moratorium: What CMS Is Really Signaling About the Future, Chris Comeaux and Cordt Kassner, PhD, are joined by Dr. Jennifer Kennedy, Vice President for Quality, Standards and Compliance at CHAP, to unpack why CMS implemented the hospice moratorium and what it could mean for the future of the Medicare hospice benefit.

The conversation explores the growing federal focus on fraud and abuse, rapid hospice market expansion, Medicare enrollment, accreditation oversight, and increasingly sophisticated screening of providers.  Jennifer also explains why she believes the moratorium could be extended—and why CMS scrutiny is unlikely to disappear when the moratorium eventually ends. 

But there’s another side to the crackdown: legitimate hospice providers can get caught in the same regulatory net designed to stop bad actors.  What happens when high-quality organizations want to expand into rural or underserved communities but can’t? And can CMS become precise enough to protect access while aggressively pursuing fraud? 


In this episode:

  • What the CMS hospice moratorium actually means
  • Why fraud and rapid market expansion triggered increased scrutiny
  • Whether the moratorium could be extended
  • The role of accreditation and enrollment screening
  • How legitimate hospice providers may be unintentionally affected
  • Why quality and compliance will define the next era of hospice oversight 


Guest: Dr. Jennifer Kennedy,

Co-Host: Cordt Kassner, PHD, Publisher, Hospice & Palliative Care Today

Host: Chris Comeaux, President / CEO of Teleios, author of The Anatomy of Leadership

Teleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast

Part Two | From Zombies to Zealots: Cultivating Passion and Purpose in Healthcare Leadership28 Aug 202600:32:28

What if the frustration, anger, and resistance showing up in your organization aren't signs of disengagement—but signals that your people still deeply care?


In Part Two of From Zombies to Zealots: Cultivating Passion and Purpose in Healthcare Leadership, host Chris Comeaux continues his thought-provoking conversation with DJ Mitsch, author, master coach, and founder of the Healthcare Coaching Institute, and Tasha Walsh, CEO and Executive Director of ConnectionsPlus Healthcare + Hospice.


Healthcare and hospice professionals often enter the field because they feel called to the work.  But regulations, audits, documentation requirements, productivity pressures, and constant organizational change can gradually disconnect people from that deeper sense of purpose.  DJ challenges leaders to recognize what happens when meaningful, purpose-driven work becomes dominated by the language of compliance rather than creation. 


Using the real-world example of hospice audits and documentation pressure, the conversation explores how fear of financial clawbacks and increased scrutiny can ripple through an organization and contribute to caregiver burnout. Rather than ignoring those emotions, DJ and Tasha encourage leaders to acknowledge them—and use anger, fear, frustration, and even pushback as valuable information.


As DJ explains, anger can become fuel for change.  Tasha takes that idea further: what lies beneath someone's frustration may be a deep commitment to patients, coworkers, or the mission.  Effective leaders learn to uncover that meaning, transform emotional energy into courage, and create space for difficult but necessary conversations. 


In This Episode, You'll Discover:

  • Why purpose-driven healthcare professionals can become disconnected from their calling
  • How leaders can shift the organizational conversation from compliance to creation
  • Why anger, fear, frustration, and resistance shouldn't automatically be labeled “negative”
  • How to use emotion as information—and transform it into constructive action
  • Why taking a breath and really listening can change the direction of a difficult interaction
  • How leaders can create cultures where people feel safe bringing their authentic selves to work
  • Why organizational culture is shaped by what leaders repeatedly tolerate, encourage, and create
  • How healthcare leaders can become change agents rather than passive participants in a dysfunctional system


One of the most powerful ideas from the conversation is that naming what people are experiencing can reduce its hold over them.  By giving language to fear, anger, and frustration, leaders can help their teams redirect that energy toward something more productive.


And ultimately, the goal isn't simply to build a more “resilient” workforce.


It's to create an environment where people are excited to come to life fully every day.


What is the culture you're creating helping your people become—zombies or zealots?


Guest:

Tasha Walsh, LCSW, PCC CEO/ED of Connections Plus Healthcare + Hospice 


Darelyn DJ Mitsch, Author, Master Coach, and Chief Energy Officer, The Pyramid Resource Group, Home of the Healthcare Coaching Institute and Team Advantage Team Coaching 

Host:

Chris Comeaux, President / CEO of TELEIOS, author of The Anatomy of Leadership


If this conversation resonates with you, like, subscribe, and share this episode with another healthcare, hospice, or business leader who is working to create a more engaged, purpose-driven culture.

Teleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast

From Zombies to Zealots: Cultivating Passion and Purpose in Healthcare Leadership | Part One26 Aug 202600:33:17

What turns a passionate healthcare professional into a “zombie” at work—and what can leaders do to help reignite that sense of purpose?


In Part One of From Zombies to Zealots: Cultivating Passion and Purpose in Healthcare Leadership, host Chris Comeaux is joined by DJ Mitsch, author, master coach, and founder of the Healthcare Coaching Institute, and Tasha Walsh, CEO and Executive Director of ConnectionsPlus Healthcare + Hospice, for a thought-provoking conversation about burnout, workplace culture, leadership energy, and reconnecting healthcare professionals to their calling.


Healthcare professionals often enter the field with a deep sense of mission. But regulatory pressure, productivity expectations, audits, quality metrics, and constant organizational change can gradually disconnect people from the heart of why they chose this work. As DJ explains, when organizations focus primarily on mandates, productivity, and profitability rather than the human beings doing the work, healthcare can become transactional rather than transformational. 


DJ and Tasha explore why language is one of the most powerful indicators of organizational culture. Leaders can learn a great deal by listening not only to what employees say, but also to the emotional currents beneath words such as “pushback,” resistance, and disengagement. The goal isn't simply greater compliance—it's creating language and leadership practices that empower, clarify, and reconnect people to purpose. 


In This Episode, You'll Discover:

  • Why passionate healthcare professionals can gradually become “zombified”
  • How productivity and compliance can overshadow purpose
  • Why leaders should pay close attention to the language of their organization
  • The difference between a workplace “zombie” and a purpose-driven “zealot”
  • How leadership energy influences employees—and ultimately patient care
  • Why connection and belonging are essential to sustaining passion
  • How leaders can help employees reconnect with the mission that brought them into healthcare
  • Why changing workplace culture begins with how leaders listen, communicate, and show up


A “zealot,” as DJ describes it, is someone who stays connected to purpose even when organizations change, leaders leave, or circumstances become chaotic. They remember that they belong to something bigger than themselves. 


For hospice leaders, healthcare executives, nonprofit leaders, and anyone responsible for organizational culture, this conversation offers a different way of thinking about burnout and workforce engagement: perhaps the answer isn't another program or initiative, but helping people rediscover the meaning, connection, and purpose already embedded in the work.


Subscribe and don't miss Part Two of this conversation, as Chris, DJ, and Tasha continue exploring how leaders can transform healthcare cultures from burnout and disengagement toward greater passion, connection, and purpose.

Guest:

Tasha Walsh, LCSW, PCC CEO/ED of Connections Plus Healthcare + Hospice 

Darelyn DJ Mitsch, Author, Master Coach, and Chief Energy Officer, The Pyramid Resource Group, Home of the Healthcare Coaching Institute and Team Advantage Team Coaching 

Host:

Chris Comeaux, President / CEO of TELEIOS, author of The Anatomy of Leadership

Teleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast

Part Two | Hospice Wage Index, the Final Rule, and the Signals CMS Is Sending - FY 202721 Aug 202600:30:00

What is CMS really signaling about the future of hospice?

In Part Two, Chris Comeaux continues his conversation with hospice experts Annette Kiser and Judi Lund Person about the Hospice Wage Index, the Final Rule, and what leaders should be preparing for now.

They explore the larger shift toward increased CMS oversight, data-driven accountability, stronger documentation, scrutiny of non-hospice spending, and greater expectations around quality and value. From SSVI and PEPPER data to the mandatory hospice addendum, claims, and cost reports, the message is clear: hospice organizations need to understand their data and trends before CMS does.

The conversation also looks ahead to the future of the Medicare Hospice Benefit, including potential payment reform, outcomes-based accountability, and the growing importance of accurate, auditable cost reports.

Most importantly, Annette and Judi challenge leaders to look beyond compliance and keep patients and families at the center—using data not simply to satisfy regulators, but to identify gaps, improve care, and build stronger organizations for the future.


If you lead a hospice or work in compliance, quality, operations, or finance, this is a conversation you don't want to miss.


▶️ Watch Part Two and share it with your leadership team.


🔔 Subscribe to TCNtalks and Anatomy of Leadership for more conversations exploring hospice, healthcare leadership, innovation, regulation, and the future of serious illness care.


Guests:
Annette Kiser — Chief Compliance Officer, Teleios Collaborative Network
Judi Lund Person — Principal, Lund Person & Associates

Host:
Chris Comeaux — President/CEO of Teleios and author of The Anatomy of Leadership


Teleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast

Hospice Wage Index, the Final Rule, and the Signals CMS Is Sending | Part One19 Aug 202600:30:44

What is CMS really signaling through the 2027 Hospice Wage Index and Final Rule—and what should hospice leaders be doing now?

In Part One, host Chris Comeaux is joined by hospice regulatory experts Annette Kiser and Judi Lund Person to unpack the 2027 Hospice Wage Index and Final Rule and look beyond reimbursement to what CMS may be signaling about the future of hospice regulation, compliance, payment, and oversight.

They explore the Hospice Election Statement Addendum, the Service and Spending Variation Index (SSVI), non-hospice Medicare spending, Part B claims, telehealth reporting, and why leaders should be examining their data through a quality and compliance lens.

In this episode:

  • What the 2027 Hospice Final Rule reveals about CMS priorities
  • Preparing for the October 1, 2026 Election Statement Addendum
  • Understanding SSVI and non-hospice spending
  • Why CMS is increasing scrutiny of unrelated services
  • Telehealth, G-code reporting, and eligibility
  • Using SSVI and PEPPER data to identify trends and opportunities

CMS reported that Medicare Part A and B non-hospice spending increased 160% from 2020 to 2024, exceeding $2 billion in 2024, with hospice patients responsible for approximately $510 million in cost sharing—a major reason this issue is receiving increased attention. fileciteturn0file0L130-L148

The Final Rule tells you what CMS is doing. The details may tell you what CMS is preparing to do next.

▶️ Listen to Part One, share it with your hospice leadership team, and subscribe so you don’t miss Part Two.

Guests:
Annette Kiser — Chief Compliance Officer, Teleios Collaborative Network
Judi Lund Person — Principal, Lund Person & Associates

Host:
Chris Comeaux — President/CEO of Teleios and author of The Anatomy of Leadership

Teleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast

Part Two | The Healthcare Partnership Nobody Is Talking About: Hospice + FQHCs14 Aug 202600:29:36

What if one of the most powerful partnerships in serious illness care is one healthcare leaders have largely overlooked?

In Part Two of The Healthcare Partnership Nobody Is Talking About: Hospice + FQHCs, Chris Comeaux continues his conversation with Kyle Ahlenstorf about the opportunity for hospice and palliative care organizations to partner with Federally Qualified Health Centers (FQHCs) to create a stronger continuum of care.

FQHCs bring primary and preventive care, behavioral health, care coordination, community health workers, telehealth capabilities, and deep connections within their communities.  Hospice and palliative care organizations bring expertise in serious illness and the ability to extend specialized care directly into the home. Chris and Kyle explore what could become possible when these strengths are intentionally connected. 


In this episode, you'll hear about:

  • How hospice, palliative care, and FQHCs can collaborate beyond traditional referral relationships
  • Opportunities to extend palliative and serious illness care into the home
  • The role of care coordinators, referral specialists, and community health workers
  • How FQHCs integrate behavioral health, substance use disorder services, and telehealth
  • What hospice leaders should understand about FQHC operations, federal funding, and the 340B Drug Pricing Program
  • The importance of EMR data sharing, quality reporting, and value-based care
  • How FQHCs participate in ACOs and shared-savings models
  • Potential opportunities involving rural healthcare transformation grants and service co-location
  • Why these partnerships could become increasingly important to the future of community-based healthcare


Kyle's message to hospice and palliative care leaders is simple: “Think of us as partners.”  Stronger community connections can help organizations better coordinate resources and serve patients across the continuum. 

If you're a hospice leader, palliative care professional, FQHC executive, healthcare executive, nonprofit leader, or anyone working in value-based and community-based care, this conversation offers a different way to think about partnership, access, and healthcare innovation.


👍 Like this episode
💬 Share your thoughts in the comments
🔔 Subscribe to TCNtalks and Anatomy of Leadership for more conversations designed to challenge healthcare leaders, spark innovation, and inspire better leadership.


Episode Topics: Hospice care, palliative care, Federally Qualified Health Centers, FQHCs, serious illness care, community health centers, healthcare partnerships, value-based care, behavioral health, 340B Drug Pricing Program, ACOs, rural healthcare, community health workers, care coordination, telehealth, preventive care, population health, healthcare leadership

Guest:
Kyle Ahlenstorf, CEO of Infinity Health

Host:
Chris Comeaux, President / CEO of TELEIOS, author of The Anatomy of Leadership

Teleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast

The Healthcare Partnership Nobody Is Talking About: Hospice + FQHCs | Part One12 Aug 202600:29:45

What if one of the biggest untapped opportunities for hospice growth, access, and community impact is a partnership most healthcare leaders aren’t even considering?

In Part One of The Healthcare Partnership Nobody Is Talking About: Hospice + FQHCs, Chris Comeaux sits down with Kyle Ahlenstorf, CEO of Infinity Health, to explore the powerful potential of partnerships between hospice and palliative care organizations and Federally Qualified Health Centers (FQHCs).

FQHCs are built around access, equity, and serving communities where barriers to healthcare are often greatest.  Kyle explains how these community health centers work, how they’re reimbursed, the populations they serve, and why their mission has so much in common with hospice and palliative care. 

The conversation also explores integrated medical, dental, behavioral health, and pharmacy services—and how FQHCs can function as an important hub for coordinated, patient-centered care. 

For hospice leaders, the opportunity goes far beyond generating another referral. Kyle and Chris discuss how trusted relationships, provider education, care coordination, and warm handoffs can create a stronger continuum of care for people facing serious illness.  Kyle also offers a highly practical starting point: find out who manages referrals at your local FQHC and begin building the relationship there. 

In this episode, you’ll discover:

  • What an FQHC is and why it matters to the healthcare safety net
  • Why hospice and FQHC missions may be more closely aligned than leaders realize
  • How FQHC reimbursement and payer mix work
  • How FQHCs integrate medical, dental, behavioral health, and pharmacy services
  • Why care coordination and warm handoffs matter for serious illness
  • Common misconceptions hospice leaders may have about FQHC patients
  • How hospice organizations can begin building relationships with local FQHCs
  • Why behavioral health may represent another major area for collaboration


If you lead a hospice, palliative care organization, FQHC, community health center, nonprofit, or rural healthcare organization, this is a conversation worth bringing back to your leadership team.

👉 Your next step: Find the FQHCs serving your community.  Identify their referral or care coordination leader. Start a conversation about where your missions—and your patients—intersect.

Subscribe and turn on notifications so you don’t miss Part Two of this important conversation.

Guest:
Kyle Ahlenstorf, CEO of Infinity Health

Host:
Chris Comeaux, President / CEO of TELEIOS, author of The Anatomy of Leadership


Teleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast

Part Two | Embracing the Four M's—A Path to Person-Centered, Reliable Hospice and Palliative Care07 Aug 202600:26:13

What if the biggest breakthrough in hospice care isn't a new technology—but a better way of focusing on what matters most?

In Part Two of this special conversation, host Chris Comeaux continues his discussion with Kelly McCutcheon Adams and Margherita Labson about how the Four M's Framework—What Matters, Medication, Mentation, and Mobility—is transforming hospice and palliative care into a more reliable, person-centered model. 

Together, they explore why exceptional hospice care goes far beyond symptom management to preserve dignity, independence, emotional well-being, and meaningful moments for patients and families. 

The conversation dives into practical questions every hospice leader and clinician should be asking:

How can we better address delirium, depression, and cognition at the end of life?

Why should mobility be viewed as preserving independence instead of simply preventing falls?

Is it time to add a fifth "M" to the framework?

What would healthcare look like if every decision truly began with what matters most?

Kelly and Margherita also paint a compelling vision for the future of hospice—one where earlier conversations, better continuity of care, and reliable systems lead to fewer late hospice admissions, better patient experiences, and stronger healthcare organizations. 

Their message to leaders is both practical and inspiring: hospice is not something to apologize for—it's one of healthcare's greatest expressions of compassion. 

Whether you're a hospice executive, palliative care professional, healthcare leader, clinician, nonprofit executive, or someone passionate about improving the patient experience, this episode offers actionable insights that can reshape the way you think about quality care.

In This Episode:

✅ Why Mentation deserves greater attention in hospice care
✅ Looking beyond fall prevention to meaningful Mobility
✅ The debate over adding a Fifth M to Age-Friendly Care
✅ Why earlier hospice conversations improve patient outcomes
✅ Practical leadership advice for creating reliable, person-centered care systems
✅ Resources available through the Institute for Healthcare Improvement (IHI)


Guest: 

Kelly McCutcheon Adams, Senior Director at the Institute for Healthcare Improvement (IHI)

Margherita Labson, President and CEO, MCLabson Consultation and Education Services

Host:

Chris Comeaux, President / CEO of TELEIOS, author of The Anatomy of Leadership


Learn More


➡️ Institute for Healthcare Improvement (IHI): https://www.ihi.org
➡️ Learn more about Teleios Collaborative Network: https://www.teleioscn.org

🎙️ Subscribe to TCNtalks / Anatomy of Leadership for conversations with healthcare innovators, nonprofit leaders, and industry experts who are shaping the future of leadership and care.

👍 If you found this episode valuable—Like this video
Share it with your colleagues—Leave a comment: How can healthcare better focus on what matters most?

Teleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast

Embracing the Four M's—A Path to Person-Centered, Reliable Hospice and Palliative Care | Part One05 Aug 202600:35:36

How can hospice and palliative care become more person-centered while also becoming more reliable?

In Part One of this Anatomy of Leadership conversation, host Chris Comeaux sits down with Kelly McCutcheon Adams, Senior Director at the Institute for Healthcare Improvement (IHI), and Margherita Labson, President and CEO of McLabson Consultation & Education Services, to explore the groundbreaking 4 M's Framework and its growing impact on hospice and palliative care. 


Originally developed through the Age-Friendly Health Systems Initiative, the 4 M's—What Matters, Medication, Mentation, and Mobility—provide a practical, evidence-based framework for helping healthcare teams consistently deliver individualized care that aligns with each patient's goals while improving reliability across the care continuum. 


During this conversation, you'll discover:

  • Why the 4 M's are a framework—not another quality measure
  • How "What Matters" transforms goal-concordant hospice care
  • Why reliability and individualized care are not mutually exclusive
  • How medication decisions should be guided by patient goals—not habits
  • What hospice leaders can learn from the science of quality improvement


Whether you're a hospice executive, palliative care clinician, healthcare leader, or quality improvement professional, this episode offers practical insights for building care systems that are both compassionate and consistently excellent. 


Don't miss Part Two, where we continue the discussion by exploring the remaining 4Ms and practical strategies for implementing this framework within hospice organizations.


Chapters

00:00 Introduction
00:22 Meet Kelly McCutcheon Adams & Margherita Labson
04:14 What is the 4Ms Framework?
06:58 How IHI is Bringing the 4Ms to Hospice Care
09:43 The Mission of the Institute for Healthcare Improvement (IHI)
11:46 Why the 4Ms Work Across Every Care Setting
15:17 Framework vs. Traditional Quality Measures
17:24 What "What Matters" Really Means in Hospice
21:08 Reliable Systems for Individualized Care
26:57 Medication Decisions Guided by Patient Goals
32:12 Hospice, Opioids, and Changing the Conversation
34:37 Coming Up in Part Two


🎙️ Learn more about TCNtalks /Anatomy of Leadership and by subscribing and following Teleios Collaborative Network (www.teleioscn.org) for more conversations on leadership, hospice, healthcare innovation, and purpose-driven organizations.

Teleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast

Part 2 - Why Traditional Primary Care Fails Frail Elders and the Future Need for Specialized Models31 Jul 202600:24:59

Can hospice organizations remain relevant if they only engage patients during the final months of life?

In Part Two of this thought-provoking conversation, host Chris Comeaux continues his discussion with Dr. Bethany Snider, exploring why traditional primary care often falls short for frail elders and why nonprofit healthcare organizations must rethink the future of serious illness care.

Dr. Snider explains how frail elder practices, value-based care, advanced primary care, palliative care, and hospice can work together as one seamless continuum to improve patient outcomes, reduce unnecessary hospitalizations, and help older adults age safely in place. She also shares practical insights on reimbursement strategies, accountable care, leadership, emotional intelligence, organizational innovation, and building sustainable care models that preserve the hospice mission for decades to come.

Whether you lead a hospice organization, health system, nonprofit, accountable care organization, or healthcare practice, this episode provides actionable leadership insights on preparing for the next generation of healthcare delivery.

Episode Highlights

- Why traditional primary care often fails frail elders
- The business case for upstream serious illness care
- Building sustainable value-based care models
- Measuring outcomes beyond traditional healthcare metrics
- The future of integrated primary care, palliative care, and hospice
- Leadership lessons on innovation, emotional intelligence, and failing fast
- Why partnerships will shape the future of nonprofit healthcare

Guest:

Dr. Bethany Snider, CMO of Everent Health

Host:

Chris Comeaux, President / CEO of TELEIOS, author of The Anatomy of Leadership

Teleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast

Why Traditional Primary Care Fails Frail Elders and the Future Need for Specialized Models | Part One29 Jul 202600:31:57

Is traditional primary care failing America's frail elders? As our aging population grows, healthcare leaders face an urgent challenge: today's healthcare system was never designed to meet the complex, long-term needs of frail older adults.

In Part One of this compelling conversation, Chris Comeaux welcomes Dr. Bethany Snider, Chief Medical Officer of Everent Health, to explore why the future of healthcare requires a new model of care. 

Together, they examine the emerging concept of the frail elder practice—an interdisciplinary, relationship-centered approach that goes far beyond traditional primary care by integrating home-based care, caregiver support, palliative care principles, and longitudinal care management.

Dr. Snider explains why traditional primary care, built around brief office visits and volume-driven reimbursement, is increasingly inadequate for patients living with serious illness, multiple chronic conditions, functional decline, and caregiver challenges. 

She also discusses why hospice organizations must begin moving upstream as value-based healthcare, accountable care organizations (ACOs), and population health models reshape access to patients and redefine the future of serious illness care.

Whether you lead a health system, hospice, physician practice, nonprofit, or healthcare organization, this episode offers strategic insights into where healthcare is headed—and why organizations that adapt early will be best positioned to improve patient outcomes while advancing their mission.

In this episode, you'll learn:

•Why traditional primary care often falls short for frail elders
•What defines a successful frail elder practice model
•How interdisciplinary, home-based care improves quality of life
•Why hospice leaders must rethink their role in value-based healthcare
•How palliative care should be integrated throughout the patient journey
•What healthcare leaders should be doing today to prepare for tomorrow


🎧 Don't miss Part Two, where Dr. Snider shares how healthcare organizations can successfully build, scale, and sustain frail elder practice models.


About TCNtalks / Anatomy of Leadership
TCNtalks and Anatomy of Leadership feature conversations with today's most respected healthcare executives, physicians, researchers, and business leaders exploring leadership, innovation, hospice, palliative care, serious illness care, nonprofit management, and the future of healthcare.

🔔 Subscribe for weekly conversations designed to help you lead with greater purpose, compassion, and impact.

Teleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast

Part Two | This Global Healthcare Lesson Could Change America24 Jul 202600:26:25

What can America learn from healthcare systems around the world?  In Part Two of this thought-provoking conversation, host Chris Comeaux continues his discussion with Dr. Mark Stoltenberg, a global palliative care physician and educator, exploring how lessons from countries across Africa, Latin America, Asia, and Europe could reshape the future of American healthcare, hospice, and serious illness care.

From community-based palliative care models in India, Uruguay, and Costa Rica to powerful stories from Rwanda, Kenya, Colombia, Brazil, and Jamaica, Dr. Stoltenberg reveals why the greatest healthcare innovations aren't always technological—they're deeply human.

Together, Chris and Mark discuss trust in healthcare, integrated serious illness care, hospice reform, healthcare leadership, population health strategies, and compassionate care, offering practical lessons every healthcare leader can apply.

The conversation also tackles some of the biggest questions facing the future of American healthcare:

  • Should hospice evolve beyond the traditional carve-out model?
  • Why is trust one of healthcare's most overlooked leadership challenges?
  • What can global partnerships teach us about serving patients with dignity?
  • How can nonprofit organizations and healthcare systems better collaborate to meet the needs of an aging population?


Whether you're a healthcare executive, hospice leader, physician, nurse, nonprofit executive, policymaker, or business leader, this episode offers a compelling vision for creating more compassionate, equitable, and patient-centered care.

Episode Highlights

  • Why global healthcare offers valuable lessons for the U.S.
  • Community-based palliative care models improving access and quality
  • The critical role of trust in patient care and leadership
  • Leadership lessons from international healthcare partnerships
  • The future of hospice, concurrent care, and serious illness care
  • Why responding to suffering is the true purpose of palliative care


If you enjoyed this conversation, subscribe for more interviews with healthcare innovators and leadership experts.  Like, comment, and share this episode with colleagues who are passionate about improving hospice, palliative care, healthcare leadership, and the future of serious illness care.

Teleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast

This Global Healthcare Lesson Could Change America | Part One22 Jul 202600:33:47

What can American healthcare learn from global healthcare?  In our latest episode, Dr. Mark Stoltenberg, Harvard Medical School professor and Massachusetts General Hospital physician, joins Chris Comeaux to explore global healthcare, palliative care, hospice leadership, healthcare innovation, and the future of serious illness care in America.


Healthcare leaders often assume innovation requires more money, more technology, or more specialists.  Dr. Stoltenberg argues the opposite, drawing from his work leading global palliative care programs throughout Latin America, the Caribbean, Africa, and other underserved regions.  He shares how resource-limited healthcare systems are pioneering solutions that can improve American healthcare, strengthen the healthcare workforce, and restore compassionate, person-centered care.


Together, Chris and Dr. Stoltenberg discuss workforce shortages, Project ECHO, community-based care, volunteerism, family-centered decision-making, healthcare leadership, and why hospice and palliative care must preserve their founding values while continuing to innovate.


Through moving patient stories—including a remarkable experience in Belize—they reveal why dignity, compassion, community, and purpose remain healthcare's greatest innovations.
If you're a healthcare executive, hospice leader, physician, nonprofit executive, nurse, or business leader, this episode offers practical strategies for improving leadership, building stronger organizations, and delivering more compassionate care.

In this episode you'll learn:

✔ What America can learn from global healthcare systems
✔ Why palliative care is rooted in social justice
✔ How healthcare workforce shortages can be addressed creatively
✔ Why Project ECHO is transforming healthcare education
✔ How community-based care improves patient outcomes
✔ Why family and spirituality remain essential to serious illness care
✔ How great organizations preserve their mission while scaling innovation


👍 If you enjoy conversations about healthcare leadership, hospice, palliative care, leadership development, healthcare innovation, and serious illness care, subscribe to TCNtalks / Anatomy of Leadership for weekly conversations with today's leading healthcare experts.


Guest:
Dr. Mark Stoltenberg
Attending Physician in the Division of Palliative Care and Geriatric Medicine at Massachusetts General Hospital and Assistant Professor at Harvard Medical School

Host:
Chris Comeaux
President / CEO of TELEIOS, author of The Anatomy of Leadership

Teleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast

Part 2 - Leadership Starts With Presence—The Art of Showing Up with David Sachsenmaier17 Jul 202600:22:27

What separates great leaders from those who simply manage people? It starts with presence.

In Part Two of Leadership Starts With Presence | The Art of Showing Up, host Chris Comeaux continues his conversation with executive leadership coach David Sachsenmaier to explore how leadership presence, emotional intelligence, psychological safety, and authentic leadership shape thriving organizations.

Leaders don't just influence strategy—they shape culture. David explains how unresolved personal patterns affect trust, communication, decision-making, and team performance, and offers practical insights for building healthier, high-performing organizations. Learn why vulnerability is a leadership strength, how to create a culture where people feel both safe and challenged, and why the most effective leaders lead from a place of self-awareness rather than reactivity.

Whether you lead a healthcare organization, hospice, nonprofit, or business, this conversation delivers practical leadership wisdom you can apply immediately to build stronger teams, healthier cultures, and more resilient organizations.

In this episode, you'll learn:

  • Why leaders transfer their inner world into organizational culture
  • How psychological safety improves performance without sacrificing accountability
  • Why vulnerability increases—not decreases—leadership credibility
  • The difference between executive coaching and therapy
  • How self-awareness creates calmer, more effective leadership
  • Why authentic leadership builds trust and engagement
  • How presence transforms organizational culture and team performance


If you enjoyed this conversation, subscribe to TCNtalks / Anatomy of Leadership for more conversations with today's leading thinkers in healthcare, leadership, and organizational excellence.


💬 Share your biggest leadership takeaway in the comments.

🔔 Subscribe so you never miss a new episode.

Highlights

✔ How your inner life becomes your organizational culture
✔ The hidden cost of reactive leadership
✔ Why vulnerability is one of a leader's greatest strengths
✔ Creating psychological safety without lowering expectations
✔ Coaching high performers versus therapy
✔ Leading from identity instead of performance
✔ David's powerful leadership blessing for work

Blog: https://www.teleioscn.org/tcntalkspodcast/part-2-leadership-starts-with-presence-the-art-of-showing-up-with-david-sachsenmaier

Guest: David Sachsenmaier, Corporate Executive Coach

Host: Chris Comeaux, President / CEO of TELEIOS, author of The Anatomy of Leadership

Teleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast

Leadership Starts With Presence—The Art of Showing Up with David Sachsenmaier | Part One15 Jul 202600:34:45

Great leaders don't just show up—they create the kind of presence that changes people.


What separates truly exceptional leaders from those who simply manage? In Part One of this thought-provoking conversation, Chris Comeaux sits down with executive coach David Sachsenmaier, whose 30 years of leadership experience and more than 4,000 hours of executive coaching have helped leaders uncover one of leadership's most overlooked truths: the quality of your leadership is shaped by the quality of your inner life. 


Together, they explore why presence, self-awareness, and emotional grounding are essential to building healthy teams, resilient organizations, and cultures where people thrive. 


David shares powerful insights on why many high-performing leaders unknowingly operate from a place of constant reactivity, how unresolved pain influences decision-making, and why treating people like machines ultimately destroys engagement and innovation.  Through memorable illustrations—including his "mason jar" metaphor—he explains why slowing down, becoming more self-aware, and leading from a place of wholeness creates organizations marked by trust, creativity, and lasting impact. 


The conversation also explores the unique challenges facing healthcare and hospice leaders who spend their lives caring for others while often neglecting themselves. Transcript- Leadership Starts W…

Whether you lead a healthcare organization, hospice, nonprofit, or business, this episode will challenge you to look beyond leadership techniques and consider the deeper work of becoming the kind of leader people genuinely want to follow.


Key Takeaways

  • Leadership begins with presence. The healthiest leaders create calm, clarity, and trust instead of spreading chaos and reactivity.
  • Self-awareness fuels better leadership. Understanding your own "limps," triggers, and unresolved pain enables you to lead others with greater empathy and wisdom.
  • People are not machines. Organizations thrive when leaders recognize the humanity of their teams and create psychologically safe cultures.
  • Wholeness precedes performance. Sustainable leadership comes from finding your identity and worth beyond titles, achievements, and external success.
  • Healthy leaders multiply healthy cultures. Grounded, emotionally present leadership is contagious, improving engagement, creativity, collaboration, and organizational resilience.

Guest: David Sachsenmaier, Corporate Executive Coach

Host: Chris Comeaux, President / CEO of TELEIOS, author of The Anatomy of Leadership

Teleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast

Part Two | What’s Broken in American Healthcare—and How to Fix It with Dr. Don Berwick10 Jul 202600:29:16

Why does the United States spend more on healthcare than any other nation—yet often achieve worse outcomes? 

In Part Two of this thought-provoking conversation, Dr. Don Berwick—former Administrator of the Centers for Medicare & Medicaid Services (CMS), internationally recognized healthcare quality expert, and founder of the Institute for Healthcare Improvement (IHI)—joins Chris Comeaux to explore the systemic challenges facing American healthcare and the leadership required to create meaningful reform.  

From the evolution of Medicare Advantage to the financial incentives shaping healthcare delivery, Dr. Berwick explains why administrative complexity, payment models, and profit-driven incentives continue to drive costs higher while often failing to improve patient outcomes. Together, they examine the future of healthcare policy, value-based care, healthcare leadership, healthcare reform, Medicare, health insurance, and the role employers may play in demanding a more sustainable healthcare system.  

The conversation also turns to one of healthcare’s greatest success stories—hospice and palliative care.  Dr. Berwick argues that compassionate, person-centered care isn’t simply a better way to care for people nearing the end of life; it provides a blueprint for improving healthcare across every stage of life.  The episode concludes with an inspiring challenge to healthcare leaders: speak up for what is right, lead with courage, and never lose sight of healthcare’s true mission—to heal, serve, and care for people.  

Whether you’re a healthcare executive, hospice leader, physician, nonprofit executive, health system administrator, board member, or business leader, this conversation offers strategic insights into the future of healthcare—and practical leadership lessons that extend far beyond medicine.

⸻

Episode Highlights

✔ Why Medicare Advantage has drifted from its original mission
✔ The hidden cost of healthcare bureaucracy and administrative waste
✔ The $80 billion debate surrounding Medicare Advantage payments
✔ Why employer-sponsored healthcare may be approaching a breaking point
✔ Lessons the U.S. can learn from healthcare systems around the world
✔ Why hospice and palliative care represent a model for all of healthcare
✔ The moral responsibility of healthcare leaders to speak with courage

⸻

If you enjoyed this conversation, please Like, Subscribe, and Share this episode with your leadership team, colleagues, board members, and friends.  Every conversation helps us build stronger leaders and healthier organizations.

🔔 Subscribe for weekly conversations on leadership, hospice, palliative care, healthcare innovation, nonprofit strategy, and the future of healthcare.

Guest: Dr. Don Berwick, Former Administrator of CMS

Host: Chris Comeaux, President / CEO of Teleios, author of The Anatomy of Leadership

Teleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast

What’s Broken in American Healthcare—and How to Fix It | Part One08 Jul 202600:32:37

Is American healthcare truly serving patients—or has the system lost sight of its purpose?

In this powerful episode of TCNtalks / Anatomy of Leadership, host Chris Comeaux welcomes Dr. Don Berwick, former Administrator of the Centers for Medicare & Medicaid Services (CMS), President Emeritus and co-founder of the Institute for Healthcare Improvement (IHI), and one of the world’s foremost experts in healthcare quality improvement.

Together, they explore what’s broken in American healthcare, why healthcare reform is urgently needed, and how leaders can build a system that delivers better patient outcomes, higher quality care, health equity, value-based care, and a more sustainable future for healthcare organizations.  They also discuss the evolution of the Triple Aim into today’s Quintuple Aim, the growing influence of private equity in healthcare, the impact of healthcare policy, and why restoring purpose—not simply profitability—must become the foundation of modern healthcare leadership.

Whether you’re a healthcare executive, hospice leader, hospital administrator, physician, nonprofit executive, or business leader, this conversation offers practical insights into improving healthcare while protecting the mission that first drew so many people into the profession.

In this episode you’ll learn:

✅ Why the Triple Aim evolved into the Quintuple Aim—and why it matters today

✅ How financial incentives can conflict with quality patient care

✅ Why clinician purpose and workforce well-being are essential to healthcare excellence

✅ The growing impact of private equity and financialization across healthcare

✅ What healthcare leaders can do to improve patient outcomes while reducing waste

✅ Dr. Berwick’s vision for meaningful healthcare reform

This conversation challenges conventional thinking and offers a hopeful vision for healthcare leaders who believe patients—not profits—should remain at the center of every decision.

Don’t miss Part Two, where Dr. Berwick outlines the structural changes he believes could fundamentally reshape American healthcare.

Subscribe for More Conversations

If you enjoy conversations about healthcare leadership, hospice, healthcare innovation, leadership development, healthcare policy, and the future of patient-centered care, subscribe to TCNtalks / Anatomy of Leadership for weekly conversations with the leaders shaping the future of healthcare.

Guest:
Dr. Don Berwick, Former Administrator of CMS

Host:
Chris Comeaux, President / CEO of TELEIOS, author of The Anatomy of Leadership

Teleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast

Part Two | AI, Hospice Fraud Crackdown & Medicare’s Future—The Biggest Healthcare Stories of 202603 Jul 202600:28:43

AI is transforming healthcare. Medicare policy is evolving. Regulatory scrutiny is intensifying. What do these changes mean for healthcare leaders, hospice executives, nonprofit organizations, and healthcare professionals?

In Part Two of this quarterly healthcare leadership update, Chris Comeaux and Cordt Kassner examine the biggest healthcare trends of 2026, exploring how artificial intelligence in healthcare, Medicare policy, healthcare affordability, hospice fraud enforcement, regulatory compliance, and healthcare innovation are reshaping hospice and the broader healthcare industry.

They discuss how AI is changing the healthcare workforce, why quality and transparency matter more than ever, and what healthcare executives should know about the future of hospice care, palliative care, and value-based healthcare.

Whether you lead a hospice organization, health system, nonprofit healthcare organization, or healthcare business, this episode provides practical leadership insights to help you navigate healthcare policy changes, prepare for emerging technology, understand the future of Medicare, and make strategic decisions in an increasingly complex healthcare environment.

If you’re interested in healthcare leadership, AI in hospice, healthcare management, Medicare reform, or the future of healthcare, this conversation will help you anticipate what’s next instead of simply reacting to today’s headlines.


Episode Highlights

✔ AI: Augmenting people vs. replacing jobs
✔ Medicare policy and healthcare affordability
✔ Hospice fraud enforcement & regulatory trends
✔ Industry consolidation & nonprofit outlook
✔ Leadership strategies for navigating change


🎧 Subscribe for weekly conversations on healthcare leadership, hospice innovation, and the future of care.

Co-Host:
Cordt Kassner, PhD, Publisher of Hospice & Palliative Care Today
VP Data Science & Research at 1520ai | CEO/Founder of Hospice Analytics


Host:
Chris Comeaux, President / CEO of TELEIOS, author of The Anatomy of Leadership

Teleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast

AI, Hospice Fraud Crackdown & Medicare’s Future—The Biggest Healthcare Stories of 202601 Jul 202600:34:35

AI is changing healthcare faster than ever.  Medicare is under increasing pressure.  Hospice fraud is driving unprecedented regulatory action. The question isn’t whether healthcare is changing—it’s whether leaders are prepared for what’s next.

In Part One of this quarterly TCNtalks / Anatomy of Leadership special, host Chris Comeaux welcomes healthcare strategist Cordt Kassner to break down the biggest healthcare stories shaping 2026.  Together, they examine the trends every healthcare executive, hospice leader, nonprofit executive, and business leader should be watching.

Using Dr. Ira Byock’s strategic framework as their guide, Chris and Cordt explore the rapidly evolving role of artificial intelligence (AI) in healthcare, the growing crackdown on hospice fraud and abuse, Medicare’s financial future, healthcare affordability, quality measurement, workforce transformation, and the continued consolidation of the hospice industry.

They also discuss how AI is likely to augment—not replace—healthcare professionals, why quality and transparency are becoming central competitive advantages, and what nonprofit organizations must do to thrive in an increasingly complex healthcare environment.

If you’re responsible for leading a healthcare organization, hospice, palliative care program, nonprofit, or mission-driven business, this episode offers practical leadership insights and strategic perspective to help you prepare for what’s ahead.

In this episode you’ll learn:
• Why AI will fundamentally change healthcare leadership
• How hospice fraud is reshaping federal oversight
• What Medicare’s future could mean for providers
• Why quality and transparency are becoming competitive advantages
• How healthcare leaders can prepare for unprecedented industry change
• What nonprofit healthcare organizations must do to remain relevant


Subscribe for weekly conversations with today’s top healthcare, nonprofit, and business leaders as we explore leadership, innovation, strategy, and the future of healthcare.

Co-Host:
Cordt Kassner, PhD, Publisher of Hospice & Palliative Care Today |
VP Data Science & Research at 1520ai | CEO/Founder of Hospice Analytics

Host: 
Chris Comeaux, President / CEO of TELEIOS | author of The Anatomy of Leadership



Teleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast

Part 2 | Why Generations Clash at Work—And How Great Leaders Fix It26 Jun 202600:29:47

Your greatest leadership challenge may not be staffing shortages or AI—it may be leading a multigenerational workforce with vastly different communication styles, expectations, and values. 

In Part 2 of Why Generations Clash at Work—And How Great Leaders Fix It, host Chris Comeaux welcomes nationally recognized generational leadership expert Karen McCullough for a practical conversation on multigenerational leadership, workplace culture, leadership communication, employee engagement, burnout prevention, organizational leadership, healthcare leadership, hospice leadership, nonprofit leadership, and the growing impact of artificial intelligence in the workplace.

Discover why Baby Boomers, Generation X, Millennials, and Generation Z often approach work differently—and how great leaders build trust, improve communication, strengthen workplace culture, and create high-performing teams without stereotyping employees.  Whether you lead a healthcare organization, hospice, nonprofit, or business, this episode offers actionable leadership strategies for managing generational differences while preserving authentic human connection in an increasingly digital world.

In this episode you’ll discover:

✔ Why generations often clash at work—and how leaders can bridge the gap
✔ How to build a stronger workplace culture through everyday leadership behaviors
✔ Why honest feedback creates trust and improves employee engagement
✔ How AI should enhance leadership—not replace human connection
✔ Practical ways to reduce burnout while strengthening collaboration across generations

Karen also shares why leaders must stop putting people into generational boxes and instead focus on understanding individuals, creating psychological safety, and fostering cultures built on empathy, accountability, and trust. 

You’ll also hear a thoughtful discussion about balancing technology with humanity, improving meetings, coaching younger employees, and creating workplaces where every generation can thrive together.

If you’re passionate about leadership development, workplace culture, organizational culture, emotional intelligence, healthcare management, nonprofit leadership, hospice care, employee retention, team collaboration, and the future of work, this conversation is for you.


👍 If you enjoyed this episode, please Like, Subscribe, and Share it with another leader committed to building stronger teams and healthier workplace cultures.


Guest:
Karen McCullough, Keynote Speaker - Generations and Workplace Trends 26 Years Speaking on and Observing the Generations in the Workplace 

Host:
Chris Comeaux, President / CEO of TELEIOS / Author of The Anatomy of Leadership


Teleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast

Why Generations Clash at Work—And How Great Leaders Fix It | Part One24 Jun 202600:28:41

Why do generations often clash at work—and what can leaders do to bridge the divide? 

In this insightful first installment, Chris Comeaux sits down with nationally recognized generational expert Karen McCullough to explore the perspectives, experiences, and workplace expectations that shape Baby Boomers, Generation X, Millennials, and Generation Z. 

Drawing from more than two decades of research and real-world consulting, Karen unpacks why many workplace conflicts are not personal attacks, but differences in generational perspective.

Together, they examine how communication styles, views on commitment, work-life balance, feedback, technology, and leadership have evolved across generations. Karen shares practical insights for healthcare, hospice, nonprofit, and business leaders who are navigating multigenerational teams and seeking to create cultures where every generation can thrive. 

This conversation challenges assumptions, encourages empathy, and provides a framework for leading through one of today’s most significant workplace dynamics.  


Key Takeaways

  • Generational workplace conflicts are often rooted in differing perspectives, not personal shortcomings or character flaws.
  • Communication styles vary significantly across generations, creating misunderstandings around feedback, meetings, and collaboration.
  • Generation X leaders are often balancing accountability with a growing need to coach and develop younger employees.
  • Millennials and Gen Z have reshaped workplace expectations around purpose, flexibility, emotional intelligence, and work-life balance.
  • Great leaders build stronger teams by understanding generational differences, adapting their leadership style, and fostering meaningful conversations.  


Guest:
Karen McCullough, Keynote Speaker - Generations and Workplace Trends 26 Years Speaking on and Observing the Generations in the Workplace 

Host:
Chris Comeaux, President / CEO of TELEIOS / Author of The Anatomy of Leadership


If you’re leading a team across multiple generations, this episode is a must-listen. Subscribe to TCNtalks /Anatomy of Leadership, share this episode with your leadership team, and join us for Part Two as we continue exploring practical strategies for building stronger, more connected, and more effective workplaces. Your next leadership breakthrough may begin with understanding a different perspective.



Teleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast

Part Two | Hospice, Ethics & Capitalism—A Powerful Conversation with UVA Darden School of Business19 Jun 202600:36:49

Can healthcare remain compassionate in an age of private equity, artificial intelligence, and growing financial pressures?

In this part two episode, Chris Comeaux continues conversation with Lauren Kaufmann, Assistant Professor of Business Administration at the Darden School of Business at the University of Virginia and Stephen Maiden, Managing Director of Case Writing Research Group, to discuss the future of healthcare, hospice, private equity, artificial intelligence, ethical leadership, and organizational mission.

Drawing from their groundbreaking hospice case study, they explore why private equity has become one of the most controversial forces in healthcare, how AI is reshaping patient care and the workforce, and why measuring quality in hospice remains one of healthcare’s greatest challenges.

This conversation goes far beyond hospice. It tackles questions every healthcare executive, nonprofit leader, entrepreneur, and business professional should be asking:

✔ Can mission-driven organizations survive growth?
✔ What causes mission drift?
✔ Is healthcare becoming too corporate?
✔ How should leaders balance profits and purpose?
✔ What role should AI play in human-centered industries?
✔ What does a “good death” actually mean?


Our Guest:

Lauren Kaufmann, Assistant Professor of Business Administration at the Darden School of Business at the University of Virginia

Stephen Maiden, Managing Director of Case Writing Research Group

Host: 

Chris Comeaux, President / CEO of TELEIOS / author of The Anatomy of Leadership


👍 If you enjoyed this conversation, please like, subscribe, and share this episode with colleagues and friends who care about healthcare, leadership, ethics, and organizational excellence.

Teleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast

Hospice, Ethics & Capitalism—A Powerful Conversation with UVA Darden School of Business | Part One17 Jun 202600:30:44

Few topics spark more debate in healthcare than the intersection of compassionate care, ethical responsibility, and financial sustainability.

Can mission-driven hospice organizations survive—and thrive—in a healthcare landscape increasingly dominated by for-profit providers?

In Part One of this compelling conversation, TCNtalks/Anatomy of Leadership host Chris Comeaux welcomes Lauren Kaufmann, Assistant Professor of Business Administration at the University of Virginia Darden School of Business, and Stephen Maiden, Managing Director of the Darden Case Writing Research Group. 

Together, they discuss the groundbreaking business case developed around Teleios Collaborative Network and the evolving hospice industry. The conversation explores whether nonprofit hospice organizations possess unique structural advantages that can help them compete against larger, investor-backed healthcare models while remaining true to their mission.  

Drawing on research, classroom discussions, and real-world leadership experiences, the guests examine topics including community trust, volunteerism, staffing ratios, organizational culture, governance, marketing, and ethical decision-making. They challenge assumptions about nonprofit and for-profit healthcare while offering a thoughtful exploration of what it takes to deliver “care as a relationship, not a transaction” in today’s healthcare environment.  


Key Takeaways


  • Nonprofit hospice organizations may possess structural advantages through community trust, volunteer engagement, and mission-driven cultures that are difficult for competitors to replicate.  
  • The future success of nonprofit healthcare organizations depends not only on care quality but also on effectively communicating their value to patients and families.  
  • Teleios’ hybrid model combines local independence with shared infrastructure, creating opportunities for scale while preserving community relationships.  
  • Quality of care is often reflected in staffing levels, volunteer involvement, and personal relationships that may not be captured in traditional healthcare metrics.  
  • Leadership, culture, and governance—not simply tax status—ultimately determine whether organizations fulfill their mission and deliver exceptional care.  


Guest:

Lauren Kaufmann, Assistant Professor of Business Administration at the Darden School of Business at the University of Virginia 

Stephen Maiden, Managing Director of Case Writing Research Group

Host:

Chris Comeaux, President / CEO of TELEIOS, author of The Anatomy of Leadership


Teleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast

Part Two | The Missing Middle in Healthcare—And Why It Matters12 Jun 202600:29:41

What if the most important care doesn’t happen in a hospital, hospice, or clinic—but in the moments in between?

In Part Two of The Missing Middle in Healthcare—And Why It Matters, Chris Comeaux continues his conversation with Bridget Sumser and Sonya Dolan of Mettle Health to explore the often-overlooked gap between medical treatment and the lived human experience of illness. Together, they unpack the role of grief, community, language, and connection in supporting people facing serious illness, caregiving responsibilities, and end-of-life challenges.

This episode challenges traditional healthcare thinking by asking a powerful question: Are we treating diseases while missing the deeper needs of the people experiencing them? Bridget and Sonya share their vision for a future where grief literacy, community support, and compassionate accompaniment become essential parts of care—not afterthoughts.


Highlights from this Episode:

✔ Why the word “hospice” can create unintended barriers to care
✔ The difference between treating illness and caring for the whole person
✔ How grief begins long before death and affects all of us
✔ Why community—not healthcare alone—is the missing middle
✔ The future of serious illness support and human-centered care
✔ How anyone can learn the skills of accompaniment and compassionate presence
✔ Mettle Health’s vision for transforming the way we navigate illness, loss, and mortality


Whether you’re leading a healthcare organization, caring for a loved one, or simply interested in improving the human experience of healthcare, this conversation will challenge and inspire you.

Subscribe for more conversations on leadership, purpose, healthcare innovation, and human flourishing.

Guest:
Sonya Dolan Co-Founder, Mettle Health
Bridget Sumser, LCSW; Director of Counseling and Programs, Mettle Health

Host:
Chris Comeaux, President | CEO of TELEIOS and author of The Anatomy of Leadership


Teleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast

The Missing Middle in Healthcare—And Why It Matters | Part One10 Jun 202600:35:24

What happens after a serious diagnosis—but before hospice care begins?

In this compelling conversation, host Chris Comeaux sits down with Sonya Dolan, Co-Founder of Mettle Health, and Bridget Sumser, Director of Counseling & Programs, to explore one of healthcare’s most overlooked challenges: the “missing middle.”

Drawing from decades of experience in hospice, palliative care, caregiving, and serious illness support, Sonya and Bridget discuss the critical gaps patients and families face as they navigate life-altering diagnoses, caregiving responsibilities, grief, and uncertainty. Together, they unpack why traditional healthcare systems often struggle to address the emotional, relational, practical, and existential realities of serious illness—and how Mettle Health is working to fill that gap through compassionate accompaniment and human-centered care.

This episode offers valuable insights for healthcare leaders, hospice professionals, nonprofit executives, caregivers, and anyone seeking a deeper understanding of what it means to truly support people through life’s most difficult transitions.

🔹 In this episode:
• What inspired the creation of Mettle Health
• Understanding the “missing middle” in healthcare
• Why caregivers need support in their own right
• The limitations of traditional healthcare and reimbursement models
• The role of accompaniment versus treatment
• Building resilience and coping skills during serious illness
• The evolution of interdisciplinary and transdisciplinary care

Whether you’re leading a healthcare organization, caring for a loved one, or simply interested in improving the human experience of healthcare, this conversation will challenge and inspire you.

🎧 Don’t miss Part Two, where the discussion continues with deeper insights into caregiving, grief, communication, and the future of compassionate care.

Subscribe for more conversations on leadership, purpose, healthcare innovation, and human flourishing.

Guest:
Sonya Dolan Co-Founder, Mettle Health 
Bridget Sumser, LCSW; Director of Counseling and Programs, Mettle Health

Host:
Chris Comeaux, President | CEO of TELEIOS and author of The Anatomy of Leadership

Teleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast

Part Two | Dr. Joan Teno Exposes the Hidden Problems with Hospice Ratings and Quality Scores05 Jun 202600:37:05

Can consumers really trust hospice quality ratings?

In Part Two of this powerful TCNtalks / Anatomy of Leadership conversation, Chris Comeaux and Cordt Kassner continue their discussion with nationally recognized hospice researcher and policy expert Dr. Joan Teno.

Building on Part One, Dr. Teno explores how patients and families can make better-informed hospice decisions, why current quality reporting systems often fall short, and how artificial intelligence could transform the future of hospice quality measurement. She also addresses one of the most pressing challenges facing the industry today: preserving public trust while combating fraud, profiteering, and unethical practices.

Drawing from decades of research and policy leadership, Dr. Teno offers a thoughtful perspective on the future of hospice care, the importance of transparency, and the critical role healthcare leaders must play in protecting the integrity of the hospice mission.

Whether you’re a hospice professional, healthcare executive, policymaker, clinician, or family caregiver, this episode offers valuable insights into the future of end-of-life care.

Key Takeaways:

✔ Why consumers need better tools to evaluate hospice quality
✔ How AI could improve hospice transparency and decision-making
✔ The risks of oversupply, profiteering, and declining public trust
✔ Why quality data should empower both providers and families
✔ The extraordinary impact hospice clinicians continue to make every day
✔ The future of hospice care, accountability, and patient choice


Chapters:
0:00    Welcome And Part Two Setup
0:21    A Better Way To Find Hospice
3:06    Weighting Scores Without Punishing Small Programs
6:01    The Denominator Problem Behind Star Ratings
10:58  Rural Hospice Reality And The Willie Sutton Rule
12:08  AI Can Hallucinate Hospice Quality
16:47  Public Trust And A Saturated Hospice Market
23:36  Ghost Hospices And Which Data To Trust
26:04  Do CAHPS Questions Still Fit Hospice Today
27:44  Concurrent Care And Why Hospice Stays A Hard Choice
33:40  Giving Back Through Mentoring And Substack
35:57  Subscribe And The Brain Bookmark



Guest: Dr. Joan Teno
MD, MS; Adjunct Professor of Health Services, Policy, and Practice (Brown School of Public Health); Adjunct Staff, RAND Corporation

Co-Host: Cordt Kassner, PhD, Publisher of Hospice & Palliative Care Today & CEO and Founder of Hospice Analytics

Host: Chris Comeaux, President / CEO of TELEIOS, author of The Anatomy of Leadership

Teleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast

Dr. Joan Teno Exposes the Hidden Problems with Hospice Ratings and Quality Scores | Part One03 Jun 202600:29:42

Are hospice quality ratings really measuring what matters most?

In this powerful episode of TCNtalks / Anatomy of Leadership, Chris Comeaux and Cordt Kassner sit down with nationally recognized hospice researcher Dr. Joan Teno to uncover the hidden problems behind hospice ratings, quality scores, and public reporting systems.

Drawing on more than 30 years of experience shaping hospice and palliative care policy, Dr. Teno explains why many publicly reported quality measures may fail to capture the true experiences of patients and families. She discusses the challenges of transparency, the unintended consequences of current reporting systems, concerns about fraud and oversight, and how artificial intelligence could help transform the future of hospice quality measurement.

Whether you’re a healthcare executive, hospice leader, clinician, policymaker, or nonprofit professional, this conversation offers valuable insights into the complex realities behind quality scores and what must change to better serve patients and families at the end of life.

In this episode, you’ll learn:
✔ Why hospice ratings may not tell the full story
✔ The biggest blind spots in today’s quality measurement systems
✔ How some providers avoid meaningful public reporting
✔ The role of AI and data analytics in improving oversight
✔ What meaningful transparency should look like for consumers

Chapters:

0:00     Leadership Sets The Tone
0:22.    Monthly Hospice News And Framework
3:38.    Why Oversight Beats Payment Redesign
8:28.    Transparency Limits And Small Hospice Loopholes
13:10.  Blind Spots In Quality Reporting
18:56   Using AI To Pick A Hospice
23:45.  Moratorium And Rebuilding Trust
27:30   Clinicians Needed To Catch What Models Miss
29:18   Part Two Teaser


Guest: Dr. Joan Teno
Adjunct Professor, Brown School of Public Health | Hospice & Palliative Care Researcher | 2023 AAHPM Lifetime Achievement Award Recipient

Host: Chris Comeaux, President / CEO of TELEIOS and author of The Anatomy of Leadership

C0-Host: Cordt Kassner, 

👉 Subscribe for more conversations on leadership, healthcare innovation, hospice care, and mission-driven organizations.

Teleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast

Part Two - The Secret to Great Leadership - From a Chick-fil-A Executive29 May 202600:23:09

Most leadership advice sounds inspiring until you have to practice it with real pressure, real people, and real consequences. Our host, Chris Comeaux sits down with Mark Miller,  former Vice President of High Performance Leadership at Chick-fil-A and bestselling co-author of The Secret and Lead Every Day, to get brutally practical about servant leadership, ego, and why the best leaders stop asking “How do I get more from my team?” and start asking “How do I help my team win?”

They talk about why the servant-leader mindset is hard to adopt in the first place: it often isn’t modeled, it isn’t taught, and our default human setting leans toward “me and mine.” Mark shares research that puts a spotlight on the real obstacle many leaders face, ego, and we explore how it shows up in everyday decisions, team dynamics, and organizational culture.

Mark addresses the tension that trips up even well-meaning managers: how do you serve people while still holding them accountable? Mark makes the case that accountability is not a harsh tool, it’s a gift that helps people reach their potential, and he explains why great leaders keep results and relationships high at the same time. 

Mark also dig into Lead Every Day, a leadership operating system built around three disciplines: becoming a better leader, improving team performance, and strengthening the organization, plus the simplest daily push that changes everything: start where you are, use what you’ve got, and do what you can.

If you care about leadership development, team performance, and building a healthy culture that still delivers results, this conversation will give you language, stories, and next steps you can use immediately. Subscribe, share this with a leader who needs it, and leave a review with your biggest takeaway.

Guest:
Mark Miller, Business Leader, Wall Street Journal and International Best-Selling Author, Communicator, and Co-Founder of Lead Every Day

Host:
Chris Comeaux, President / CEO of TELEIOS and author of The Anatomy of Leadership

Teleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast

The Secret to Great Leadership - From a Chick-fil-A Executive | Part One27 May 202600:30:29

What does it take to build a leadership culture that scales across generations, industries, and millions of customer interactions? In this powerful conversation, Chris Comeaux sits down with Mark Miller — former Vice President of High Performance Leadership at Chick-fil-A and bestselling author of The Secret — to explore the principles behind extraordinary leadership.

 

From his humble beginnings as an hourly team member to helping shape Chick-fil-A’s leadership development strategy, Mark shares hard-earned wisdom about influence, intentionality, and what truly drives organizational growth. 

 

Throughout the episode, Mark unpacks the foundational leadership framework behind the acronym SERVE: See the Future, Engage and Develop Others, Reinvent Continuously, Value Results and Relationships, and Embody the Values.  He explains why leadership is ultimately about service — not position — and why organizations that fail to intentionally develop leaders will eventually plateau.  Chris and Mark also discuss the tension between results and relationships, the importance of creating a common definition of leadership, and how healthcare, hospice, and nonprofit leaders can prepare for the future by multiplying leadership capacity throughout their organizations. 

 

For leaders navigating complexity, growth, or organizational transformation, this episode offers practical insight and timeless leadership principles from one of the most respected leadership voices connected to the Chick-fil-A legacy.

 

Key Takeaways

  • Great leadership requires balancing both results and relationships— not choosing one over the other.
  • Organizations plateau when leadership development does not scale with growth.
  • Leadership is fundamentally about serving strategically, not simply being helpful or nice.
  • Strong cultures are built when organizations create a shared definition of leadership.
  • Continuous learning and reinvention are essential for long-term leadership effectiveness.

If this conversation challenged and encouraged you, share this episode with another leader in your organization.  Subscribe to the podcast for more conversations designed to help healthcare leaders, nonprofit executives, hospice professionals, and business leaders live and lead with greater purpose, clarity, and impact.  And don’t miss Part Two of this powerful discussion with Mark Miller.

Guest:
Mark Miller, Business Leader, Wall Street Journal and International Best-Selling Author, Communicator, and Co-Founder of Lead Every Day

Host:
Chris Comeaux, President / CEO of TELEIOS | Author of The Anatomy of Leadership

Teleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast

Part Two - The Future of Hospice: How HOPE Will Transform Reimbursement & Care22 May 202600:33:51

Hospice has always been about people, but the future of hospice will increasingly be shaped by data—and that shift is both exciting and unsettling.


In Part Two of The Future of Hospice: How HOPE Will Transform Reimbursement & Care, Raianne Melton and Andrea Hale unpack how the HOPE tool could redefine hospice reimbursement, value-based care, and quality measurement across CMS, Medicare Advantage, and health systems. 


The conversation explores where hospice measurement may be heading—from symptom impact scoring and burdensome discharges to acuity tracking, HUV utilization, and the growing importance of consistent documentation and actionable clinical data.


The episode also focuses on what hospice leaders can do now to prepare: improving point-of-care documentation, simplifying EMR workflows, leveraging real-time analytics, and exploring AI-powered ambient listening to reduce clinician burden while preserving compassionate care. 


Ultimately, this conversation is about helping hospice organizations prove their value with measurable outcomes while staying true to the mission that defines hospice care.


This episode offers practical insights for hospice executives, nonprofit healthcare leaders, clinicians, and anyone navigating the evolving landscape of end-of-life care.


Guest:

Andrea Hale, CEO of Valley Hospice 

Raianne Melton, Director of Clinical Services of Professional Services for Axxess

Host:

Chris Comeaux, President / CEO of TELEIOS and author of The Anatomy of Leadership


Teleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast

The Future of Hospice: How HOPE Will Transform Reimbursement & Care | Part One20 May 202600:32:59

The future of hospice care is changing—and the HOPE assessment tool may redefine how providers deliver care, document outcomes, and receive reimbursement.

Healthcare is entering a new era where quality outcomes, patient data, and accountability are driving the future of care delivery.  In this episode, we’re joined by Andrea Hale, CEO of Valley Hospice, and Raianne Melton, Director of Clinical Services of Professional Services for Axxess, whose expertise and frontline perspective help unpack one of the most significant shifts happening in hospice today—the implementation of the HOPE assessment tool. 

Their insight provides valuable guidance for hospice leaders, clinicians, and organizations preparing for the future of reimbursement and patient-centered care.

In Part One of this important conversation, we explore how the Hospice Outcomes & Patient Evaluation (HOPE) tool is poised to transform the hospice landscape.  From evolving CMS expectations to the growing emphasis on quality metrics and patient-centered outcomes, this episode breaks down what hospice leaders, clinicians, and healthcare organizations need to understand now.


Join us as we discuss:
• What the HOPE tool is and why it matters
• How reimbursement models are shifting in hospice care
• The operational and compliance challenges providers may face
• Why documentation and quality reporting are becoming more critical than ever
• How organizations can proactively prepare for the future of end-of-life care


Whether you’re a hospice professional, nonprofit executive, healthcare leader, or business decision-maker, this episode provides timely insight into the changing future of compassionate care delivery.

Our Guest:

Andrea Hale, CEO of Valley Hospice

Raianne Melton, Director of Clinical Services of Professional Services for Axxess

Host:

Chris Comeaux, President / CEO of TELEIOS and author of The Anatomy of Leadership


🎧 Subscribe for more conversations on healthcare leadership, hospice innovation, and mission-driven care.

Teleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast

Part Two | CMS Leader Explains Hospice Fraud, Medicare Risks, and the Future of Healthcare15 May 202600:26:43

In Part Two of this powerful TCNtalks / Anatomy of Leadership conversation, Kim Brandt, Chief Operating Officer and Deputy Administrator at CMS joins Chris Comeaux to discuss hospice fraud, Medicare risk, AI-driven fraud detection, and the future of healthcare policy.  Kim provides a rare behind-the-scenes look at how CMS is fighting organized healthcare fraud, protecting Medicare beneficiaries, and preparing hospice providers for a more data-driven future.

The conversation explores lessons learned from the Medicare Advantage VBID hospice carve-in, the challenges facing legitimate hospice providers, and how AI and machine learning are helping CMS detect fraudulent activity in real time.  Kim also shares her vision for what compassionate, dignified hospice care should look like over the next 15 years.

Whether you are a hospice professional, healthcare executive, nonprofit leader, policymaker, or business leader, this episode delivers critical insights into the future of end-of-life care, healthcare leadership, and Medicare reform.

Highlights:

✔️ CMS reveals how billions in fraudulent Medicare payments are being stopped in real time
✔️ Inside the growing hospice fraud crisis impacting patients and providers nationwide
✔️ Why AI and machine learning are becoming essential tools in healthcare fraud prevention
✔️ Lessons learned from the Medicare Advantage VBID hospice carve-in experiment
✔️ How legitimate hospice providers can protect themselves during audits and investigations
✔️ The future of hospice care: data, analytics, palliative integration, and patient dignity
✔️ Kim Brandt shares her vision for compassionate end-of-life care over the next 15 years
✔️ A candid conversation on healthcare leadership, accountability, and reform


🎧 Featuring

Guest:
Kim Brandt, Chief Operating Officer and Deputy Administrator at CMS

Host: 
Chris Comeaux, President / CEO of TELEIOS

👉 Subscribe to TCNtalks / Anatomy of Leadership for more conversations with healthcare innovators, policy leaders, and changemakers shaping the future of care.

Teleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast

CMS Leader Explains Hospice Fraud, Medicare Risks, and the Future of Healthcare | Part One13 May 202600:27:05

In this compelling first installment, CMS Chief Operating Officer and Deputy Administrator Kim Brandt joins Chris Comeaux for a candid conversation about the growing hospice fraud crisis, the financial future of Medicare, and the urgent transformation happening across American healthcare. 


Drawing from her leadership role at CMS and firsthand experiences with hospice care in her own family, Brandt shares why hospice remains a critical pillar of compassionate care — while also exposing the alarming abuse threatening the integrity of the system.  


The discussion dives deep into the pressures facing Medicare as the nation approaches the “silver tsunami,” with 10,000 new beneficiaries entering Medicare every day through 2030. Brandt explains how CMS is thinking about value-based care, the role of technology and AI in improving patient outcomes, and why hospice and palliative care may increasingly blend together in the future. 


From home-based care expansion to quality-driven reimbursement models, this episode offers healthcare leaders a rare inside look at the policy conversations shaping the next decade of healthcare delivery.  


Key Takeaways

  • CMS views hospice as an essential part of the Medicare ecosystem and is committed to protecting legitimate providers while aggressively combating fraud.
  • Medicare faces mounting financial pressure as 10,000 baby boomers enroll daily, accelerating the need for healthcare reform and value-based care models.
  • Kim Brandt predicts hospice and palliative care will increasingly integrate, allowing patients to receive supportive care earlier in their illness journey.
  • Home-based healthcare, telehealth, AI, and remote monitoring are expected to play a major role in the future of hospice care delivery.
  • CMS is shifting its focus from enrollment volume toward aligning incentives with quality outcomes and patient-centered care.


If you’re passionate about the future of healthcare, hospice innovation, and leadership that drives meaningful change, this is an episode you cannot miss. Subscribe to our podcast and  share this conversation with your team, and stay tuned for Part Two as we continue exploring the future of Medicare, hospice reform, and value-based care.  


Guest:
Kim Brandt: Chief Operating Officer and Deputy Administrator at CMS

 Host:
Chris Comeaux, President / CEO of Teleios, author of The Anatomy of Leadership

Teleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast

Part Two | Healthcare Leaders Break Down Hospice Reform, Medicare & Quality Care08 May 202600:22:56

What does the future of hospice care really look like—and who’s shaping it?

In Part Two of this compelling conversation, healthcare leaders Tom Koutsoumpas, Founder & CEO of NPHI and Carole Fisher, President of NPHI, join Chris Comeaux and Cordt Kassner to discuss the future of hospice reform, Medicare modernization, quality care standards, and the challenges facing nonprofit hospice providers across America.

From fraud prevention and workforce shortages to Medicare Advantage and innovative disease-specific care models, this episode delivers an inside look at the policy, leadership, and operational decisions shaping the future of end-of-life care.

Whether you’re a healthcare executive, hospice professional, nonprofit leader, policymaker, or business leader, this discussion provides valuable insight into how hospice organizations can remain relevant, sustainable, and mission-driven in a rapidly evolving healthcare environment.

⸻

Episode Highlights

✔️ Why hospice quality reporting and transparency matter more than ever
✔️ The growing impact of Medicare Advantage on hospice care
✔️ Challenges facing nonprofit hospice organizations
✔️ Innovation in palliative care and disease-specific support models
✔️ How NPHI is advocating for hospice reform and accountability
✔️ The workforce and financial pressures affecting hospice providers
✔️ The truth about the hospice carve-in debate and what the data shows
✔️ Why leadership and mission remain critical in end-of-life care

⸻

Key Quote From The Episode

“The future of hospice and palliative care is making sure we are staying relevant, necessary, and sustainable.” — Carole Fisher

⸻

About This Episode

This episode explores the intersection of healthcare leadership, hospice advocacy, Medicare reform, patient-centered care, and operational sustainability. The conversation emphasizes the importance of preserving the mission of hospice while adapting to changing healthcare systems and patient expectations.  


Featured Guests

🔹 Tom Koutsoumpas — National Partnership for Healthcare and Hospice Innovation (NPHI)
🔹 Carole Fisher — President, NPHI

🎙️ Hosted by Chris Comeaux, President / CEO of TELEIOS
     Co-Hosted by Cordt Kassner,  PhD, Publisher of Hospice & Palliative Care
     Today & CEO and Founder of Hospice Analytics 

⸻

Subscribe & Connect

👉 Subscribe for more conversations on leadership, healthcare innovation, hospice care, and nonprofit strategy.
👉 Share this episode with healthcare professionals, executives, clinicians, and industry leaders.
👉 Learn more about TCNtalks /Anatomy of Leadership, and NPHI in the links below.

TCNtalks
https://www.teleioscn.org/tcntalkspodcast
NPHI
https://www.nphihealth.org/
People Over Profits
https://www.nphihealth.org/peopleoverprofits/
Inside View Podcast
https://www.nphihealth.org/podcast/

Teleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast

Healthcare Leaders Break Down Hospice Reform, Medicare & Quality Care | Part One06 May 202600:29:49

In Part One of Healthcare Leaders Break Down Hospice Reform, Medicare & Quality Care, Chris Comeaux sits down with nationally respected healthcare leaders Tom Koutsoumpas, Founder & CEO of NPHI  and Carole Fisher, President of NPHI to explore the evolving future of hospice, palliative care, Medicare oversight, and the growing demand for quality-driven, compassionate healthcare leadership. 

Together, they unpack the growing challenges facing end-of-life care — from fraud and benefit manipulation to the urgent need for quality transparency and authentic patient-centered care.  Drawing on decades of leadership experience, the guests explore how nonprofit hospice organizations are redefining quality while advocating for compassion, integrity, and trust across the healthcare continuum.  

The discussion also dives into the emotional and cultural barriers surrounding hospice conversations, the importance of introducing palliative care earlier in serious illness, and why communication remains one of the most powerful tools in healthcare leadership. 

Through personal stories, policy insights, and candid reflections, Tom and Carole reveal how mission-driven organizations are creating calm and clarity for patients and families during life’s most vulnerable moments.  This episode offers healthcare leaders, hospice professionals, and nonprofit executives a timely and inspiring look at where serious illness care is headed — and what it will take to protect its future.  

Key Takeaways

  • Hospice leaders are pushing back against fraud, abuse, and “benefit manipulation” that prioritize profits over patient care.  
  • Earlier integration of palliative care can build trust with patients and families before hospice services are needed.  
  • One of hospice care’s greatest challenges remains overcoming public fear and misunderstanding surrounding death and end-of-life conversations.  
  • Nonprofit hospice organizations continue to lead in quality outcomes, staffing, patient support services, and community-based care.  
  • Quality transparency, collaboration, and meaningful data sharing are becoming essential for the future of healthcare and hospice reimbursement.  


🎙 Featured Guests:

  • Tom Koutsoumpas — Founder & CEO, NPHI
  • Carole Fisher — President, NPHI

Our Host:

Chris Comeaux — President / CEO of TELEIOS, Author of The Anatomy of Leadership

Cordt Kassner —  PhD, Publisher of Hospice & Palliative Care
Today & CEO and Founder of Hospice Analytics 

Teleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast

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