Home Care, You Say?

The Truth About Hospice: Pay, Policies, and Protecting Patients

40 min · 3 de abr de 2026
Portada del episodio The Truth About Hospice: Pay, Policies, and Protecting Patients

Descripción

We are ready to answer all your questions about hospice and hospice care. Most people associate it with the very final days of life, but there is so much more to the story. In this episode, Mike sits down with Logan Hoover, Vice President of Policy and Government Relations at the National Alliance for Care at Home, to pull back the curtain on the industry. From the "2.6% problem" to the bad actors giving the field a bad name, we’re diving deep into the advocacy work keeping compassionate care alive. Logan shares why hospice is a "career calling" and how we can protect the most vulnerable patients from fraud while ensuring quality providers have the resources they need to thrive.    In This Episode, You'll Learn: The 2.6% Dilemma: Why a "pay increase" is actually a budget cut for small and rural providers when inflation is factored in. The "Law Enforcement Problem": How criminal actors in places like LA County are "robbing banks" by exploiting the hospice benefit. The Special Focus Program: The difference between an anti-fraud program and one designed to help "needs improvement" providers raise their game. Beyond the "Final Days" Myth: When and why families should start the hospice conversation much earlier than the final 48 hours. The Future of the Workforce: Strategies to fight burnout, increase wages, and use technology like telehealth to keep clinicians in the field. Advocacy in Action: What the National Alliance for Care at Home is doing to protect the industry.   Resource Links 🔗 Caring Info: CaringInfo.org [https://www.caringinfo.org] – All the resources you need for hospice, palliative care, and advance directives. Available in both English and Spanish. National Alliance for Care at Home: Visit Website [https://allianceforcareathome.org/] – Stay updated on the latest policy and advocacy efforts.       produced by slanted.design [https://www.slanted.design/]

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25 episodios

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In this episode, host Michael Sokoloski sits down with Maggie DiPasquale, the Area Director of Government Affairs for Hearts for Home Care and Bayada Home Health Care. Maggie breaks down the complex, sometimes frustrating world of Medicare policy and explains why home care providers are facing an uphill battle against continuous reimbursement cuts.   In This Episode, You'll Learn: - The Policy vs. Access Gap: How viewing healthcare cuts through a "spending lens" instead of an "access lens" hurts real patients. - The Compounding Effect: Why year-over-year payment reductions create massive challenges for recruiting and retaining a fragile workforce. - The Power of the Human Story: Why home visits are the ultimate advocacy tool to change lawmakers' minds. - How to Take Action: The simplest way for new advocates to share their stories and secure their seat at the policy table. * Share Your Story: Hearts for Home Care Website [http://heartsforhomecare.com] * Learn More: Medicare Payment Advisory Commission (MedPac) [https://www.medpac.gov]     produced by slanted.design [https://www.slanted.design/]

29 de may de 202614 min
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22 de may de 202612 min
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We sit down with Laura Brigandi, senior manager of advocacy practice for the Public Affairs Council, to pull back the curtain on what actually moves the needle with decision-makers. We discuss the importance of personalization in messaging and building relationships that are beneficial, not transactional. Laura delivers the blueprint for influence that sticks. If you’re ready to stop just "raising awareness" and start driving real policy change, this conversation is your new secret weapon🔥 In This Episode, You’ll Learn 💡 * Why credibility, relevance, and human consequence are the non-negotiables for any successful campaign. * How to move past generic "action alerts" and use your authentic story to cut through the noise of AI-generated messages. * Why "knowing an issue exists" isn't enough—and how to target the right people to actually change a decision. * How resource-constrained organizations can build a powerhouse advocacy practice without a massive staff or budget. * The critical importance of the "follow-up" and why advocacy is a relationship discipline, not a one-time event. Resource Links 🔗 * Guest Info: Connect with Laura Brigandi at the Public Affairs Council [https://pac.org/contact/laura_brigandi]. * Event Alert: Don't miss the upcoming Public Affairs Council Advocacy Conference [https://pac.org/events]. * Become an advocate at H4HC [https://www.heartsforhomecare.com/]   produced by slanted.design [https://www.slanted.design/]

15 de may de 202615 min
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1 de may de 202623 min
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This week Mike Sokolowski sits down with Jason Lee, CEO of the Home Care Association of America (HCAOA). They tackle the massive forces reshaping how we care for our aging population—from AI breakthroughs to the urgent need for a professionalized workforce. If you want to know where the future of healthcare is headed (hint: it’s right in your living room), you can't afford to miss this one!    Don't forget that next week is the HCAOA Advocacy Day in Washington D.C. (April 22, 2026), be part of the movement to protect home health care at hcaoa.org/national-home-care-advocacy-day.html [https://www.hcaoa.org/national-home-care-advocacy-day.html]   In the Episode: - Policy Power Plays: How the HCAOA is working with legislators to create "common sense" policies that support both agencies and families. - The 2050 Demographic Cliff: Why the exponential growth of the 65+ and 85+ populations is the biggest external factor facing the industry. - Professionalizing the Caregiver: Shifting the narrative from a "calling" to a rewarding, high-skill "career path" to solve the recruitment crisis. - Immigration as a Solution: The push for streamlining EB-3 visas and creating a specific "Home Care Visa" to bolster the workforce. - Advocacy 101: Why you are the "most important person in the room" when meeting with members of Congress (and how to tell your story). - The Tech Evolution: How AI and electronic visit verification (EVV) are streamlining operations and ensuring program integrity. - Protecting the "Agency Model": Why W-2 employment is the gold standard for preventing fraud, waste, and abuse compared to 1099 models. Resource Links  * HCAOA Website: Home Care Association of America [https://www.hcaoa.org] * Become a H4HC Advocate at heartsforhomecare.com [https://www.heartsforhomecare.com/]         produced by slanted.design [https://www.slanted.design/]

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