At The Table With CAHSAH

An Interview With Barry Berger

Most home care pioneers agree: relationships are everything. But Barry Berger’s story proves that the real key to industry success is building deep, genuine bonds with clients, caregivers, and colleagues, that last a lifetime. After founding Accredited Home Care Services in 1980 with just his dad, Barry transformed the California home-based care landscape, navigating regulation, workforce shortages, and industry scandals along the way. In this episode, Barry shares candid insights from over 40 years in home health, hospice, and caregiving. You’ll discover how he leveraged innovative programs like the Regional Center model to drastically improve margins and how strategic relationships turned a small startup into a multi-thousand-client powerhouse. Barry breaks down the evolving challenges of caregiver shortages, regulation hurdles, and industry fraud, all while emphasizing that success hinges on earning trust and fostering loyalty…. within your team and your community. We break down the impact of demographic shifts raising the stakes for caregivers, how AI and remote tech will reshape the future and why authentic leadership rooted in passion matters more than ever. Barry’s experience offers a roadmap for new entrepreneurs and seasoned providers alike, highlighting opportunities to stand out in a crowded, complex market. If you’re committed to elevating home care standards and creating lasting impact, this is essential listening.

Why Outdated Training Is Holding You Back

In this eye-opening episode, we dive into the core challenges plaguing the home-based care industry and the surprisingly simple solutions already within reach. Experts from PHI, Jake McDonald and Jenna Kellerman share how outdated training frameworks, systemic neglect and societal perceptions keep this vital workforce undervalued, despite its critical roles in everyone’s health and economy. They reveal the five pillars of care job quality, emphasizing fair wages, professional development, respect, and a unified industry approach to systemic change.

California's Home-Based Care Regulatory Chaos: Turn Knowledge Into Action To Thrive

Discover how education can transform your home care agency from surviving to thriving. Sina Tate, Director of Education at CAHSAH, shares strategies to stay ahead of regulations, boost staff retention, and turn education into a powerful investment. Learn how targeted training and embracing AI can future-proof your agency. Perfect for providers ready to adapt and lead in a complex environment.

The Shift From Volume To Value In Home Health

Many home health agencies are struggling to keep up with a rapidly shifting industry. But some are thriving through innovation and strategic mindset shifts. In this episode, Arnie Cisneros, president of Home Health Strategic Management, and Kimberly McCormick, clinical director with 20+ years in home health, reveal how top-performing agencies are rewriting the rules to succeed in today’s high-pressure environment. Discover how Medicare's move from volume to value is transforming care delivery. Sicker patients, faster hospital discharges, and the critical need for real-time documentation. Arnie shares his groundbreaking approach to service utilization review, leveraging Medicare’s evidence-based data models to improve outcomes while reducing costs. Kimberly highlights proven strategies to align clinicians' practices with regulatory standards, embrace objective metrics, and achieve deficiency-free audits.

Hospice Payment Suspensions- What You Need To Know

Most hospice providers are feeling the heat right now — with hundreds facing abrupt Medicare payment suspensions based on low-standard allegations of fraud. But what’s really going on behind the headlines? And more importantly, what can providers do immediately to protect their operations, reputation, and patient trust? In this eye-opening episode, legal expert Judy Waltz reveals the secret weapon: understanding the true nature of these suspensions, how to navigate the critical 15-day rebuttal window, and strategies to safeguard your organization from unwarranted penalties. With Medicare now wielding powerful, rapid enforcement tools, it’s more urgent than ever to know how to respond effectively and keep your doors open. You’ll discover: - The low threshold for credible allegations of fraud that can trigger speedy suspensions - Practical steps to review your own hospice’s discharge rates, length of stay, and other vital KPIs to spot vulnerabilities - The importance of engaging in timely rebuttals and what to include in your response - How aggressive oversight is reshaping the future of hospice regulation — and why you can't to prepare - Ways to tell your own story before others shape the narrative with misinformation This episode is essential listening for hospice CEOs, compliance officers, and home care advocates determined to defend their reputation while continuing to serve with integrity. With expert insights from Judy Waltz, a leading healthcare attorney at Foley & Lardner, you’ll walk away with concrete tactics to stay compliant, protected, and ready for what’s next. Don’t let swift enforcement catch you off guard — your license, your team, and your patients' trust depend on it. Tune in now for the critical knowledge shaping hospice’s future in California.