Part Two - Dr. Joan Teno Exposes the Hidden Problems with Hospice Ratings and Quality Scores

Part Two | What’s Broken in American Healthcare—and How to Fix It with Dr. Don Berwick

Send us Fan Mail [https://www.buzzsprout.com/2307178/fan_mail/new] 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 The Anatomy of Leadership podcast explores the art and science of leadership through candid, insightful conversations with thought leaders, innovators, and change-makers from a variety of industries. Hosted by Chris Comeaux, each episode dives into the mindsets, habits, and strategies that empower leaders to thrive in complex, fast-changing environments. With topics ranging from organizational culture and emotional intelligence to navigating disruption and inspiring teams, the show blends real-world stories with practical takeaways. The goal is simple yet ambitious: to equip leaders at every level with the tools, perspectives, and inspiration they need to lead with vision, empathy, and impact. https://www.teleioscn.org/anatomy-of-leadership

What’s Broken in American Healthcare—and How to Fix It | Part One

Send us Fan Mail [https://www.buzzsprout.com/2307178/fan_mail/new] 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 The Anatomy of Leadership podcast explores the art and science of leadership through candid, insightful conversations with thought leaders, innovators, and change-makers from a variety of industries. Hosted by Chris Comeaux, each episode dives into the mindsets, habits, and strategies that empower leaders to thrive in complex, fast-changing environments. With topics ranging from organizational culture and emotional intelligence to navigating disruption and inspiring teams, the show blends real-world stories with practical takeaways. The goal is simple yet ambitious: to equip leaders at every level with the tools, perspectives, and inspiration they need to lead with vision, empathy, and impact. https://www.teleioscn.org/anatomy-of-leadership

Part Two | AI, Hospice Fraud Crackdown & Medicare’s Future—The Biggest Healthcare Stories of 2026

Send us Fan Mail [https://www.buzzsprout.com/2307178/fan_mail/new] 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 Chapters 00:00 Introduction 01:05 Looking Back at Q2 2026 06:05 The Biggest Healthcare Trends 07:11 Reinvigorating Hospice Quality 12:09 AI, Jobs & the Future of Healthcare 19:35 Healthcare Affordability & Medicare 25:27 Hospice Market Growth 27:18 Industry Consolidation & Provider Rankings 34:02 Closing Thoughts 🎧 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 The Anatomy of Leadership podcast explores the art and science of leadership through candid, insightful conversations with thought leaders, innovators, and change-makers from a variety of industries. Hosted by Chris Comeaux, each episode dives into the mindsets, habits, and strategies that empower leaders to thrive in complex, fast-changing environments. With topics ranging from organizational culture and emotional intelligence to navigating disruption and inspiring teams, the show blends real-world stories with practical takeaways. The goal is simple yet ambitious: to equip leaders at every level with the tools, perspectives, and inspiration they need to lead with vision, empathy, and impact. https://www.teleioscn.org/anatomy-of-leadership

AI, Hospice Fraud Crackdown & Medicare’s Future—The Biggest Healthcare Stories of 2026

Send us Fan Mail [https://www.buzzsprout.com/2307178/fan_mail/new] The Anatomy of Leadership podcast explores the art and science of leadership through candid, insightful conversations with thought leaders, innovators, and change-makers from a variety of industries. Hosted by Chris Comeaux, each episode dives into the mindsets, habits, and strategies that empower leaders to thrive in complex, fast-changing environments. With topics ranging from organizational culture and emotional intelligence to navigating disruption and inspiring teams, the show blends real-world stories with practical takeaways. The goal is simple yet ambitious: to equip leaders at every level with the tools, perspectives, and inspiration they need to lead with vision, empathy, and impact. https://www.teleioscn.org/anatomy-of-leadership

Part 2 | Why Generations Clash at Work—And How Great Leaders Fix It

Send us Fan Mail [https://www.buzzsprout.com/2307178/fan_mail/new] 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 The Anatomy of Leadership podcast explores the art and science of leadership through candid, insightful conversations with thought leaders, innovators, and change-makers from a variety of industries. Hosted by Chris Comeaux, each episode dives into the mindsets, habits, and strategies that empower leaders to thrive in complex, fast-changing environments. With topics ranging from organizational culture and emotional intelligence to navigating disruption and inspiring teams, the show blends real-world stories with practical takeaways. The goal is simple yet ambitious: to equip leaders at every level with the tools, perspectives, and inspiration they need to lead with vision, empathy, and impact. https://www.teleioscn.org/anatomy-of-leadership