Last Visit First

Live from Home Care 100 in Scottsdale, host Tom Maxwell is joined by Si Luo, CEO of CareXM. As agencies face increasing "growth constraints" and clinical capacity issues, Si breaks down CareXM's unique "overlay stack" approach—a bidirectional integration with major EMRs like Homecare Homebase and MatrixCare. This allows a centralized nursing workforce to manage after-hours triage without the need...

Live from Home Care 100 in Scottsdale, host Tom Maxwell sits down with Amee Devani, CEO and Co-Founder of WellBeam. Born out of physician frustration with the "black box" of post-acute care, WellBeam has built the infrastructure to replace faxes and phone tag with true EMR interoperability. Amee breaks down how they serve as the "epic pipe" (or universal adapter) that allows clinicians to share wo...

We are kicking off our "Live from HC100 Scottsdale" series with a very special guest: Hannah Pearson, Chief Revenue Officer at Homecare Homebase. In this short, candid conversation with Tom Maxwell, she breaks down the shift from the "negative" industry outlooks to the power of meaningful, in-person connections at the Phoenician. Key Highlights: 00:55 – Why the "Failure Panel" doesn't tell the who...

From clinical rotations in Maine to guiding strategy at a national scale, Dr. Jason Kimbrel has defined his career by "living in the gray." As the COO of Yellow Leaf Consulting and a former NHPCO section leader, Jason bridges the gap between rigid medical rules and the compassionate, complex reality of end-of-life care. In this episode, Jason joins Tom to dismantle the industry's biggest medicatio...

From working front desk tasks in high school to leading as CEO, Beau Sorensen has built First Choice Home Health & Hospice into a powerhouse of culture and operational discipline. In this episode, Beau joins Tom to discuss how he is navigating the industry's biggest headwinds—from Medicare Advantage rate pressures to the "ProPublica hangover." They dive deep into the future of te...

What do aircraft carrier flight decks teach you about running the industry's leading healthcare analytics platform? In this episode of Last Visit First, host Tom Maxwell sits down with Scott Tapp, CEO of Trella Health, for a conversation that spans from the discipline of military service to the cutting edge of healthcare AI. The post-acute care market is facing a massive "data puzzle&quot...

The role of the Hospice Medical Director is changing. For years, the industry relied on contracted physicians primarily for administrative oversight—but with new regulations like the HOPE assessment and rising acuity in patients, the "paperwork doctor" model is no longer enough. In this episode, Tom sits down with two of the most respected clinical leaders in the country: Dr. Andrew Mayo (Chief Me...

Scott Levy of the National Alliance for Care at Home and Luke James, President of VitalCaring Group, join Tom Maxwell on Last Visit First to break down CMS's Calendar Year 2026 Home Health Final Rule. This conversation is timely, detailed, and one of the most important episodes we have recorded for leaders in home based care. Tom sits down with Scott and Luke to explain how CMS reached the fin...

In episode #6, Tom sits down with Alex Mauricio, President and CEO of Bristol Hospice , for an in depth conversation about leadership, culture, and the future of hospice care. Alex shares how growing up as “free labor” in his mom’s home health agency shaped his career, how he entered hospice, and how he now leads one of the largest and fastest growing hospice organizations in the country. They tal...

Jason Yu started his career as a teacher, became a management consultant, and eventually found himself running a home care agency during the start of the pandemic. That experience shaped everything that would become Levo, a clinician retention platform helping agencies reduce turnover and improve patient outcomes. In this conversation, Jason explains why the real causes of turnover are often quiet...

Tom sits down with Tracy Dent , Senior Vice President of Clinical Operations at AccentCare and the first nurse to join Last Visit First. Tracy’s story runs from LVN in rural Texas to leading national teams. She opens up about the patient who “gave her the bug,” what rate cuts really mean for access in rural America, why leaders retain people better than bosses, and how AI, telehealth, and practica...

In this special bonus episode, Tom Maxwell sits down with Elliott Wood, CEO of MOSAI , to discuss the merger of Forcura and Medalogix into one unified company. Together, they unpack how two strong cultures came together under a shared mission to simplify care through connected intelligence. Elliott shares how MOSAI is reimagining technology’s role in home health and hospice—using AI, automation, a...

In this episode of Last Visit First, Tom Maxwell sits down with Luke Rutledge, President of Homecare Homebase (HCHB)—one of the most impactful technology platforms in post-acute care and the company where Tom once served as Chief Strategy Officer. What began as a friendship between mentor and mentee has evolved into a story of leadership, innovation, and purpose-driven growth. Luke shares his jour...

In this episode of Last Visit First , Tom Maxwell sits down with April Anthony — CEO of VitalCaring, founder of Encompass Home Health, and creator of Homecare Homebase. April shares her remarkable journey from unexpectedly buying her first home health agency at 25 to building some of the most influential organizations in care at home. Her story highlights the power of resilience, innovation, and c...

In the very first episode of Last Visit First, Tom Maxwell sits down with longtime friend and industry leader David Curtis, Founder and CEO of Graham Healthcare Group and a pioneer in home health and hospice. Together, they unpack: -David’s journey from Princeton rower to turning around struggling agencies and building one of the nation’s largest care-at-home providers. -The leadership practices t...

You’re invited to the conversation. Welcome to Last Visit First , the new podcast from Tom Maxwell, Co-Founder and Chairman of Maxwell TEC. In every episode, Tom sits down with the voices shaping home health, hospice, and care at home — leaders, innovators, and changemakers with stories that matter. This trailer gives you a taste of what’s ahead: candid conversations, real lessons, and insights th...