Last Visit First

Steno Health Co-founder and CEO Dr. Alex Milani joins Last Visit First at the 2026 HCHB Users Conference to talk about Curate: Scribe, the ambient AI documentation tool powered by Steno and embedded directly inside Homecare Homebase. Alex shares that the product is now officially live, with a waiting list of about 18 agencies set to onboard, and walks through how it works: summarizing referral doc...

IntellaTriage CEO Daniel Reese joins Last Visit First live from the 2026 HCHB Users Conference in Orlando to share what is new at IntellaTriage, including upcoming AI initiatives designed to help its nurses document more consistently and deliver higher-quality triage to patients and families. Daniel also talks about what he is hearing from agencies at the conference, from the impact of the morator...

April Anthony, Chairman and CEO of VitalCaring and founder of Homecare Homebase, returns to Last Visit First live from the 2026 HCHB Users Conference, her first in six years. April shares why this is such a transformative moment for home health, and how VitalCaring is rolling out Curate: Scribe carefully, working closely with HCHB and pre-training clinicians to narrate their visits before the tool...

Alicia Bowman of The Pennant Group closes out Last Visit First's coverage of the 2026 HCHB Users Conference. Alicia shares what has kept Pennant busy this year, including the final wave of its LHC and Amedisys acquisitions in Tennessee, Alabama and Georgia, and how Pennant is testing Curate: Scribe with a group of clinicians ahead of a pilot this November. Alicia also talks about why transparency...

Homecare Homebase President Luke Rutledge joins Last Visit First on the floor of the 2026 HCHB Users Conference in Orlando, the biggest in the event's 20-year history with about 600 attendees. Luke shares what customers are talking about most: AI that is meaningful, that improves clinicians' lives and automates back-office work, and how that drives HCHB's strategy with both its partners and its ow...

Debbie Compton planned to retire from her corporate career. Instead, she spent 21 years as a family caregiver for three loved ones with three different diseases: her father with Parkinson's, her mother with vascular dementia, and her mother-in-law with Alzheimer's. Today she is the founder of The Purple Vine, a certified caregiving consultant and advocate, and the author of multiple international...

Medicare Advantage growth stalled for the first time in a decade. Hospice admissions are growing faster every year. And in some states, patients wait nearly a week after hospital discharge for their first home health visit. Trella Health CEO Scott Tapp and Senior Consultant of Data & Analytics Carter Bakkum join Tom Maxwell once again, this time to walk through Trella's new Post-Acute Market I...

QAPIplus Co-Founder and CEO Armine Khudanyan, Co-founder and CTO Lara Koraian, and Chief Growth Officer Jared Robey join Last Visit First, with guest host Jennifer Maxwell filling in for Tom this episode, to talk about how QAPIplus is transforming quality improvement and compliance for home health and hospice organizations. The team explains how QAPIplus helps agencies operationalize the flood of...

CareXM CEO Si Luo returns to Last Visit First to share how the company's AI triage assistant is changing the way nurses handle patient calls. Si explains how CareXM rolled the tool out to 100% of its internal users, with early external adoption from agencies like Amedisys and LHC, resulting in more than a 25% improvement in the number of triage encounters each nurse can handle. Si also breaks down...

WellBeam CEO and Co-Founder Amee Devani returns to Last Visit First, this time with guest host Jennifer Maxwell filling in for Tom, to talk about how WellBeam is eliminating one of home health's most outdated workflows: getting physicians to sign care plans and orders. Amee explains how WellBeam brings this process directly into physician EMRs like Epic, Cerner, and eClinicalWorks, mapping everyth...

Element5 Co-founder and CEO Joe Randesi joins Last Visit First once again, with guest host Jennifer Maxwell, Co-Founder and CEO of Maxwell TEC and wife of Tom Maxwell, to talk about how AI agents are automating revenue cycle management and back-office operations for the home health and hospice community. Joe explains Element5's approach to "touchless rate," the percentage of financial and administ...

Mosai CEO Elliott Wood joins Last Visit First once again to talk AI, software, and where home-based care technology is headed next. Eighteen months after the merger of Forcura and Medalogix into Mosai, Elliott shares how the company is reimagining software delivery from the ground up, from consolidating cluttered multi-screen clinician workflows into a single AI-assisted interface, to using AI age...

Maxwell TEC COO Jay Duty joins Last Visit First to unpack the biggest themes on the show floor at HCHB's Users Conference, including AI and automation in home health and hospice, ambient listening technology for clinicians, and the industry buzz around the new hospice amendment regulation. Jay breaks down the fast-approaching hospice amendment deadline, the challenge of getting signed amendments b...

AnewHealth Chief Growth Officer Roman Fry joins Last Visit First to explain how the company's pharmacy care model helps home health agencies manage their most complex, high-medication patients, at no added cost to the agency. Roman breaks down how AnewHealth, the only integrated pharmacy partner with Homecare Homebase, works directly inside the EMR to identify patients with high medication burden,...

Homecare Homebase kicked off its 20th anniversary Users Conference in Orlando, Florida, and Last Visit First was there to capture it. Chief Revenue Officer Hannah Pearson joins host Tom Maxwell to set the stage for this milestone home health and hospice conference, from the keynote and executive track sessions to a jam-packed vendor marketplace with hundreds of home care industry exhibitors. With...

For nearly five decades, Bill Dombi has shaped almost every major law, regulation, and legal battle behind home health and hospice care in America. As former President and CEO of the National Association for Home Care & Hospice (NAHC) and now senior counsel at Arnall Golden Gregory, Bill has argued in front of Congress, CMS, and the courts to protect access to care at home. In this episode, Bi...

Dave Devereaux has spent more than 40 years inside America's nursing homes, from teenage housekeeper to CEO, board member, and investor, and he's channeled all that knowledge into his book, "Beyond Bedrails and Bingo: Myths, Truths and the Future of America's Nursing Homes." In this episode, Dave joins the podcast to break down the biggest myths families believe about nursing homes, including the...

Dr. Chet Robson has held Chief Medical Officer and Chief Clinical Officer roles at Adventist Health Partners, Walgreens, and Your BioHealth. In this conversation he walks through his journey from paper charts to EMRs to AI, and why the biggest problems in healthcare still come down to systems that won't talk to each other. Tom and Dr. Robson get into why 30 to 50 percent of patients never follow t...

Rexanne Domico is the President and CEO of Interim HealthCare, one of the nation's largest network of home care, home health, hospice, and medical staffing franchises. She stepped into the CEO role in January 2025 after more than two decades in post-acute care, including leadership roles at Gentiva, LHC Group, BrightSpring, and HomeFree Pharmacy Services. In this conversation, Rexanne joins the po...

Mark Kimsey got his start in healthcare at 13 years old, fetching sandwiches and Diet Cokes in a hospital administrative office. A few years later, an afternoon observing ICU care hooked him for good. Today he is CEO and co-founder of Mission Healthcare, one of the largest home health and hospice providers on the West Coast. Tom Maxwell sits down with Mark to trace that whole journey, from a broke...

The biggest problem in hospice isn't fraud, it's patients waiting too long to choose it. Tom sits down with Phillip Fulgham, Vice President of Hospice at Saad Healthcare, a family owned home health and hospice company based in Mobile, Alabama serving the state's southern counties and coastal Mississippi. Phillip has led Saad's hospice service line since 2017, continuing a business his grandparents...

CMS just proposed a 2.4% payment increase for home health in 2027. If that's the only number you take away, you're missing a lot. Tom Maxwell sits down with Jay Duty, COO at Maxwell TEC, to unpack what's actually happening underneath the headline: a temporary rate cut, a nearly $5 billion recoupment, a full case-mix recalibration, and provider enrollment changes that could put your Med...

What does it actually take to sell a home health or hospice agency, and how do you make sure you walk away with what your business is worth? Alex Veach, Partner at Agenda Health, joins Last Visit First for a conversation that covers the full arc of the healthcare M&A process, from the moment you start thinking about an exit to the day you close a deal. Agenda Health advised on roughly 25% of a...

Dementia is one of the most feared diagnoses in aging. But most of what families, caregivers, and even healthcare professionals think they know about it is incomplete. Dr. Shadi Gholizadeh, Chief Quality and Innovation Officer at TheKey, joins Tom Maxwell for a conversation that covers dementia from every angle. Prevention, care, behavior change, the one symptom our aging population is not paying...

Brian Lobley spent more than 20 years inside one of the country's largest health insurers before crossing the aisle to fix the problem he "helped create." Now as CEO of tango, he is building the infrastructure that gets patients home faster, keeps them out of the hospital, and actually rewards the agencies doing the work. Tom Maxwell sits down with Brian to break down why the post-acute system is...