Home Health Revealed (+Palliative and Hospice)

Patients are coming home from the hospital sooner, sicker, and with more complex needs than ever before. For home health agencies, that shift is changing everything from clinical workflows and documentation to staffing, caregiver support, and revenue cycle performance. In this episode of Home Health Revealed , Hannah Vale sits down with Rachel Trombly , Director of Clinical Services at Mosai , to...

In this episode, we break down the CMS nationwide six-month moratorium on new home health agency and hospice Medicare enrollments—effective May 13, 2026—and what it means for your agency, your growth plans, and your revenue cycle. We’ll cover exactly what the moratorium blocks (new enrollments, certain ownership changes, branch and practice location expansions), what it does not block (existing pr...

Revenue cycle management has long been a cornerstone of financial success in home health, but what if there was a way to connect revenue, capacity, margin, and cash flow into one complete picture? In this episode of Home Health Revealed, host Hannah Vale sits down with Victoria Kuklina and Alex Shekaroff , founders of Fin Health Inc. , to discuss the emerging concept of Profit Cycle Management (PC...

Dementia care requires more than clinical expertise, it requires understanding, patience, and the right approach. In this episode of Home Health Revealed , we sit down with Jessica Iorio , VP of Hospice Operations, and Lauren Adams , Dementia Care Coordinator for the LTM Group , to discuss how specialized dementia education is transforming care for patients, families, and clinicians alike. From re...

What does it take to grow a home health and hospice organization from a startup into a thriving, multi-location agency? In this episode of Home Health Revealed, Greg Davis, Owner and President of Business Operations at Patriot at Home , shares the story behind the agency’s growth journey, from humble beginnings and early business failures to strategic expansion, acquisitions, and long-term plannin...

Home health value-based purchasing continues to be one of the most important topics shaping agency performance, reimbursement, and patient outcomes. In this episode, Katie Eise l, Director of Payer Relations for the Ohio Community at Home Network (OCHN), joins the podcast to break down HHVBP in a practical, easy-to-understand way. Katie shares how agencies can simplify complex performance reports,...

In this episode of Home Health Revealed , we sit down with Hope Mulliken , Help Desk Coordinator at the Ohio Council for Home Care and Hospice (OCHCH) , to talk about what’s really happening behind the scenes in home health operations today. From Medicaid and Medicare changes to rising denials, authorization delays, and audit pressure, Hope breaks down the challenges agencies are facing right now...

In this episode of Home Health Revealed , we sit down with Victoria Barkin , Regional Director of Operations for Home Health at National Church Residences , to talk about what it really means to create a true continuum of care. Too often, care is delivered in silos. But patients don’t experience it that way. Victoria shares real-world stories that highlight the gaps that can happen between setting...

In this episode of Home Health Revealed , we sit down with Mecca Abdul-Aziz , owner of E&M Home Care in Columbus, Ohio, to hear the real story behind building a home care agency from the ground up. Mecca shares how a career shift from marketing and education, paired with a sudden layoff and a growing desire to build something of her own, led her into the home care space. With no prior experien...

In this episode of Home Health Revealed , we sit down with Jessica Mandrell , owner of Lifesaver Healthcare , to talk through what it really looks like to step into ownership through acquisition, and what comes next. Jessica shares her experience purchasing an established agency, what made the transition smoother than expected, and the lessons that came quickly, like navigating prior authorization...

What’s really happening in home health and hospice right now? A look at Ohio tells the story. In this episode, Lisa VonLehmden  from Ohio Council for Home Care and Hospice  shares how the landscape is shifting across the state, from growing demands on agencies to the increasing need for real support and engagement at the association level. She talks through the rapid growth of the Ohio Council, wh...

Documentation in home health has always been essential, but it hasn’t always supported clinicians and agencies in the way it needs to. In this episode of Home Health Revealed, we explore the evolution of home health documentation —from paper and pen to EMRs and now ambient AI—and what each stage has solved, as well as what gaps still remain. Joined by Sandeep Banga and Andrew Ostrander from Scribb...

When a surveyor walks through your doors, what are they really looking for? In this episode of Home Health Revealed , we sit down with Becky Tolson from ACHC to break down the top five deficiencies cited in home health surveys—and why they continue to show up across agencies. From plan of care and medication management to documentation habits and infection control, Becky shares what surveyors see...

In this episode of Home Health Revealed, we sit down with Alexander Shekaroff from Fin Health, Inc. to explore the emerging concept of profit cycle management —and how it builds on traditional revenue cycle strategies in home health and hospice. While revenue cycle management focuses on cash flow and collections, this conversation dives deeper into what truly drives financial performance: margins,...

In this episode of Home Health Revealed , we sit down with J eremy Collier of the Ohio Council for Home Care and Hospice to explore how home health and hospice are evolving and what it means for providers today. We discuss the difference between Medicare and Medicaid care models, often described as “pit stops vs lifelong care,” and how those philosophies shape patient experience, care delivery, an...

In this episode of Home Health Revealed , recorded live at the OCHCH Spring Financial Conference, we sit down with Gavin Michel from KanTime for a conversation that blends industry insight with a bit of personality. Gavin shares his perspective on what makes KanTime different, from its consulting-first roots to its focus on understanding what agencies actually need to succeed. The conversation hig...

In this episode of Home Health Revealed , Hannah Vale sits down with Ethan from Flychain to talk about the truth behind AI in home health and hospice, and why agencies are feeling both excitement and uncertainty about what automation really means for the future of the industry. They discuss how AI is already being used across clinical, operational, and financial workflows, why payers are leveragin...

In this episode of Home Health Revealed , Hannah Vale sits down with Alex Hartzman, Vice President of Research & Analytics at the National Alliance for Care at Home and Head of Operations at the Research Institute for Home Care , to discuss the policy, payment, and workforce trends shaping the future of home health. They explore the ongoing pressure from Medicare reimbursement changes, the imp...

In this episode of Home Health Revealed , Hannah Vale sits down with Kyle Lavergne, nurse practitioner, home health leader, and chairman of the American Heart Association Home Health Heart Failure Certification Committee, to discuss how AHA certification is helping agencies improve outcomes across the continuum of care. They break down why heart failure requires coordination between hospitals, hom...

In hospice, everything starts with philosophy, but documentation and compliance determine sustainability. In this episode, we’re joined by Deanna Heath of KanTime to discuss the critical mindset shift from cure-focused care to comfort-focused care, and what that means for hospice leadership, documentation, and regulatory compliance. As CMS oversight increases and the HOPE tool, audit scrutiny, and...

In this episode of Home Health Revealed, host  Hannah Vale  sits down with hospice physician and national educator  Dr. Lauren Templeton  to unpack why every hospice and home health professional’s voice matters in advocacy, quality, and compliance. Drawing on her work with the Pennant Group , Weatherbee Resources , and national organizations, Dr. Templeton shares practical ways bedside clinicians,...

What really happens when a nurse walks through a patient’s front door instead of a hospital doorway? In this episode of Home Health Revealed , host Hannah Vale heads into the field with home health nurses in snowy Northeast Ohio and then sits down with leaders from Lorain County Community College and the Ohio Council for Home Care & Hospice to unpack what she witnessed firsthand. You’ll hear f...

In this episode, Hannah Vale is joined by Lisa Meadows, Senior Manager, Survey Operations, at ACHC (Accreditation Commission for Health Care) , for a timely conversation on how home health agencies can stay compliant while operating with smaller margins and fewer resources.  Hannah discusses the new partnership and product certification for Velocity . Lisa shares how ACHC is helping agencies meet...

In this power punching episode, we sat down with Jonathan Fleece of Empath Health for a timely and important conversation. When we recorded this episode, the home health Final Rule had not yet been released, but the insights shared remain highly relevant now that it is public.  While the proposed 9% cut would have been catastrophic for the home health industry, even the finalized cuts continue to...

In this episode of Home Health Revealed, host Hannah Vale and co-host Ethan Schwarzbach from FlyChain are joined by Kara Cox from Capitol Home Health for one of the most eye-opening conversations of the year.  Kara shares a retention strategy almost no one in home health is talking about: quarterly employee bonuses. Yes, bonuses! In addition to celebrations and personal recognition, employees see...