--- title: Healthcare Leaders Break Down Hospice Reform, Medicare & Quality Care | Part One description: Chris Comeaux sits down with nationally respected healthcare leaders Tom Koutsoumpas, Founder & CEO of NPHI and Carole Fisher, President of NPHI to explore the evolving future of hospice, palliative care, Medicare oversight, and the growing demand for quality-driven, compassionate healthcare leadership. --- [Anatomy of Leadership ](https://www.teleioscn.org/anatomy-of-leadership) # [Healthcare Leaders Break Down Hospice Reform, Medicare & Quality Care | Part One](https://www.teleioscn.org/anatomy-of-leadership/healthcare-leaders-break-down-hospice-reform-medicare-quality-care-part-one) Written by [Chris Comeaux](https://www.teleioscn.org/anatomy-of-leadership/author/chris-comeaux) | May 6, 2026 12:34:18 PM In Part One of ***Healthcare Leaders Break Down Hospice Reform, Medicare & Quality Care***, Chris Comeaux sits down with nationally respected healthcare leaders Tom Koutsoumpas, Founder & CEO of NPHI and Carole Fisher, President of NPHI to explore the evolving future of hospice, palliative care, Medicare oversight, and the growing demand for quality-driven, compassionate healthcare leadership.       Together, they unpack the growing challenges facing end-of-life care — from fraud and benefit manipulation to the urgent need for quality transparency and authentic patient-centered care.  Drawing on decades of leadership experience, the guests explore how nonprofit hospice organizations are redefining quality while advocating for compassion, integrity, and trust across the healthcare continuum.   The discussion also dives into the emotional and cultural barriers surrounding hospice conversations, the importance of introducing palliative care earlier in serious illness, and why communication remains one of the most powerful tools in healthcare leadership.   Through personal stories, policy insights, and candid reflections, Tom and Carole reveal how mission-driven organizations are creating calm and clarity for patients and families during life’s most vulnerable moments.  This episode offers healthcare leaders, hospice professionals, and nonprofit executives a timely and inspiring look at where serious illness care is headed — and what it will take to protect its future.   **Key Takeaways** - Hospice leaders are pushing back against fraud, abuse, and “benefit manipulation” that prioritize profits over patient care. - Earlier integration of palliative care can build trust with patients and families before hospice services are needed. - One of hospice care’s greatest challenges remains overcoming public fear and misunderstanding surrounding death and end-of-life conversations. - Nonprofit hospice organizations continue to lead in quality outcomes, staffing, patient support services, and community-based care. - Quality transparency, collaboration, and meaningful data sharing are becoming essential for the future of healthcare and hospice reimbursement. ** ** [**HPC Today Top News Stories - April 2026**](https://www.teleioscn.org/hubfs/Teleios%20Collaborative%20Network/Documents/HPC%20Today%20Top%20News%20Stories%202026.04.pdf) [Teleios Monthly Podcast Articles April 2026 Newsletter](https://www.teleioscn.org/hubfs/Teleios%20Collaborative%20Network/Documents/Publicly%20Available%20Teleios%20Monthly%20Podcast%20Articles%20April%202026%20Newsletter.pdf)     [Show Transcript](https://www.teleioscn.org/hubfs/Teleios%20Collaborative%20Network/Documents/TRANSCRIPT%20-%20Healthcare%20Leaders%20Break%20Down%20Hospice%20Reform%2c%20Medicare%20%26%20Quality%20Care%20%7C%20Part%20One.pdf)         Featured Guest ## Tom Koutsoumpas Founder & CEO, NPHI [Biography](https://www.teleioscn.org/hubfs/Teleios%20Collaborative%20Network/Documents/Tom%20Koutsoumpas%20bio%202026.pdf) **[www.nphihealth.org](http://www.nphihealth.org) [People Over Profits](https://www.nphihealth.org/peopleoverprofits/) [Inside View - podcast](https://www.nphihealth.org/podcast/)**   ## Carole Fisher President of NPHI [Biography](https://www.teleioscn.org/hubfs/Teleios%20Collaborative%20Network/Documents/Carole%20Fisher%20bio%20-%202026.pdf) **[www.nphihealth.org](http://www.nphihealth.org) [People Over Profits](https://www.nphihealth.org/peopleoverprofits/) [Inside View - podcast](https://www.nphihealth.org/podcast/) **       Co-Host ## Cordt Kassner  PhD, Publisher of Hospice & Palliative Care Today & CEO and Founder of Hospice Analytics  [**Contact **](mailto:ckassner@hospiceanalytics.com) **[Biography](https://www.teleioscn.org/hubfs/Teleios%20Collaborative%20Network/Documents/Cordt%20T%20Kassner%20bio.pdf)** [Hospice and Palliative Care Today](https://www.hospicepalliativecaretoday.com/) **Subscribe for free** [www.hospicepalliativecaretoday.com](https://www.hospicepalliativecaretoday.com/)     Our Host ## Chris Comeaux MLAS, CPA President / CEO of Teleios [Request More Information](mailto:ccomeaux@teleioscn.org) Order Book On Amazon** ** [The Anatomy Of Leadership](https://www.amazon.com/Anatomy-Leadership-What-Do-Leaders/dp/B0CP1H4Q9Z/ref=sr_1_1?crid=13TCTTE4MERHU&dib=eyJ2IjoiMSJ9.k8JMNI42KjHquGeyhSi2yVsqgt34wii5hGbTnBxh7y_GjHj071QN20LucGBJIEps.lb1wV3NFqwfao2camDL9e5NU93vuV9f3YVbZrNXuARs&dib_tag=se&keywords=the+anatomy+of+leadership+by+chris+comeaux&qid=1723572559&sprefix=The+Anatomy+Of+Leadership%2Caps%2C85&sr=8-1)                       [View full post](https://www.teleioscn.org/anatomy-of-leadership/healthcare-leaders-break-down-hospice-reform-medicare-quality-care-part-one) ```json { "@context" : "http://schema.org", "@type" : "BlogPosting", "author" : { "@type" : "Person", "name" : "Chris Comeaux" }, "dateModified" : "2026-05-07T21:22:16.204Z", "datePublished" : "2026-05-06T12:34:18Z", "headline" : "Healthcare Leaders Break Down Hospice Reform, Medicare & Quality Care | Part One", "image" : { "@type" : "ImageObject", "height" : 1700, "url" : "https://4731444.fs1.hubspotusercontent-na1.net/hubfs/4731444/Healthcare%20Leaders%20Break%20Down%20Hospice%20-%20blog%20-%20Part%20One-2.jpeg", "width" : 2550 }, "mainEntityOfPage" : "https://www.teleioscn.org/anatomy-of-leadership/healthcare-leaders-break-down-hospice-reform-medicare-quality-care-part-one", "publisher" : { "@type" : "Organization", "logo" : { "@type" : "ImageObject", "height" : 60, "url" : "/hs/hsstatic/content_shared_assets/static-1.4092/img/default-amp-logo.png", "width" : 60 }, "name" : "Anatomy of Leadership" } } ```