--- title: Part Two | Dr. Joan Teno Exposes the Hidden Problems with Hospice Ratings and Quality Scores description: In this episode, Dr. Joan Teno explores critical issues surrounding hospice quality ratings, hospice quality scores, hospice transparency, hospice leadership, healthcare analytics, artificial intelligence in healthcare, patient-centered care, Medicare hospice policy, hospice accountability, healthcare quality measurement, hospice innovation, and end-of-life care. --- [Anatomy of Leadership ](https://www.teleioscn.org/anatomy-of-leadership) # [Part Two | Dr. Joan Teno Exposes the Hidden Problems with Hospice Ratings and Quality Scores](https://www.teleioscn.org/anatomy-of-leadership/part-two-dr.-joan-teno-exposes-the-hidden-problems-with-hospice-ratings-and-quality-scores) Written by [Chris Comeaux](https://www.teleioscn.org/anatomy-of-leadership/author/chris-comeaux) | Jun 5, 2026 1:09:01 PM **Hospice quality ratings play a critical role in helping patients and families make informed care decisions—but are they telling the whole story?**       In Part Two of this compelling conversation, Dr. Joan Teno continues her deep dive into the challenges surrounding hospice quality measurement, transparency, and consumer choice.  Building on the foundation established in Part One, she explores how healthcare leaders can better leverage existing data to help patients and families identify high-quality hospice providers while avoiding misleading or incomplete information.  Dr. Teno also shares her vision for a future where technology, data analytics, and artificial intelligence empower consumers to make more informed decisions during some of life’s most difficult moments.   The conversation also tackles larger questions about the future of hospice care in America.  Dr. Teno discusses the risks of oversaturation, profiteering, and declining public trust, while emphasizing the extraordinary dedication of hospice clinicians who continue to provide compassionate care every day.  She challenges industry leaders to preserve the mission and integrity of hospice while embracing innovation, improving accountability, and strengthening public confidence in the field.   Thoughtful, data-driven, and deeply human, this episode offers healthcare executives, hospice professionals, nonprofit leaders, and policymakers valuable insights into where hospice is headed—and what must be done to ensure quality care remains at the center of the mission. ## **Key Takeaways** - Consumers need simpler, more actionable tools to identify high-quality hospice providers and make informed care decisions. - Artificial intelligence has tremendous potential to improve hospice quality reporting, but leaders must remain vigilant about data accuracy and AI-generated misinformation. - Public trust in hospice is at risk when oversupply, profiteering, and unethical enrollment practices overshadow patient-centered care. - Hospice professionals remain the foundation of quality care, often going above and beyond to serve patients and families with compassion and excellence. - The future of hospice depends on balancing innovation, transparency, accountability, and mission-driven care while preserving patient choice. What does the future of hospice quality look like—and how can leaders ensure patients and families receive the care they deserve?   Watch or listen to Part Two of this important conversation with Dr. Joan Teno and discover why data, transparency, and trust will play a defining role in the next chapter of hospice care.  If this episode challenged your thinking or provided valuable insights, share it with your colleagues, leadership teams, and healthcare partners.  Subscribe, leave a review, and join us as we continue exploring the ideas shaping the future of healthcare leadership and end-of-life care.   [**HPC Today Top News Stories - May 2026**](https://www.teleioscn.org/hubfs/Teleios%20Collaborative%20Network/Documents/HPC%20Today%20Top%20News%20Stories%202026.05%20Cordt.pdf) [Teleios Monthly Podcast Articles May 2026 Newsletter](https://www.teleioscn.org/hubfs/Teleios%20Collaborative%20Network/Documents/Publicly%20Available%20Teleios%20Monthly%20Podcast%20Articles%20May%202026%20Newsletter.pdf)   [Show Transcript](https://www.teleioscn.org/hubfs/Teleios%20Collaborative%20Network/Documents/TRANSCRIPT%20-%20Part%20Two%20-%20Dr.%20Joan%20Teno%20Exposes%20the%20Hidden%20Problems%20with%20Hospice%20Ratings%20and%20Quality%20Scores.pdf)         Featured Guest ## Dr. Joan Teno  MD, MS; Adjunct Professor of Health Services, Policy, and Practice (Brown School of Public Health); Adjunct Staff, RAND Corporation [Biography](https://www.teleioscn.org/hubfs/Teleios%20Collaborative%20Network/Documents/Dr.%20Joan%20Teno%20bio.pdf) [**joanteno.substack.com**](https://nam04.safelinks.protection.outlook.com/?url=https%3A%2F%2Fjoanteno.substack.com%2F%3Futm_campaign%3Dprofile_chips&data=05%7C02%7Cccomeaux%40teleioscn.org%7C326d35a457564588f99308debc1f02d7%7Cd63fe25b1ccf46e4b82cd265e602d976%7C0%7C0%7C639155038553195590%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=iSJhWH4yi%2FfNKKAk8L0QllLcVqaEpX8okul82RhgFaY%3D&reserved=0)         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)         Brain Bookmark           **TCNtalks / Anatomy of Leadership Sponsor**         [www.usi.com](http://www.usi.com)       [View full post](https://www.teleioscn.org/anatomy-of-leadership/part-two-dr.-joan-teno-exposes-the-hidden-problems-with-hospice-ratings-and-quality-scores) ```json { "@context" : "http://schema.org", "@type" : "BlogPosting", "author" : { "@type" : "Person", "name" : "Chris Comeaux" }, "dateModified" : "2026-06-05T13:09:01.484Z", "datePublished" : "2026-06-05T13:09:01Z", "headline" : "Part Two | Dr. Joan Teno Exposes the Hidden Problems with Hospice Ratings and Quality Scores", "image" : { "@type" : "ImageObject", "height" : 1700, "url" : "https://4731444.fs1.hubspotusercontent-na1.net/hubfs/4731444/Part%20Two%20-%20Dr.%20Joan%20Teno%20Exposes%20the%20Hidden%20Problems%20with%20Hospice%20Ratings%20and%20Quality%20Scores%20-%20Blog%20Thumb.jpeg", "width" : 2550 }, "mainEntityOfPage" : "https://www.teleioscn.org/anatomy-of-leadership/part-two-dr.-joan-teno-exposes-the-hidden-problems-with-hospice-ratings-and-quality-scores", "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" } } ```