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In this compelling first installment, CMS Chief Operating Officer and Deputy Administrator Kim Brandt joins Chris Comeaux for a candid conversation about the growing hospice fraud crisis, the financial future of Medicare, and the urgent transformation happening across American healthcare.
Drawing from her leadership role at CMS and firsthand experiences with hospice care in her own family, Brandt shares why hospice remains a critical pillar of compassionate care — while also exposing the alarming abuse threatening the integrity of the system.
The discussion dives deep into the pressures facing Medicare as the nation approaches the “silver tsunami,” with 10,000 new beneficiaries entering Medicare every day through 2030. Brandt explains how CMS is thinking about value-based care, the role of technology and AI in improving patient outcomes, and why hospice and palliative care may increasingly blend together in the future.
From home-based care expansion to quality-driven reimbursement models, this episode offers healthcare leaders a rare inside look at the policy conversations shaping the next decade of healthcare delivery.
Key Takeaways
- CMS views hospice as an essential part of the Medicare ecosystem and is committed to protecting legitimate providers while aggressively combating fraud.
- Medicare faces mounting financial pressure as 10,000 baby boomers enroll daily, accelerating the need for healthcare reform and value-based care models.
- Kim Brandt predicts hospice and palliative care will increasingly integrate, allowing patients to receive supportive care earlier in their illness journey.
- Home-based healthcare, telehealth, AI, and remote monitoring are expected to play a major role in the future of hospice care delivery.
- CMS is shifting its focus from enrollment volume toward aligning incentives with quality outcomes and patient-centered care.
If you’re passionate about the future of healthcare, hospice innovation, and leadership that drives meaningful change, this is an episode you cannot miss. Subscribe to our podcast and share this conversation with your team, and stay tuned for Part Two, coming this Friday, as we continue exploring the future of Medicare, hospice reform, and value-based care.
Featured Guest
Kim Brandt
Chief Operating Officer and Deputy Administrator at CMS
Biography
Crushing Fraud, Waste, & Abuse
Our Host
Chris Comeaux
MLAS, CPA
President / CEO of Teleios
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