Part Two - Healthcare Leaders Break Down Hospice Reform, Medicare & Quality Care

In Part Two of this powerful conversation, hospice leaders Tom Koutsoumpas, Founder and CEO of NPHI and Carole Fisher, President of NPHI, join Chris Comeaux and Cordt Kassner to unpack the future of hospice care, Medicare reform, and the growing demand for transparency and quality in end-of-life care.  

From modernizing the Medicare hospice benefit to addressing fraud, workforce shortages, and evolving patient expectations, the discussion offers a candid look at the challenges shaping the hospice industry today.

The conversation also explores innovative models of care, including disease-specific care guides, partnerships with organizations like the American Heart Association and Alzheimer’s Association, and strategies for improving collaboration with hospitals, Medicare Advantage plans, and community leaders.  Tom and Carole share why advocacy, leadership, and sustainability are critical to ensuring every patient receives compassionate, high-quality end-of-life care.  They also weigh in on the controversial hospice carve-in debate, offering insights backed by real-world data and policy experience.

Ultimately, this episode is a thoughtful and forward-looking discussion about preserving the mission of hospice while adapting to a rapidly changing healthcare landscape.  For healthcare executives, nonprofit leaders, and hospice professionals, this conversation delivers both strategic insight and a powerful reminder of why quality, dignity, and compassion must remain at the center of care.

Key Takeaways

• Hospice leaders are pushing for greater accountability and mandatory quality reporting across all hospice providers.
• Medicare modernization and stronger collaboration with Medicare Advantage plans are becoming essential for hospice sustainability.
• Innovative disease-specific care guides and partnerships are helping hospices expand support for patients, caregivers, and referral sources.
• Workforce shortages, financial pressures, and regulatory challenges remain major concerns for nonprofit hospice organizations.
• Industry leaders believe the future of hospice depends on balancing innovation with the core mission of delivering compassionate, high-quality end-of-life care.

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