Home Health Revealed (+Palliative and Hospice)

hvale@healthrevpartners.com (Michael Greenlee and Hannah Vale)

Home Health Revealed brings you real stories from real industry leaders about all things related to home health, palliative, and hospice care. From staffing to technology, agency start-ups to scaling and growing an agency. It's the patients that deserve the best care and we want to help our listeners get there.

  1. Leadership, Change, and the HOPE Assessment in Hospice Care With Demetress Harrell

    2 DAYS AGO

    Leadership, Change, and the HOPE Assessment in Hospice Care With Demetress Harrell

    Host Hannah Vale sits down with Demetress Harrell—CEO of Hospice in the Pines, Board Chair of the Texas New Mexico Hospice Organization, National Organization Alliance for Care at Home Board Member, and a long-time leader in hospice care.  With more than 32 years of experience, Dr. Harrell shares her profound insights on effective leadership, emotional intelligence, and building resilient teams in hospice care. Listen as she explores: - How presence and accountability shape effective leadership in hospice - The role of emotional intelligence in creating positive staff culture - Strategies for leading through industry changes and regulatory updates - Preparing for the HOPE Assessment and its impact on patient outcomes - The importance of mission-driven work and empowering emerging leaders You'll hear stories from the front lines, practical advice for staff development, and a passionate outlook on why compassion and adaptability matter most in end-of-life care. If you’re a hospice leader, staff member, or emerging professional looking to make a greater impact, this episode will equip and inspire you. Connect with Dr. Harrell and Hospice in the Pines at [www.hospiceinthepines.org](https://www.hospiceinthepines.org), or by phone at 936-632-1514 / 1-800-324-8557. Don’t forget to subscribe for more insightful episodes on the realities and opportunities in home health and hospice! #HomeHealthRevealed #HospiceLeadership #HOPEAssessment #HealthcarePodcast #EndOfLifeCare #TeamDevelopment #CompassionInCare #HospiceinthePines Chapters (00:00:02) - Home Health Revealed: Leadership in Hospice Care(00:01:49) - A Leader's Role in the Community(00:03:11) - What is Effective Leadership in Hospice?(00:05:04) - What Makes a Leader Effective?(00:07:33) - The Role of Emotional Intelligence at Hospice in the Pines(00:17:50) - What advice would you give to emerging leaders in hospice?

    23 min
  2. Investing in People: Melissa Battistella of Cadre Hospice on RCM, Leadership, and Lasting Change

    17 SEPT

    Investing in People: Melissa Battistella of Cadre Hospice on RCM, Leadership, and Lasting Change

    For our final Live from the Alliance Conference episode of Home Health Revealed, Hannah Vale and Sara Nigro close out the series with an incredible conversation with Melissa Battistella of Cadre Hospice. With deep expertise in revenue cycle management (RCM) and years of hands-on leadership, Melissa shares what it really takes to guide teams through change while keeping people—and purpose—at the center. Melissa dives into: Leveraging human capital and why investing in your people delivers the greatest returns Teaching teams to master Medicare collections with confidence How to bundle into payor projects and document strategically so denied claims get paid The value of training as an investment, staying ahead of RCM “snowballs,” and building sandboxes for safe experimentation Avoiding analysis paralysis by creating safe spaces to use data, explore root causes, and strengthen decision-making Her insights make it clear: lasting success in RCM isn’t just about processes—it’s about people leading those processes. If you’re ready to rethink how you support, teach, and empower your team, this is the conversation for you. Chapters (00:00:02) - Home Health Revealed(00:00:53) - Revenue Cycle Team Lead(00:06:18) - What is your key to success?(00:09:02) - What's the most creative thing your team has done to stretch a(00:10:48) - Billing 101: Confidence in your EMR System(00:12:53) - Interview with RCM Home Health and Hospice CEO

    13 min
  3. Building from the Ground Up: Jake Panowicz on Launching Haven Hospice

    9 SEPT

    Building from the Ground Up: Jake Panowicz on Launching Haven Hospice

    In this episode of Home Health Revealed: Live from the Alliance Conference, hosts Michael Greenlee, Sara Nigro, and Hannah Vale sit down with Jake Panowicz of Haven Hospice. Though Haven has only been open just over a year, the new agency is already caring for around 70 patients—a testament to the foundation of trust and shared purpose Jake built with his team. Jake, no stranger to startups (this is his third business), pulls back the curtain on what it really takes to launch a hospice agency. He dives into: Choosing the right team and leading with shared mission Understanding the ins and outs of accreditation and state licensure The milestone of admitting your very first patient Preparing for the unknown, especially the challenges of securing a Medicare number Why intentional planning—and mentorship—make all the difference Sara and Hannah agree: Jake has the heart of a mentor, and he openly offers encouragement and guidance to those stepping into the industry with the right intentions. If you’re considering starting a hospice or home health agency—or just want to hear the journey of an inspiring new leader—this episode is packed with experience-driven wisdom. Chapters (00:00:02) - Home Health REVEALed(00:01:51) - Meet Jake Panowich at the Alliance Conference(00:04:13) - Starting a Hospice Care Agency(00:06:05) - Hospice Financial Metrics(00:08:00) - In the Elevator With Michael(00:08:38) - Adam Sandler in Happy Gilmore 2(00:09:26) - Budgeting and Visualization(00:10:14) - Jake On Hospice Mentorship

    12 min
  4. Prepare Now! Simplify Your Home Health Agency’s 2026 Survival—with FinHealth Score & Action Strategies

    8 SEPT

    Prepare Now! Simplify Your Home Health Agency’s 2026 Survival—with FinHealth Score & Action Strategies

    In this episode of Home Health Revealed, host Hannah Vale welcomes back Victoria Kuklina, of FinHealth, for Part Two: an actionable guide to what home health agencies can do NOW to prepare for the 2026 rate cuts—under the Home Health Proposed Rule 2026. Victoria shares essential strategies for immediate action, including budgeting, scenario planning, and operational readiness for agencies navigating the upcoming payment reductions. Plus, discover her free tool, the FinHealth Score, which simplifies your agency’s financial readiness to a single, easy-to-understand number and provides tailored, actionable insights to help you plan and protect margins. In this episode: Budgeting amid regulatory changes How to approach scenario planning: manage risk with data-driven forecasts Operational strategies for staffing, patient access, compliance, and cash flow as the rules shift How to use the FinHealth Score tool to benchmark readiness and access practical guidance Vital updates as CMS transitions from the proposed rule to the home health final rule 2026 Proactive steps agencies can take now to build resilience and advocate for quality care Whether your agency is just starting to assess the impact or already designing contingency plans, tune in for a practical roadmap to staying ahead. Like, subscribe, and share to help home health leaders navigate the changes and optimize financial health ahead of 2026! Chapters (00:00:02) - Home Health Revealed: Budgeting and Scenario Planning(00:01:17) - Budgeting: The Communication Tool(00:03:30) - Beyond the Budget: Scenario Planning(00:08:00) - Home Health Agency Executive Brief(00:11:05) - FinHealth's Fin Health Score(00:11:42) - CMS Fin Health Score

    18 min
  5. Medicare Rate Cuts 2026: How Home Health Leaders Can Survive HHPPS Challenges | w/ Victoria Kuklina

    5 SEPT

    Medicare Rate Cuts 2026: How Home Health Leaders Can Survive HHPPS Challenges | w/ Victoria Kuklina

    In this episode of Home Health Revealed, host Hannah Vale welcomes Victoria Kuklina, former CFO of Pinnacle and co-founder of FinHealth, for a deep dive into the 2026 PPS Proposed Rule and its widespread implications for home health agencies....

    20 min
  6. Driving Value: Katrina Reese of Enterprise Fleet Management on Supporting Home Health Teams

    4 SEPT

    Driving Value: Katrina Reese of Enterprise Fleet Management on Supporting Home Health Teams

    In this episode of Home Health Revealed: Live from the Alliance Conference, Michael Greenlee and Sara Nigro sit down with Katrina Reese of Enterprise Fleet Management to talk about one of the most practical—but often overlooked—needs in home-based care: reliable transportation for your staff. Katrina shares how Enterprise partners with agencies to provide cost-effective, safe, and dependable fleet solutions that ensure caregivers can focus on what matters most—serving patients. From managing expenses and reducing liability to improving reliability and employee satisfaction, Katrina highlights the benefits that come when agencies no longer have to worry about the logistics of vehicles. If your team is on the road every day, this episode is packed with insights you won’t want to miss. Chapters (00:00:02) - Home Health Revealed(00:00:45) - Enterprise Fleet Management at the Financial Conference(00:02:17) - Company-Provided Cars

    6 min
  7. Inside the Whale: Wisdom from Demetress Harrell of Hospice of the Pine

    28 AUG

    Inside the Whale: Wisdom from Demetress Harrell of Hospice of the Pine

    In this episode of Home Health Revealed: Live from the Alliance Financial Management Conference, hosts Michael Greenlee and Sara Nigro are joined by Demetress Harrell, Founder and longtime CEO of Hospice in the Pines. With nearly 30 years of attending the conference, Demetress brings a wealth of perspective on leadership, collaboration, and the evolving role of technology in home health and hospice. She shares powerful insights on: The importance of building true partnerships within the industry Supporting staff so they can effectively serve not just patients, but entire families How approaches to AI have shifted over the years—and what it means for the future of care Why attending the Alliance is invaluable for three reasons: learning from industry leaders (“Sometimes when you’re inside the whale, you don’t see how to float”), genuine networking that sustains, and gaining exposure to new technologies that can truly enhance outcomes. If you want a thoughtful, heartfelt, and perspective-rich conversation on leadership in hospice and home health, this is an episode you won’t want to miss. Chapters (00:00:02) - Home Health Revealed(00:00:33) - Demetrius Harrell from Hospice in the Pines(00:01:18) - Michael Buble on Owning an Agency(00:01:41) - What's Your Best Piece of Financial Advice for Hospice?(00:04:29) - The Financial Conference(00:05:25) - Top Executives: The Future of AI(00:05:52) - Financial Conference 2017(00:07:58) - A message from the Board

    8 min
  8. Deep Dish and Real Talk: Kristina Senna of Faith Home Health

    21 AUG

    Deep Dish and Real Talk: Kristina Senna of Faith Home Health

    Home Health Revealed went on the road! During the Alliance conference, we grabbed the mics, hit “record,” and brought the conversations straight to you—uncut, unscripted, and right from the heart of the action. From leadership lessons to real-world strategies, you’ll hear the voices shaping the future of home health.  We had good coffee from Dollop and Blue Bottle, deep dish pizza from Lou Maltnati's (and a nap!), settled in for conversations that are both inspiring and practical.  We kicked off our first episode of the series with Michael Greenlee (HealthRev) and Sara Nigro (BetterRX). After a fun opener covering Chicago eats, coffee favorites, and a little banter with Hannah Vale, they sit down with Kristina Senna of Faith Home Health in Kansas City. Kristina shares her perspective on leading with faith and resilience in the home health space.    Chapters (00:00:02) - Home Health Reveal(00:02:05) - A Guest Podcaster at Alliance Conference(00:02:26) - Financial Questions for Home Health and Hospice(00:03:09) - Home Health and Hospice Agency Cash Flow(00:03:39) - If You Could Fix Home Health, What Would It Be?(00:04:21) - Best Hidden Tips for Improving Your Agency's Bottom Line(00:05:31) - Louis Vuitton on Michigan Avenue

    7 min
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Home Health Revealed brings you real stories from real industry leaders about all things related to home health, palliative, and hospice care. From staffing to technology, agency start-ups to scaling and growing an agency. It's the patients that deserve the best care and we want to help our listeners get there.

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