Last Visit First

Tom Maxwell

Most care stories in home healthcare end with the last visit. Last Visit First podcast starts there. Hosted by Tom Maxwell — a nationally respected healthcare veteran with over three decades of experience, Co-Founder and Chairman of Maxwell TEC, Maxwell Investment Partners, and Maxwell Advisory Group — this podcast features honest, unfiltered conversations with the founders, CEOs, clinicians, and innovators shaping the future of home health, hospice, palliative, and post-acute care. If you lead, operate, or believe in the power of care in the home, this is your podcast. Subscribe to listen.

  1. 3 hr ago ·  Bonus

    The Best Healthcare Is Local: The Pennant Group's Alicia Bowman on AI & the Hospice Addendum

    Alicia Bowman of The Pennant Group closes out Last Visit First's coverage of the 2026 HCHB Users Conference. Alicia shares what has kept Pennant busy this year, including the final wave of its LHC and Amedisys acquisitions in Tennessee, Alabama and Georgia, and how Pennant is testing Curate: Scribe with a group of clinicians ahead of a pilot this November. Alicia also talks about why transparency is at the heart of Pennant's partnership with Homecare Homebase, how Pennant's local operating model works, and why the best healthcare is delivered locally. Plus, her take on the hospice addendum, why it will be a giant operational lift, and how agencies and clinicians can connect with Pennant. Chapters: 0:00 Welcome: Alicia Bowman of The Pennant Group0:17 Pennant's Final Wave of LHC and Amedisys Acquisitions0:48 Testing Curate: Scribe at Pennant3:54 Pennant's Local Operating Model4:45 The Hospice Addendum: A Giant Operational LiftConnect with Alicia: https://www.linkedin.com/in/alicia-bowman-37a114183 Connect with The Pennant Group: https://pennantgroup.com/ Sponsors: Brought to you as a Premier Sponsor collaboration with Homecare Homebase (HCHB). Homecare Homebase helps home-based care organizations prepare for what’s next. Home-based care is changing. Is your technology keeping up? Growing operational demands, workforce pressures, regulatory change, and emerging technology are reshaping what organizations need from their technology partners. The question isn’t only what your technology can do today. It’s whether it can help you prepare for what’s next. Explore why now may be the right time to take a fresh look at your technology strategy with HCHB at https://lastvisitfirst.com/go/hchb.

    The Best Healthcare Is Local: The Pennant Group's Alicia Bowman on AI & the Hospice Addendum

  2. 3 hr ago ·  Bonus

    The Most Exciting Thing HCHB Has Done: VitalCaring CEO April Anthony on Curate: Scribe

    April Anthony, Chairman and CEO of VitalCaring and founder of Homecare Homebase, returns to Last Visit First live from the 2026 HCHB Users Conference, her first in six years. April shares why this is such a transformative moment for home health, and how VitalCaring is rolling out Curate: Scribe carefully, working closely with HCHB and pre-training clinicians to narrate their visits before the tool even arrives. April explains why she sees Curate: Scribe as perhaps the most exciting thing Homecare Homebase has done: bringing guidance on OASIS answers and coding to the point of care, and why VitalCaring chooses not to store visit transcripts. She also talks about VitalCaring's return to acquisitions, including Traditions Health and Carter Healthcare, looks back on 26 years of Homecare Homebase, and shares why the coming baby boomer wave makes the next 30 years the biggest opportunity home care has ever had. Chapters: 0:00 Welcome: April Anthony, Chairman and CEO of VitalCaring2:00 Rolling Out Curate: Scribe at VitalCaring3:38 Guidance on OASIS and Coding at the Point of Care5:50 Why VitalCaring Doesn't Store Transcripts7:02 Back in Acquisition Mode8:43 26 Years of Homecare HomebaseConnect with April: https://www.linkedin.com/in/april-anthony-95bab1213 Connect with VitalCaring: https://vitalcaring.com/ Sponsors: Brought to you as a Premier Sponsor collaboration with Homecare Homebase (HCHB). Homecare Homebase helps home-based care organizations prepare for what’s next. Home-based care is changing. Is your technology keeping up? Growing operational demands, workforce pressures, regulatory change, and emerging technology are reshaping what organizations need from their technology partners. The question isn’t only what your technology can do today. It’s whether it can help you prepare for what’s next. Explore why now may be the right time to take a fresh look at your technology strategy with HCHB at https://lastvisitfirst.com/go/hchb.

    The Most Exciting Thing HCHB Has Done: VitalCaring CEO April Anthony on Curate: Scribe

  3. 3 hr ago ·  Bonus

    AI That Actually Helps Clinicians: Homecare Homebase President Luke Rutledge

    Homecare Homebase President Luke Rutledge joins Last Visit First on the floor of the 2026 HCHB Users Conference in Orlando, the biggest in the event's 20-year history with about 600 attendees. Luke shares what customers are talking about most: AI that is meaningful, that improves clinicians' lives and automates back-office work, and how that drives HCHB's strategy with both its partners and its own new products. Luke highlights Curate: Scribe, now in the hands of clinicians with three customers live and 15 more signed up, and tells the story of a pilot customer whose clinicians pushed to turn the tool back on after it was paused. He also talks about the leadership team coming together at Homecare Homebase, the conference's headline party, and how to reach him and the HCHB team. Chapters: 0:00 Welcome: Luke Rutledge, President of Homecare Homebase0:52 What Customers Are Talking About: AI That Matters1:31 Curate: Scribe Goes Live2:50 When Clinicians Pushed to Turn Curate: Scribe Back On3:40 Building the HCHB Leadership TeamConnect with Luke: https://www.linkedin.com/in/luke-rutledge-19407664 Connect with Homecare Homebase: https://hchb.com/ Sponsors: Brought to you as a Premier Sponsor collaboration with Homecare Homebase (HCHB). Homecare Homebase helps home-based care organizations prepare for what’s next. Home-based care is changing. Is your technology keeping up? Growing operational demands, workforce pressures, regulatory change, and emerging technology are reshaping what organizations need from their technology partners. The question isn’t only what your technology can do today. It’s whether it can help you prepare for what’s next. Explore why now may be the right time to take a fresh look at your technology strategy with HCHB at https://lastvisitfirst.com/go/hchb.

    AI That Actually Helps Clinicians: Homecare Homebase President Luke Rutledge

  4. 3 hr ago ·  Bonus

    Hiring 300 Nurses a Year: IntellaTriage CEO Daniel Reese on After-Hours Care & AI

    IntellaTriage CEO Daniel Reese joins Last Visit First live from the 2026 HCHB Users Conference in Orlando to share what is new at IntellaTriage, including upcoming AI initiatives designed to help its nurses document more consistently and deliver higher-quality triage to patients and families. Daniel also talks about what he is hearing from agencies at the conference, from the impact of the moratorium on growth strategies to the push to use every resource as efficiently as possible. Daniel and Tom reflect on 20 years of the Homecare Homebase Users Conference and the wave of baby boomers reaching Medicare age, and Daniel explains how IntellaTriage has grown beyond after-hours, nurse-first triage into 24/7 coverage and daytime care team coordination. With nearly 450 nurses and plans to hire about 300 more this year, IntellaTriage is on the flip side of the nursing shortage, helping providers keep up with growing workloads. Chapters: 0:00 Welcome: Daniel Reese, CEO of IntellaTriage0:47 What's New at IntellaTriage: Upcoming AI Initiatives1:25 The Moratorium and Doing More with Less4:09 What IntellaTriage Does: Nurse-First Triage, 24/74:57 Hiring 300 Nurses This YearConnect with Daniel: https://www.linkedin.com/in/dreesemba Connect with IntellaTriage: https://intellatriage.com/ Sponsors: Brought to you as a Premier Sponsor collaboration with Homecare Homebase (HCHB). Homecare Homebase helps home-based care organizations prepare for what’s next. Home-based care is changing. Is your technology keeping up? Growing operational demands, workforce pressures, regulatory change, and emerging technology are reshaping what organizations need from their technology partners. The question isn’t only what your technology can do today. It’s whether it can help you prepare for what’s next. Explore why now may be the right time to take a fresh look at your technology strategy with HCHB at https://lastvisitfirst.com/go/hchb.

    Hiring 300 Nurses a Year: IntellaTriage CEO Daniel Reese on After-Hours Care & AI

  5. 3 hr ago ·  Bonus

    Copilot, Not Autopilot: Steno Health's Dr. Alex Milani on Curate: Scribe

    Steno Health Co-founder and CEO Dr. Alex Milani joins Last Visit First at the 2026 HCHB Users Conference to talk about Curate: Scribe, the ambient AI documentation tool powered by Steno and embedded directly inside Homecare Homebase. Alex shares that the product is now officially live, with a waiting list of about 18 agencies set to onboard, and walks through how it works: summarizing referral documents before the visit, recording the conversation in the home, and a quick debrief in the car that fills in the chart. Alex also explains why Curate: Scribe is a copilot, not an autopilot, how clinicians learn to narrate their visits during the first few weeks, and the time savings agencies are seeing, around 30 to 40 minutes on a start of care and 5 to 20 minutes on other visits. Plus, what is next for Steno, including ICD-10 coding, OASIS QA review and patient insights, and how AI is speeding up product development. Chapters: 0:00 Welcome: Dr. Alex Milani, CEO of Steno Health0:31 Curate: Scribe, Powered by Steno, Is Officially Live1:31 How Curate: Scribe Works During a Home Visit2:06 Copilot, Not Autopilot3:33 Time Savings: 30-40 Minutes on a Start of Care6:11 What's Next for StenoConnect with Alex: https://www.linkedin.com/in/alexandermilani Connect with Steno Health: https://www.stenohealth.com/ Sponsors: Brought to you as a Premier Sponsor collaboration with Homecare Homebase (HCHB). Homecare Homebase helps home-based care organizations prepare for what’s next. Home-based care is changing. Is your technology keeping up? Growing operational demands, workforce pressures, regulatory change, and emerging technology are reshaping what organizations need from their technology partners. The question isn’t only what your technology can do today. It’s whether it can help you prepare for what’s next. Explore why now may be the right time to take a fresh look at your technology strategy with HCHB at https://lastvisitfirst.com/go/hchb.

    Copilot, Not Autopilot: Steno Health's Dr. Alex Milani on Curate: Scribe

  6. 4 days ago

    "You Can't Rationalize With an Irrational Brain" | Debbie Compton of The Purple Vine

    Debbie Compton planned to retire from her corporate career. Instead, she spent 21 years as a family caregiver for three loved ones with three different diseases: her father with Parkinson's, her mother with vascular dementia, and her mother-in-law with Alzheimer's. Today she is the founder of The Purple Vine, a certified caregiving consultant and advocate, and the author of multiple international bestselling books for caregivers. In this episode, Debbie sits down with Tom Maxwell to share the hard-won lessons nobody teaches family caregivers: why you should never argue with someone living with dementia, how music therapy can bring back precious moments, how to choose a memory care facility, and why families so often call hospice far too late. Topics covered: Leaving corporate life to become a full-time caregiverWhy you can't rationalize with an irrational brainSeparating your loved one from the diseaseMusic therapy, coloring and other tools that actually workChoosing memory care, and letting go of the guiltWhy families should call hospice soonerCaregiver burnout, humor and gratitude Connect with Debbie: WebsiteLinkedInChapters: 0:00 Welcome Debbie Compton to the show1:38 From corporate career to full-time caregiver5:40 The warning sign behind her mom's vascular dementia7:38 Getting a stubborn parent to accept help9:05 Parkinson's symptoms nobody talks about14:59 Sponsor Break16:28 Creating dementia-friendly coloring book20:49 Dementia isn't rational: separate the person from the disease22:41 Tom's dad, a wrong-way drive and a giant pizza24:47 When your loved one doesn't recognize you26:05 Music therapy and Johnny Cash's Ring of Fire28:19 Her first book: Caregiving: How to Hold on While Letting Go29:19 Handling the "loop-de-loop" of repeated questions30:57 Sponsor Break33:06 Certified caregiving consultant vs. caregiving advocate38:03 Why arguing makes dementia progress faster39:25 Choosing a memory care facility42:42 Memory care let her be a daughter again44:03 Why families call hospice too late47:11 Social workers, chaplains and aides on the hospice team49:38 The Caregiver's Advocate bestseller series55:55 Where the name "The Purple Vine" comes from59:28 How to reach Debbie and buy her books1:04:24 What "Last Visit First" means to DebbieCheck out Last Visit First on other platforms: Apple PodcastsSpotifyYouTubeWebsiteLinkedInSponsors: Premier Sponsor: Homecare HomebasePremier Sponsor: Trella HealthMaxwell TECIntellaTriage

    "You Can't Rationalize With an Irrational Brain" | Debbie Compton of The Purple Vine

  7. 1 Oct

    Who's Winning in Home Health and Hospice? New 2026 Data + Trella Health's AI First Look

    Medicare Advantage growth stalled for the first time in a decade. Hospice admissions are growing faster every year. And in some states, patients wait nearly a week after hospital discharge for their first home health visit. Trella Health CEO Scott Tapp and Senior Consultant of Data & Analytics Carter Bakkum join Tom Maxwell once again, this time to walk through Trella's new Post-Acute Market Intelligence Report: 2026 Edition, live on screen. This year the report is fully interactive, so you can drill into your own state and market instead of relying only on national benchmarks. We cover why payers are pulling Medicare Advantage out of rural markets like Vermont, what accelerating hospice growth means after the moratorium, the time-to-start-of-care gap that's driving hospital readmissions, and why the TEAM model is a sales opportunity most home health agencies aren't using yet. We also get a first look at Ask Trella AI, a new tool that answers market questions in plain language: who's gaining and losing share in your market, which physicians refer the most, where you can compete, and much more. Topics covered: The new interactive 2026 Post-Acute Market Intelligence ReportMedicare Advantage penetration stalls at 55.4%Payer exits and the rural Medicare Advantage pullbackAccelerating hospice admissions and length of stay trendsTime to start of care and its impact on readmissionsFirst look at Ask Trella AIConnect with the guests: Scott TappCarter BakkumChapters: 00:00 Welcome: Scott Tapp and Carter Bakkum of Trella Health01:12 What's new in the 2026 Market Intelligence Report04:23 The data behind the report07:10 Medicare Advantage growth stalls08:51 Vermont and the rural MA pullback15:55 What MA shifts mean for providers17:21 Hospice growth is accelerating21:32 Discharge instructions and adherence24:45 Time to start of care by state29:13 The TEAM model and the Indiana opportunity36:21 First look: Ask Trella AI41:07 Who's gaining and losing market share46:45 Where Trella AI is headed53:53 When you can get it and wrap-upSponsors: Presented by Last Visit First's Premier Sponsor, Trella Health.Check out Trella Health's new 2026 Post-Acute Market Intelligence Report here.Check out Last Visit First on other platforms: Apple PodcastsSpotifyYouTubeWebsiteLinkedIn

    Who's Winning in Home Health and Hospice? New 2026 Data + Trella Health's AI First Look

  8. 17 Sept ·  Bonus

    Inside CareXM's AI Transformation Journey with Si Luo

    CareXM CEO Si Luo returns to Last Visit First to share how the company's AI triage assistant is changing the way nurses handle patient calls. Si explains how CareXM rolled the tool out to 100% of its internal users, with early external adoption from agencies like Amedisys and LHC, resulting in more than a 25% improvement in the number of triage encounters each nurse can handle. Si also breaks down how the tool works, clinically summarizing calls so triage nurses can stay fully present with patients while the software connects back to protocol for large-scale QA review, and shares what's next for CareXM's integration roadmap alongside Homecare Homebase, including smart scheduling and point-of-care tools. Chapters: 0:00 Welcome Back: Si Luo, CEO of CareXM0:53 What's New at CareXM1:44 The AI Triage Assistant Rollout2:54 What's Next: Aligning with HCHB's RoadmapConnect with Si Sponsors: Brought to you as a Premier Sponsor collaboration with Homecare Homebase (HCHB), a leading home health and hospice software and EMR platform. Learn more at https://lastvisitfirst.com/go/hchb Want to level up your team's HCHB skills? Check out HCHB University for virtual live and on-demand training designed to help your team deliver exceptional care. Creating an account is easy—simply click Sign Up in the top right corner of the homepage to get started. Use the code uc2026 when you checkout for 35% off any course if you purchase before 9/30/26: https://lastvisitfirst.com/go/hchb-university

    Inside CareXM's AI Transformation Journey with Si Luo
See All (65)

About

Most care stories in home healthcare end with the last visit. Last Visit First podcast starts there. Hosted by Tom Maxwell — a nationally respected healthcare veteran with over three decades of experience, Co-Founder and Chairman of Maxwell TEC, Maxwell Investment Partners, and Maxwell Advisory Group — this podcast features honest, unfiltered conversations with the founders, CEOs, clinicians, and innovators shaping the future of home health, hospice, palliative, and post-acute care. If you lead, operate, or believe in the power of care in the home, this is your podcast. Subscribe to listen.

Information

  • Creator
    Tom Maxwell
  • Years Active
    2025 - 2026
  • Episodes
    65
  • Rating
    Clean
  • Copyright
    © 2026 Tom Maxwell
  • Show Website
    Last Visit First

You Might Also Like