At The Table With CAHSAH

California Association For Health Services At Home
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At The Table with CAHSAH is where California’s home-based care community comes for real conversations with no spin and no talking points. Each week, we tackle the issues that matter most across home health, hospice, and home care. From policy shifts in Sacramento to reimbursement pressures, workforce shortages, and the realities of running a sustainable agency in California, nothing is off the table. Hear candid perspectives from industry leaders, frontline operators in the field, and voices shaping the future of care at home. Pull up a chair!

  1. 1 Sept

    The Good, Bad, and Ugly of 2027 Home Health and Hospice Rules

    Home health and hospice just got a regulatory shake up, and the agencies that wait to react are the ones most likely to get burned. Mark Wilson and Annette Lee break down the 2027 home health proposed rule and the new hospice final rule through a practical lens: what changes, what matters, and what you need to do before the next audit lands on your desk. Annette Lee, founder and president of Provider Insights, brings decades of experience in patient care, Medicare Medical Review, appeals, and provider education. In this conversation, she cuts through the noise and explains where CMS is offering some unexpected upside, where reimbursement still falls short, and where the real danger is hiding in the fine print. You'll discover: - Why home health may finally see a slight payment increase, and what CMS is signaling about palliative care under the current benefit - The hidden "ugly" in the proposed rule, including far reaching program integrity provisions that could affect home health, hospice, SNFs, and more - Why affiliation rules, business relationships, and even long-past history could suddenly matter more than ever - What the hospice final rule now requires within five days of admission, and why that shift creates a major operational challenge - How the new SSVI measure, live discharge scrutiny, and outside spending are changing the way hospice agencies are judged

  2. 27 Aug

    California Hospice Emergency Regulations #8: Admissions, Assessments, and Compliance

    In this final episode of At the Table with CASA’s California Hospice Emergency Regulations series, Mark Wilson is joined by Cindy Hatton, Annette Lee, and Sharon Fredericks for a practical conversation on admissions, assessments, plan-of-care updates, quality compliance, and survey readiness. The panel breaks down what the new regulations mean in real-world hospice operations, how to document appropriately, and what leaders should focus on to stay compliant while improving patient care.

  3. 25 Aug

    The Hidden Risks In Home-Based Care Are Not Where Most Leaders Are Looking

    From cyberattacks and wage-and-hour claims to auto exposure and the fine print in EPLI, Steve Parkhurst Heffernan Insurance breaks down the coverage gaps that can catch home health, hospice, and home care agencies off guard and what smart operators do before an incident forces the conversation. Mark Wilson and Steve Parkhurs dig into what it really takes to run a safer, stronger organization when employees are working independently in patients’ homes, not under a single roof. The discussion goes beyond “do we have insurance?” and into the more important question: what risks are you actually managing, and which ones are still sitting in the blind spot? You’ll discover: - Why lack of supervision in home-based care creates risk that office-based organizations never face - The top claims hitting providers right now, including cyber, wage and hour, EPLI, and auto - How documentation, login/logout records, and written processes can make or break a wage-and-hour defense - Why timing matters after an incident, and how waiting even 2-3 days can drive claims costs up fast - How insurers think about expansion, acquisitions, geography, and rising auto costs in a changing market Steve also shares practical guidance on when to involve your broker, how often to review coverage, and why risk management should be treated as an ongoing business strategy, not a once-a-year renewal chore. If you lead a home health, hospice, or home care agency, this episode will help you think less like a buyer of insurance and more like a builder of resilience. Essential listening for agency CEOs, operators, and administrators who want to protect their team, their patients, and the long-term health of the business.

  4. 20 Aug

    California Hospice Emergency Regulations #7: The Reporting Mistakes That Trigger Trouble With The State

    Hospice leaders cannot afford to guess at California’s new reporting rules. The state is no longer waiting to be notified, and the consequences of missing a trigger event - from a move or leadership change to ownership transitions, licenses, and voluntary closure - can be serious. Mark Wilson is joined by Cindy Hatton, Annette Lee, and Sharon Fredericks, three nationally recognized hospice experts, to break down what changed, what now has to be reported in advance, and who inside your organization should actually own the process. If you are responsible for compliance, operations, quality, or leadership, this conversation gives you the practical roadmap you need before the webinar. You’ll discover: - Why CDPH is tightening oversight and why “we’ll tell them later” is no longer a safe strategy - The reporting changes that require advance notice, including the 120-day requirement for change of ownership - How to build accountability with a clear internal owner, backup coverage, and daily or weekly follow-up - Why license renewals should never be left to the last minute and why the state will not remind you - How exclusion list, OIG, Medicare, and licensure checks can be automated with monthly scrubs and flags - What to know about voluntary license cancellation, including the 60-day written notice requirement and what must be included - How multiple layers of oversight - CDPH, CMS, and accreditors - all have to be kept in the loop

  5. 18 Aug

    CAHSAH’S Hidden Advocacy Work Behind California's Biggest Home Care Wins

    California home-based care providers are seeing major policy wins, and Tanya Bautista is helping lead the charge. In this episode, Mark Wilson talks with CAHSAH’s Director of policy, advocacy, and public affairs about the advocacy behind the private duty nursing budget victory, the home health moratorium, and the latest CMS hospice rules. Learn how provider stories turn into legislative change, what Tanya’s week looks like behind the scenes, and why strong relationships in Sacramento matter for the future of care at home in California.

  6. 13 Aug

    California Hospice Emergency Regulations #6: The Training Rule That Changes Leadership On Day One

    California has changed the playbook for hospice leadership. If you run a hospice agency, you need to understand what the new emergency regulations mean for management orientation and annual education. Mark Wilson is joined by Cindy Hatton of Hatton Consulting, Sharon Fredericks of SNS Home Care Consulting, and Annette Lee of Provider Insights to turn complex regulations into a practical roadmap for California hospice leaders. In this episode, we cover: What “first-time” means under California’s new requirements, including leaders who are new to the state Orientation requirements for administrators, designees, medical directors, and management teams The new 12-hour annual education requirement and how to build it into a manageable schedule How internal training, webinars, and hybrid education models can satisfy requirements What surveyors may look for regarding completion, competency, and documentation Competency testing, audit readiness, and practical ways to avoid an annual training scramble The conversation goes beyond checking compliance boxes. The panel discusses how stronger leadership education can improve organizational performance, staff understanding, and ultimately patient care. If you’re responsible for hospice leadership, compliance, education, or survey readiness in California, this episode provides practical guidance for putting the new requirements into action.

  7. 11 Aug

    AI In HomeCare: Where It Belongs And Where It Doesn't

    AI is already creeping into home health and hospice, but if you use it wrong, it can put your agency, your staff, and your compliance at risk. Scottie Strong breaks down where AI actually helps, where it absolutely does not belong, and why the biggest danger may be leaders treating it like the authority instead of the assistant. Mark Wilson sits down once again with Scottie Strong, founder of Strong Consulting Group Services and a veteran advisor to home health and hospice agencies since 1993, for a blunt conversation about the real-world use of AI in post-acute care. From hospice documentation and decline indicators to home health charting, OASIS support, QA, and reimbursement pressure, Scott explains exactly where the technology can create efficiency - and where it can create serious trouble. You'll discover: - Why AI has no place replacing the human connection in hospice care - How it can still help with documentation, decline tracking, and compliance guardrails - The biggest home health opportunity: making sure clinicians capture the right data in the field - Why AI-generated clinical notes and patient-specific prompts can cross legal lines fast - The hidden compliance risk of employees uploading protected health information into AI tools without approval Scott also warns about the unintended consequences of using AI for referral screening, patient selection, and performance metrics, including the risk of cherry-picking easier cases and creating unfair government benchmarks. He explains why agencies need clear AI policies now, what those policies should prohibit, and why vendor transparency matters more than slick promises. If you're leading a home health or hospice organization, this episode is essential listening. It’s a practical, cautionary guide to using AI without losing compliance, judgment, or humanity.

  8. 6 Aug

    California Hospice Emergency Regulations #5: Medical Records, Personnel Records and Office Space

    The Real Cost of Incomplete Medical Files: How This Impacts Your Survey Readiness Unlock the secrets to ensuring your hospice is ready for new California regulations. In this episode, hospice experts Sharon Fredericks and Eric Peterson share practical ways to strengthen your records, infrastructure, and compliance workflows so you can stay prepared for the next survey. You’ll learn: How recordkeeping gaps can lead to citations Why real-time documentation matters How to use AI responsibly in compliance workflows Key regulatory updates affecting discharge documentation, data integrity, and disaster planning If you’re a hospice administrator, clinical director, or compliance leader, this episode gives you clear, actionable guidance to help protect your agency, staff, and patients.

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About

At The Table with CAHSAH is where California’s home-based care community comes for real conversations with no spin and no talking points. Each week, we tackle the issues that matter most across home health, hospice, and home care. From policy shifts in Sacramento to reimbursement pressures, workforce shortages, and the realities of running a sustainable agency in California, nothing is off the table. Hear candid perspectives from industry leaders, frontline operators in the field, and voices shaping the future of care at home. Pull up a chair!

Information

  • Creator
    California Association For Health Services At Home
  • Years Active
    2026
  • Episodes
    22
  • Rating
    Clean
  • Copyright
    © California Association For Health Services At Home
  • Show Website
    At The Table With CAHSAH