At The Table With CAHSAH

California Association For Health Services At Home
  • 5.0 (3)
  • Medicine
  • Updated Weekly

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!

Episodes

  1. 3d ago

    California Hospice Emergency Regulations #2: Geographic Service Area

    California’s recent hospice emergency regulations are reshaping how organizations define their service areas and the stakes couldn’t be higher. If your hospice isn’t prepared, you risk falling short on response times, compromising patient safety, and facing surveyor scrutiny. Yet, navigating these changes doesn’t have to be overwhelming. This episode uncovers the practical strategies and insights you need to operate confidently within the new regulatory framework. You’ll discover the critical importance of geographically realistic service area planning—beyond just drawing lines on a map. Our experts break down how to determine a safe, compliant radius based on real-world driving times, especially in rural and congested areas. Learn why response time is no longer just a guideline but a legal requirement that impacts staffing, operational workflows, and patient outcomes. We break down the essential operational questions: Are your nurses strategically located? Is your staffing model prepared for increased call volume and unexpected night-time emergencies? How can you identify and address unmet needs without overextending your organization? Plus, get tactical advice on how to audit your current operations and spot warning signs of overgrowth that can outpace your infrastructure. The stakes are high failing to meet response time standards can lead to regulatory penalties, patient dissatisfaction, and worse, compromised care. Conversely, a proactive approach that integrates patient acuity, staffing planning, and service area analysis positions your hospice for sustainable growth and industry respect. Perfect for CEOs, clinical leaders, and operations managers, this episode equips you with the insights to make informed decisions today—before the next surveyor inspections. And don’t miss the upcoming webinar, where we go even deeper with case studies, calculation tools, and live Q&A to turn regulatory stress into strategic strength. Your organization’s ability to deliver timely, safe, and compliant hospice care depends on understanding and mastering these changes. Hit play now, and lead your team confidently through California’s evolving hospice landscape.

  2. Jul 8

    California Hospice Emergency Regulations Series #1: Management Qualifications

    California hospice providers are facing the most significant regulatory changes in years. In this special edition of At The Table with CAHSAH, we begin a comprehensive series exploring the new Hospice Emergency Regulations and what they mean for providers, leaders, clinicians, and patients across the state. In Episode One, our panel breaks down the foundational changes surrounding hospice staffing ratios, patient acuity requirements, and Geographic Service Area (GSA) expectations. More importantly, we discuss the operational challenges, compliance risks, and practical steps providers should be taking today—not months from now. Whether you're an administrator, director of patient care, compliance professional, owner, or clinical leader, this conversation will help you better understand what's changing, why it matters, and how your organization can prepare. This episode is the first in a special eight-part podcast series leading to live educational webinars where industry experts will take an even deeper dive and answer your questions. Topics include: New hospice staffing ratio requirements Patient acuity systems and operational planning Geographic Service Area (GSA) compliance Preparing your organization for implementation Common pitfalls and best practices What providers should be doing now Register for the companion webinar and explore additional resources at CAHSAH.org. At The Table with CAHSAH brings together California's leading experts in home health, hospice, and home care to help providers know more, do better, and stay ahead of the issues shaping care at home.

  3. Jun 16

    Investing In Private Duty Nursing: California’s $175M Opportunity

    Discover how increasing Medi-Cal support for private duty nursing could save California $175 million annually while transforming care for children. This episode explores the challenges of funding essential services, the impact of workforce shortages, and the potential for policy reform. Join experts as they discuss strategic advocacy and the power of public support to revolutionize pediatric care. Tune in to learn how a $62 million investment could change lives and save costs.

  4. Jun 5

    An Interview With Barry Berger

    Most home care pioneers agree: relationships are everything. But Barry Berger’s story proves that the real key to industry success is building deep, genuine bonds with clients, caregivers, and colleagues, that last a lifetime. After founding Accredited Home Care Services in 1980 with just his dad, Barry transformed the California home-based care landscape, navigating regulation, workforce shortages, and industry scandals along the way. In this episode, Barry shares candid insights from over 40 years in home health, hospice, and caregiving. You’ll discover how he leveraged innovative programs like the Regional Center model to drastically improve margins and how strategic relationships turned a small startup into a multi-thousand-client powerhouse. Barry breaks down the evolving challenges of caregiver shortages, regulation hurdles, and industry fraud, all while emphasizing that success hinges on earning trust and fostering loyalty…. within your team and your community. We break down the impact of demographic shifts raising the stakes for caregivers, how AI and remote tech will reshape the future and why authentic leadership rooted in passion matters more than ever. Barry’s experience offers a roadmap for new entrepreneurs and seasoned providers alike, highlighting opportunities to stand out in a crowded, complex market. If you’re committed to elevating home care standards and creating lasting impact, this is essential listening.

  5. May 19

    Why Outdated Training Is Holding You Back

    In this eye-opening episode, we dive into the core challenges plaguing the home-based care industry and the surprisingly simple solutions already within reach. Experts from PHI, Jake McDonald and Jenna Kellerman share how outdated training frameworks, systemic neglect and societal perceptions keep this vital workforce undervalued, despite its critical roles in everyone’s health and economy. They reveal the five pillars of care job quality, emphasizing fair wages, professional development, respect, and a unified industry approach to systemic change.

  6. May 13

    California's Home-Based Care Regulatory Chaos: Turn Knowledge Into Action To Thrive

    Discover how education can transform your home care agency from surviving to thriving. Sina Tate, Director of Education at CAHSAH, shares strategies to stay ahead of regulations, boost staff retention, and turn education into a powerful investment. Learn how targeted training and embracing AI can future-proof your agency. Perfect for providers ready to adapt and lead in a complex environment.

  7. May 5

    The Shift From Volume To Value In Home Health

    Many home health agencies are struggling to keep up with a rapidly shifting industry. But some are thriving through innovation and strategic mindset shifts. In this episode, Arnie Cisneros, president of Home Health Strategic Management, and Kimberly McCormick, clinical director with 20+ years in home health, reveal how top-performing agencies are rewriting the rules to succeed in today’s high-pressure environment. Discover how Medicare's move from volume to value is transforming care delivery. Sicker patients, faster hospital discharges, and the critical need for real-time documentation. Arnie shares his groundbreaking approach to service utilization review, leveraging Medicare’s evidence-based data models to improve outcomes while reducing costs. Kimberly highlights proven strategies to align clinicians' practices with regulatory standards, embrace objective metrics, and achieve deficiency-free audits.

  8. Apr 29

    Hospice Payment Suspensions- What You Need To Know

    Most hospice providers are feeling the heat right now — with hundreds facing abrupt Medicare payment suspensions based on low-standard allegations of fraud. But what’s really going on behind the headlines? And more importantly, what can providers do immediately to protect their operations, reputation, and patient trust? In this eye-opening episode, legal expert Judy Waltz reveals the secret weapon: understanding the true nature of these suspensions, how to navigate the critical 15-day rebuttal window, and strategies to safeguard your organization from unwarranted penalties. With Medicare now wielding powerful, rapid enforcement tools, it’s more urgent than ever to know how to respond effectively and keep your doors open. You’ll discover: - The low threshold for credible allegations of fraud that can trigger speedy suspensions - Practical steps to review your own hospice’s discharge rates, length of stay, and other vital KPIs to spot vulnerabilities - The importance of engaging in timely rebuttals and what to include in your response - How aggressive oversight is reshaping the future of hospice regulation — and why you can't to prepare - Ways to tell your own story before others shape the narrative with misinformation This episode is essential listening for hospice CEOs, compliance officers, and home care advocates determined to defend their reputation while continuing to serve with integrity. With expert insights from Judy Waltz, a leading healthcare attorney at Foley & Lardner, you’ll walk away with concrete tactics to stay compliant, protected, and ready for what’s next. Don’t let swift enforcement catch you off guard — your license, your team, and your patients' trust depend on it. Tune in now for the critical knowledge shaping hospice’s future in California.

  9. Apr 21

    Shifting The Focus

    In this episode we’re stressing the importance of embracing accountability rather than being defensive in a world where media has had the first word on fraud. We welcome oversight and transparency and actively showcase what quality care looks like. This shift in mindset can help to counteract the negative perceptions and highlight the admirable work being done in home-based care.

  10. Apr 14

    60 Years of Care. What Has Changed?

    Ever wondered how home-based care has evolved over 60 years? Let’s dive into the challenges and triumphs! From the days of nurses traveling on foot to today’s telehealth revolution, the landscape of home care has transformed dramatically. Some challenges remain timeless: workforce shortages, access to care, and the need for compassion in caregiving. The stories from the past remind us of the dedication required to care for loved ones in their own homes, even in tough environments. As we navigate the future, let's remember the pioneers who shaped our industry and continue to advocate for home and community-based services. What's your take on how far we've come?

  11. Apr 7

    The Year Of Execution

    Tag someone who needs to be part of this conversation! In this episode of At the Table with CAHSAH, we dive into the challenges facing our members, from policy issues to real conversations about what keeps them up at night. Our new CEO, Soua Vang, shares how we’re using this podcast as a platform to engage more deeply with our membership, ensuring their voices are heard in Sacramento and beyond. We recognize that every region in California has unique concerns and we are committed to listening and addressing those needs. This year, our theme is execution. We’re focusing on enhancing the voices of home care providers and making sure our industry is at the heart of health care decisions. Join us as we turn challenges into action!

  • 11 Episodes

Ratings & Reviews

5
out of 5
3 Ratings

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
    11
  • Rating
    Clean
  • Copyright
    © California Association For Health Services At Home
  • Show Website
    At The Table With CAHSAH