Home Health Revealed (+Palliative and Hospice)

Hannah Vale, M.Ed.
  • 4.4 (39)
  • Health & Fitness
  • Updated Monthly

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. Jul 2

    Sicker Patients, Smarter Strategy: Navigating High-Acuity Home Health with Rachel Trombly of Mosai

    Patients are coming home from the hospital sooner, sicker, and with more complex needs than ever before. For home health agencies, that shift is changing everything from clinical workflows and documentation to staffing, caregiver support, and revenue cycle performance. In this episode of Home Health Revealed, Hannah Vale sits down with Rachel Trombly, Director of Clinical Services at Mosai, to discuss what higher-acuity care really means for today's home health providers. Together, they explore how agencies can move from reactive to proactive care through stronger risk stratification, better care coordination, more meaningful documentation, and empowered caregivers. Tune in to learn: Why patient acuity is increasing—and what it means for your agency How documentation can better capture patient complexity The critical role caregivers play in preventing rehospitalizations Why risk stratification is becoming essential for operational success How agency leaders can better support clinicians while improving quality and financial performance Whether you're a clinician, operational leader, or revenue cycle professional, this conversation offers practical strategies to help your agency adapt to the new reality of higher-acuity home health. Access Rachel's recently published a blog, "Why Risk Stratification Is Becoming Essential Amid Staffing Shortages in Home-Based Care" which expands on many of the themes discussed in the interview: www.mosai.com/blog/why-risk-stratification-is-becoming-essential-amid-staffing-shortages-in-home-based-care Chapters (00:00:03) - Home Health Revealed: The Shift towards higher-acuity patients(00:01:39) - Interviews with Home Health Agency Executives(00:02:50) - Home Health Care: Higher Acuity in the Home(00:04:39) - Home Health Care: Complex Care Needs(00:08:12) - OASIS 12, Documentation(00:10:56) - What are the biggest gaps or risks when agencies are managing higher ac(00:13:27) - The Plan of Care for High-Acuity Patients(00:15:59) - Caregiver-centered care(00:22:35) - What are the biggest drivers of home health hospitalizations?(00:25:53) - Capacity planning for complex patients(00:30:11) - How to better support complex cardiac patients?(00:37:36) - What's the One Thing Home Health Companies Need to Do to Man(00:39:53) - Interviews with Mosay On Home Based Care

  2. Jun 17

    Moratorium Mode: CMS Freeze on Home Health & Hospice Enrollment

    In this episode, we break down the CMS nationwide six-month moratorium on new home health agency and hospice Medicare enrollments—effective May 13, 2026—and what it means for your agency, your growth plans, and your revenue cycle. We’ll cover exactly what the moratorium blocks (new enrollments, certain ownership changes, branch and practice location expansions), what it does not block (existing provider operations, billing, and routine compliance), and why agencies are seeing intensified scrutiny through targeted investigations and advanced analytics during this period. You’ll get a clear action plan for how to respond.  This episode is designed for home health and hospice leaders, RCM specialists, compliance officers, and operations teams who need practical, compliance-focused guidance to stay ahead of the rules. Whether you’re planning acquisitions, branch expansions, or ownership changes, this conversation will help you make smarter decisions and keep your agency operating with excellence during a period of heightened regulatory pressure. Want to be audit ready? Check out healthrevpartners.com to learn about coding, OASIS review, and RCM services.  Chapters (00:00:03) - CMS Home Health and Hospice Moratorium

  3. Jun 12

    Profit Cycle Management: The Next Evolution of Financial Leadership in Home Health

    Revenue cycle management has long been a cornerstone of financial success in home health, but what if there was a way to connect revenue, capacity, margin, and cash flow into one complete picture? In this episode of Home Health Revealed, host Hannah Vale sits down with Victoria Kuklina and Alex Shekaroff, founders of Fin Health Inc., to discuss the emerging concept of Profit Cycle Management (PCM). Drawing from decades of experience in healthcare finance, operations, and technology, Victoria Kuklina and Alex Shekaroff explain how PCM helps agencies move beyond measuring performance to understanding the drivers behind it. Together, they explore how home health organizations can gain greater visibility into their financial operations, identify hidden revenue and profit leakage, improve accountability across departments, and make more informed decisions about growth, staffing, and cash flow. They also share the story behind Fin Health Inc. and how their platform is helping agencies turn complex data into actionable insights. Whether you're focused on financial stability, operational efficiency, or sustainable growth, this conversation offers a fresh perspective on what it takes to build a stronger healthcare organization in today's evolving landscape. Home Health Revealed is proudly hosted by HealthRev Partners- your tech-enabled, people-led revenue cycle management partner! Chapters (00:00:03) - Pcm: Profit Cycle Management in Home Care(00:01:11) - Victoria and Alex's Personal Capital Management(00:05:01) - Profit Cycle Management(00:09:35) - FinHealth Agency's Profit Cycle Management Platform(00:13:27) - Pricing and Accountability in Home Healthcare(00:16:15) - Finn Health's Home Health Innovation

  4. Jun 1

    Creating Confidence in Dementia Care

    Dementia care requires more than clinical expertise, it requires understanding, patience, and the right approach. In this episode of Home Health Revealed, we sit down with Jessica Iorio, VP of Hospice Operations, and Lauren Adams, Dementia Care Coordinator for the LTM Group, to discuss how specialized dementia education is transforming care for patients, families, and clinicians alike. From recognizing subtle signs of decline to improving communication techniques and supporting caregivers through every stage of the journey, Jessica and Lauren share practical insights on what it takes to provide compassionate, person-centered dementia care. They also explore how training programs like Dementia Live help caregivers see the world through the eyes of those living with dementia, leading to better outcomes and more meaningful connections. Tune in to learn why creating confidence in dementia care is essential as more families and healthcare providers navigate the growing impact of dementia across the continuum of care. Chapters (00:00:03) - Home Health Revealed: Dementia Care(00:08:29) - How to Prepare for the Care of a Dementian Person(00:11:47) - Dementia Care Talk

  5. Jun 1

    Growth, Grit, and Scaling Success

    What does it take to grow a home health and hospice organization from a startup into a thriving, multi-location agency? In this episode of Home Health Revealed, Greg Davis, Owner and President of Business Operations at Patriot at Home, shares the story behind the agency’s growth journey, from humble beginnings and early business failures to strategic expansion, acquisitions, and long-term planning. Greg discusses the role of grit, leadership, and continuous learning in building a sustainable organization, along with lessons learned from scaling quickly, navigating acquisitions, empowering leaders, and adapting to industry change. He also shares insights on leveraging technology, strengthening operational infrastructure, and preparing for the future of home-based care. Whether you're leading a growing agency or planning your next stage of expansion, this conversation offers practical insights on what it takes to scale through growth and grit. Chapters (00:00:03) - Home Health Revealed: Growing Patriot Home(00:04:02) - Exclusives: New Things Next Year(00:08:27) - Leadership in the COVID Era(00:10:20) - Ohio Council on Home Health

  6. May 29

    Demystifying Home Health Value-Based Purchasing

    Home health value-based purchasing continues to be one of the most important topics shaping agency performance, reimbursement, and patient outcomes. In this episode, Katie Eisel, Director of Payer Relations for the Ohio Community at Home Network (OCHN), joins the podcast to break down HHVBP in a practical, easy-to-understand way. Katie shares how agencies can simplify complex performance reports, engage clinicians in improvement efforts, and focus on the measures that have the greatest impact on results. The conversation explores the connection between clinician actions and HHVBP scores, strategies for improving OASIS-based measures and hospitalization outcomes, the role of HHCAHPS in overall performance, and why patient experience remains a critical piece of long-term success. Katie also discusses the differences between star ratings and HHVBP, common opportunities agencies overlook, and how organizations can build a culture of accountability and continuous improvement. Whether you are a clinical leader, executive, or operations professional, this episode offers practical insights to help your agency better understand HHVBP and turn performance data into meaningful action. Chapters (00:00:03) - What Do Home Health Value Based Purchases Need to Know?(00:05:35) - Home Health Value Based Purchasing, Star Ratings(00:08:05) - HHSCAHPS: Value Based Purchasing(00:16:08) - Face-to-Face Care(00:18:33) - Ohio Community at Home Network (OCHN)(00:24:40) - Where can somebody find out about the OCHN?

  7. Apr 29

    Inside Home Health Operations: The "Hope Desk"

    In this episode of Home Health Revealed, we sit down with Hope Mulliken, Help Desk Coordinator at the Ohio Council for Home Care and Hospice (OCHCH), to talk about what’s really happening behind the scenes in home health operations today. From Medicaid and Medicare changes to rising denials, authorization delays, and audit pressure, Hope breaks down the challenges agencies are facing right now and why things continue to get more complex. We also explore the OCHCH Help Desk, where Hope supports both member agencies and the community with questions ranging from EVV and OASIS issues to appeals, compliance, and operational challenges. During the conversation, we affectionately refer to it as the “Hope Desk,” a nickname that stuck thanks to Hope’s name and the fact that she’s often the go-to for agency questions. Finally, we discuss defensible documentation, why every visit note needs to tell a complete clinical story, and how agencies can better protect themselves in today’s regulatory environment. Chapters (00:00:03) - Ohio Council for Home Care and Hospice Help Desk(00:02:19) - Medicare and Medicaid: How to manage both of your patients'(00:06:39) - What is the top question you get at the help desk?(00:07:26) - Face to Face for Care(00:09:04) - Visit Notes(00:11:03) - Home and Community Based Nursing Program

  8. Apr 27

    Connecting Care Across the Patient Journey

    In this episode of Home Health Revealed, we sit down with Victoria Barkin, Regional Director of Operations for Home Health at National Church Residences, to talk about what it really means to create a true continuum of care. Too often, care is delivered in silos. But patients don’t experience it that way. Victoria shares real-world stories that highlight the gaps that can happen between settings and what it takes operationally and clinically to close them. From navigating complex discharges without an established physician to quickly transitioning a patient to hospice and avoiding an unnecessary hospitalization, this conversation brings the concept of “continuity” to life. We also dig into the role of relationships, both within an organization and across the community, and why having the right connections in place can make all the difference for patients and their caregivers. Whether your organization offers a full continuum of services or relies on trusted partners, this episode explores how home health leaders can better support patients through every stage of care. Chapters (00:00:03) - What's the Core of Home Health?(00:02:34) - Home Health for the Complex Patient(00:06:52) - OCCAS 2017(00:07:31) - Och-Care Ohio Association annual meeting

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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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