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. Oct 1

    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

  2. Sep 17 ·  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

  3. Sep 17 ·  Bonus

    Female Founders in Healthcare: WellBeam CEO Amee Devani on Building WellBeam

    WellBeam CEO and Co-Founder Amee Devani returns to Last Visit First, this time with guest host Jennifer Maxwell filling in for Tom, to talk about how WellBeam is eliminating one of home health's most outdated workflows: getting physicians to sign care plans and orders. Amee explains how WellBeam brings this process directly into physician EMRs like Epic, Cerner, and eClinicalWorks, mapping everything back into Homecare Homebase, cutting order turnaround from an industry average of 21 days down to as little as half a day. Amee also shares WellBeam's vision for using AI to surface clinical decline earlier, helping care teams coordinate before a patient crashes rather than after, along with candid reflections on building a healthcare startup as a female founder and balancing entrepreneurship with family life. Chapters: 0:00 Welcome Back: Amee Devani, CEO of WellBeam0:55 What WellBeam Solves: Ending the Fax Machine Workflow1:59 From 21 Days to Half a Day2:29 The Biggest AI Hurdle for Agencies Right Now3:19 Using AI to Predict Decline Before a Crisis4:04 WellBeam's First Users Conference: Key Takeaways5:07 On Being a Female Founder in HealthcareConnect with WellBeam Connect with Amee 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

    Female Founders in Healthcare: WellBeam CEO Amee Devani on Building WellBeam

  4. Sep 17 ·  Bonus

    Partners, Not Competitors: QAPIplus on Building a Better Home Health Ecosystem

    QAPIplus Co-Founder and CEO Armine Khudanyan, Co-founder and CTO Lara Koraian, and Chief Growth Officer Jared Robey join Last Visit First, with guest host Jennifer Maxwell filling in for Tom this episode, to talk about how QAPIplus is transforming quality improvement and compliance for home health and hospice organizations. The team explains how QAPIplus helps agencies operationalize the flood of data coming in from documentation and CMS quality compliance, shifting time and effort away from manual reporting and toward real, measurable performance improvement. They also share their take on the industry's ongoing AI conversation, and why partnership, not competition, between vendors is the key to building a more holistic experience for home health and hospice providers. Chapters: 0:00 Welcome & Guest Host Jennifer Maxwell0:18 Meet the QAPIplus Team0:52 What QAPIplus Does1:32 The Biggest Problem QAPIplus Solves2:59 Why Vendor Partnership Matters More Than Competition4:32 Reflecting on the Conference Connect with QAPIplus Connect with Armine Connect with Lara Connect with Jared 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

    Partners, Not Competitors: QAPIplus on Building a Better Home Health Ecosystem

  5. Sep 17 ·  Bonus

    The 90% Rule: Element5 CEO Joe Randesi on AI, Automation & the Human in the Loop

    Element5 Co-founder and CEO Joe Randesi joins Last Visit First once again, with guest host Jennifer Maxwell, Co-Founder and CEO of Maxwell TEC and wife of Tom Maxwell, to talk about how AI agents are automating revenue cycle management and back-office operations for the home health and hospice community. Joe explains Element5's approach to "touchless rate," the percentage of financial and administrative tasks handled entirely without human intervention, and why the company aims for a high touchless rate around 90%, rather than chasing full automation. Joe also shares his take on why AI adoption, not new technology itself, will be the biggest driver of change in post-acute care over the next few years, and why keeping a human in the loop remains essential even as automation and ambient listening tools continue to advance. Chapters: 0:00 Welcome: Joe Randesi, CEO of Element50:31 What Element5 Does: Automating RCM & Back Office1:17 Most Successful Moment at the Conference2:36 Why a Human in the Loop Still Matters3:04 Looking Ahead: The Next 3-5 Years of AI AdoptionConnect with Joe: https://www.linkedin.com/in/joerandesi Connect with Element5: https://www.e5.ai/ 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

    The 90% Rule: Element5 CEO Joe Randesi on AI, Automation & the Human in the Loop

  6. Sep 15 ·  Bonus

    Zero-Cost Pharmacy Care for Home Health Patients: AnewHealth's Roman Fry

    AnewHealth Chief Growth Officer Roman Fry joins Last Visit First to explain how the company's pharmacy care model helps home health agencies manage their most complex, high-medication patients, at no added cost to the agency. Roman breaks down how AnewHealth, the only integrated pharmacy partner with Homecare Homebase, works directly inside the EMR to identify patients with high medication burden, deliver pre-packaged pill strips, and provide virtual pharmacist support, all while reporting a 78 net promoter score among patients. Roman also shares how referrals work, why speed matters most in the critical first 72 hours after a patient transition, and what's behind AnewHealth's broader portfolio, including Tabula Rasa's leadership in PACE pharmacy and SafeDose's work supporting individuals with intellectual and developmental disabilities. Chapters: 0:00 Welcome: Roman Fry, Chief Growth Officer of AnewHealth1:12 The Pharmacy Model: No Cost to Home Health Agencies2:38 Pill Packs vs. Pill Sorters3:12 The Caregiver Burden AnewHealth Takes Away4:03 What Happens If a Patient Has a Crisis Later4:58 How Nurses Make a Referral6:17 Inside Tabula Rasa & PACE Pharmacy7:16 SafeDose & Serving Dual-Eligible PatientsConnect with AnewHealth Connect with Roman 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

    Zero-Cost Pharmacy Care for Home Health Patients: AnewHealth's Roman Fry

  7. Sep 15 ·  Bonus

    From Static Screens to AI Agents: The Future of Home Health Software with Elliott Wood

    Mosai CEO Elliott Wood joins Last Visit First once again to talk AI, software, and where home-based care technology is headed next. Eighteen months after the merger of Forcura and Medalogix into Mosai, Elliott shares how the company is reimagining software delivery from the ground up, from consolidating cluttered multi-screen clinician workflows into a single AI-assisted interface, to using AI agents to gather information and surface decisions for clinicians rather than requiring them to dig for it themselves. Elliott and Tom also dig into how AI is transforming software development speed itself, cutting build timelines from weeks to hours, and what that means for the future of home health and hospice technology more broadly. Chapters: 0:00 An Update from Mosai0:08 What Is Mosai? Forcura + Medalogix1:23 Conference Buzz: Reset & Realign Keynote2:43 18 Months Into the Merger2:59 AI's Impact on Software's Future3:59 From Multiple Screens to One AI-Assisted View6:01 Speed to Software: Building Faster with AI7:18 A Golf Scoring App Built with Claude9:32 Software People Want to Use, Not Have ToConnect with Mosai Connect with Elliott 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

    From Static Screens to AI Agents: The Future of Home Health Software with Elliott Wood

  8. Sep 15 ·  Bonus

    AI, Automation & the New Hospice Amendment: Maxwell TEC's Jay Duty

    Maxwell TEC COO Jay Duty joins Last Visit First to unpack the biggest themes on the show floor at HCHB's Users Conference, including AI and automation in home health and hospice, ambient listening technology for clinicians, and the industry buzz around the new hospice amendment regulation. Jay breaks down the fast-approaching hospice amendment deadline, the challenge of getting signed amendments back from patients within five days of start of care, and why traditional tools like DocuSign may not be a realistic fix. He also shares what's happening at Maxwell TEC right now, from rising M&A activity in home health and hospice to the growing adoption of their nanaCONNECT platform for automating patient communication, intake, and bereavement outreach. Chapters: 0:00 Welcome & Why Jay's at the Conference0:23 Top Themes: People, Process & Technology0:47 AI, Automation & Ambient Listening for Clinicians1:32 The New Hospice Amendment Deadline2:42 The DocuSign Problem: Getting Signatures from Patients3:02 What's New at Maxwell TEC: M&A Trends3:13 nanaCONNECT & Automating Patient Communication4:05 Who's at the Conference with Jay Connect with Maxwell TEC Connect with Jay 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

    AI, Automation & the New Hospice Amendment: Maxwell TEC's Jay Duty
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Ratings & Reviews

5
out of 5
3 Ratings

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
    59
  • Rating
    Explicit
  • Copyright
    © 2026 Tom Maxwell
  • Show Website
    Last Visit First

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