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. CMS 2027 Proposed Rule Explained: What the 2.4% Increase Actually Means

    15h ago

    CMS 2027 Proposed Rule Explained: What the 2.4% Increase Actually Means

    CMS just proposed a 2.4% payment increase for home health in 2027. If that's the only number you take away, you're missing a lot. Tom Maxwell sits down with Jay Duty, COO at Maxwell TEC, to unpack what's actually happening underneath the headline: a temporary rate cut, a nearly $5 billion recoupment, a full case-mix recalibration, and provider enrollment changes that could put your Medicare billing privileges at risk. Jay spent his first ten years in the hospital business at HCA before moving into post-acute care strategy, eventually landing at Maxwell TEC. In this conversation, he and Tom walk through what CFOs need to know before they finalize next year's budget, why the "behavioral adjustment" methodology has the industry pushing back, and what a home health specific wage index could mean for high-cost and rural markets. Topics Include: The real math behind the 2.4% headline number and where it actually comes fromWhy the temporary 3% clawback matters more than the payment increaseHow to model your 2027 budget before the final rule drops in NovemberThe CMS wage index proposal and its impact on rural and high-cost marketsWhat CMS's expanded provider enrollment authority means for your Medicare billing risk The comment period for this rule runs through August 31, 2026. If you're a home health agency owner, operator, or CFO, this episode gives you the framework to build your comment letter and your budget at the same time. Connect with Jay Duty: jay@maxwelltec.com or https://www.maxwelltec.com Chapters: 0:00 Intro: the 2.4% headline everyone's getting wrong1:26 Jay Duty's path from HCA to home health strategy1:53 The first thing Jay checks in a new CMS rule2:21 What's actually driving the 2.4% number3:55 The one sentence every CFO needs to remember4:49 The behavioral adjustment, explained6:26 Real example: therapy-only cases and the 30-day billing trap7:44 The $4.9 billion recoupment breakdown9:54 Is CMS's data methodology actually flawed?12:15 What a strong industry comment letter argues13:33 Why this rule always lands mid-budget cycle14:46 How to model your 2027 budget starting now17:01 Why visits per period keep falling19:45 What investors and lenders should hear from you now21:28 The case for a home health specific wage index24:00 CMS's expanded power to deny or revoke enrollment25:34 Can industry comments actually move the needle?28:16 What makes a comment letter valuable to CMS29:48 Will this adjustment mechanism still exist in five years?31:51 What to do this week if you run an agency33:08 How to reach Jay Duty Sponsors: Maxwell TEC: https://www.maxwelltec.com

    34 min
  2. From Valuation to Close: Inside the Deal Process for Home Health and Hospice Owners

    Jun 29

    From Valuation to Close: Inside the Deal Process for Home Health and Hospice Owners

    What does it actually take to sell a home health or hospice agency, and how do you make sure you walk away with what your business is worth? Alex Veach, Partner at Agenda Health, joins Last Visit First for a conversation that covers the full arc of the healthcare M&A process, from the moment you start thinking about an exit to the day you close a deal. Agenda Health advised on roughly 25% of all home-based care transactions in 2025 alone, and Alex brings a decade of deal reps and hard-won market knowledge to every answer. This is not a theoretical conversation. It is a practical, direct look at how buyers evaluate agencies, what kills deals, how to time an exit around regulatory cycles, and why the emotional side of selling a business you built from nothing is just as important as the financial side. Topics include: What the current healthcare M&A market actually looks like for home health and hospice owners and where the opportunity is headedThe three things buyers prioritize above everything else in smaller agency deals and why compliance now leads the listHow Agenda's buyer profiling process matches sellers with the right capital partners, not just the highest bidWhat the full deal process looks like step by step, from valuation call to signed LOI, for an owner who has never done this beforeThe emotional reality of selling a business you built from nothing and how good advisors help owners through itChapters: 00:00 Introduction to Alex Veach and Agenda Health01:29 Alex's Background and Path to Agenda02:45 What Agenda Health Does and Who They Serve05:14 The Current M&A Market for Home Health and Hospice07:43 What Most Owners Get Wrong About Valuation09:18 Valuation Ranges Across Home Health, Hospice, and Personal Care12:15 What a Platform Deal Actually Means14:22 Buyer's Market or Seller's Market Right Now17:34 How Large Platform Deals Create Add-On Opportunity for Smaller Agencies19:05 Acquisition vs. Recapitalization: What's the Difference21:37 The Top Three Things Buyers Look for in Smaller Agencies25:12 The Role of Team and Key Man Risk in a Deal26:39 How Regulatory Timing and Rate Changes Affect Deal Process29:22 Ads31:59 Building Relationships and Teaching the Business36:47 How Long the Seller Relationship Takes to Develop39:33 Begin With the End in Mind: Prepping 24 Months Out42:01 EMR Data, Financial Readiness, and What Buyers Are Testing45:42 Walking Through a Real Deal: 250-Patient Hospice in Houston46:27 Valuation Presentation and Process Strategy49:46 Ads50:51 The Data Room: How It Works and Why It Matters53:03 Keeping Census Up While Your Deal Is in Process56:46 Managing Team Distraction and Confidentiality During a Sale58:01 Legacy, Impact, and What Alex and Agenda Want to Be Known For1:03:39 The Emotional Reality of Selling Your Business1:04:37 How to Reach Alex Veach and Agenda Health1:05:46 Closing ThoughtsConnect with Alex Veach and Agenda Health: Agenda Health's Website: https://www.agendahealth.comAgenda Health's LinkedIn: https://www.linkedin.com/company/agenda-business-services/Alex's LinkedIn: https://www.linkedin.com/in/alex-veachLast Visit First: Apple Podcasts: https://podcasts.apple.com/us/podcast/last-visit-first/id1830051182Spotify: https://open.spotify.com/show/3iSKGRvHC9Bk3iq7l8UPxsYouTube: https://www.youtube.com/@lastvisitfirstpodcastWebsite: https://www.lastvisitfirst.comLinkedIn: https://linkedin.com/company/last-visit-firstSponsors: Premier Sponsor: Trella Health: https://trellahealth.com/Premier Sponsor: Homecare Homebase: https://hchb.com/Maxwell TEC: https://maxwelltec.com/StenoHealth: https://www.stenohealth.com/IntellaTriage: https://intellatriage.com/

    1h 7m
  3. What Families Get Wrong About Dementia Care - Dr. Shadi Gholizadeh

    Jun 19

    What Families Get Wrong About Dementia Care - Dr. Shadi Gholizadeh

    Dementia is one of the most feared diagnoses in aging. But most of what families, caregivers, and even healthcare professionals think they know about it is incomplete. Dr. Shadi Gholizadeh, Chief Quality and Innovation Officer at TheKey, joins Tom Maxwell for a conversation that covers dementia from every angle. Prevention, care, behavior change, the one symptom our aging population is not paying attention to, and what it actually looks like to build a meaningful life after a diagnosis. Dr. Gholizadeh is a clinical psychologist with training from Stanford, the London School of Economics, and UC San Diego. She has spent over a decade building science-backed, scalable care models at TheKey, the largest privately owned premium home care provider in North America, and she brings that experience into a conversation that is practical, personal, and long overdue. Topics include: The study that found 45% of dementias can be prevented or delayed through lifestyle changesThe Balanced Care Method and TheKey's six pillars of health in actionAnosognosia: the misunderstood symptom that changes how families should respondWhy labeling dementia patients as "resistant to care" is the wrong frame entirely and what to use insteadEngagement erosion: how decline happens quietly before anyone noticesThe caregiver-as-change-agent model and why it works in the homeWhere AI and wearables are headed in home careA story about a son who almost stopped visiting his mom with dementia and what changedChapters 00:00 Introduction to Dr. Shadi Golizada and The Key02:54 Dr. Golizada's Journey in Clinical Psychology05:35 Understanding The Key's Home Care Services08:48 The Six Pillars of Health and Wellness11:33 Personalized Care and Hydration Strategies14:38 The Importance of Caregiver Stories17:28 Navigating Dementia and Family Dynamics20:21 Education and Awareness in Dementia Care23:23 Hope and Lifestyle Changes for Dementia Patients26:05 Ads29:06 Resources for Aging and Care Coordination31:45 Technology in Home Care Services35:59 AI in Caregiving: Enhancing Relationships and Documentation40:49 The Importance of User-Centric Technology44:28 Engagement and Joy in Care: The Role of AI49:19 Health Behavior Change: A Balanced Approach51:20 Ads57:28 Long-Term Care: Building Meaningful Relationships01:03:50 Transformative Stories: Changing Perspectives on CaregivingDr. Gholizadeh is the author of three books, all available on Amazon: TheKey Essentials: Navigating Cognitive Change: A New Kind of Dementia Guide for Families by the Leaders in Home-Based Cognitive Support: https://a.co/d/0aLuKhf3TheKey Essentials: The Balanced Path: Six Lifestyle Pillars That Shape How We Age: https://a.co/d/0iHbxSKrTheKey Essentials: Aging with Confidence: Your Guide to Care, Safety, and Living Fully Wherever You Call Home: https://a.co/d/0dovA0iyConnect with Dr. Shadi Gholizadeh and TheKey: Website: https://www.thekey.comEmail: shadi@thekey.comLinkedIn: https://www.linkedin.com/in/shadigLast Visit First: Apple Podcasts: https://podcasts.apple.com/us/podcast/last-visit-first/id1830051182 Spotify: https://open.spotify.com/show/3iSKGRvHC9Bk3iq7l8UPxs YouTube: https://www.youtube.com/@lastvisitfirstpodcastWebsite: https://www.lastvisitfirst.com LinkedIn: https://linkedin.com/company/last-visit-firstSponsors: Premier Sponsor: Trella Health: https://trellahealth.com/Premier Sponsor: Homecare Homebase: https://hchb.com/Maxwell TEC: https://maxwelltec.com/StenoHealth: https://www.stenohealth.com/IntellaTriage: https://intellatriage.com/

    1h 9m
  4. The Fragmented System Keeping Grandma in the Hospital (And How to Fix It)

    Jun 9

    The Fragmented System Keeping Grandma in the Hospital (And How to Fix It)

    Brian Lobley spent more than 20 years inside one of the country's largest health insurers before crossing the aisle to fix the problem he "helped create." Now as CEO of tango, he is building the infrastructure that gets patients home faster, keeps them out of the hospital, and actually rewards the agencies doing the work. Tom Maxwell sits down with Brian to break down why the post-acute system is broken, what value-based care looks like when it actually works at the episode level, and how tango is using AI to transform clinical workflows without replacing the clinician. He explains: Why Medicare Advantage networks are broken and what payers keep getting wrongHow Tango eliminates the referral-to-authorization gap that delays care in the critical first 48 hours after dischargeWhat value-based care actually looks like at the episode level and how providers get rewarded for itWhy 10 to 12 percent of SNF admissions do not need to happen and what fixing that requiresHow AI is cutting 22-minute case reviews to five to eight minutes without replacing the clinicianCHAPTERS 0:00 Introduction and Brian Lobley's background1:53 Brian's career path from IT consulting to Independence Blue Cross4:48 Building the tango leadership team8:02 What tango does and how the model works12:09 How home health providers can join the tango network17:33 The interoperability challenge and where the industry stands21:14 Why delays in home health hurt patients, payers, and hospitals27:57 [Ads]30:21 Value-based care: what's actually working vs. theoretical34:49 Expanding beyond home health: hospice and personal care37:24 What Medicare Advantage plans are getting right and wrong43:26 Why payer networks keep failing home health agencies45:06 [Ads]46:10 How tango is using AI in clinical and operational workflows54:43 Hiring at tango and how to join the network56:31 The story behind the name change from PHCN to tango57:39 Closing thoughts Learn more about tango: https://tangocare.com/ Connect with Brian Lobley: https://linkedin.com/in/brian-lobley-339b2a4 Sponsors: Premier Sponsor: Trella Health: https://trellahealth.com/Premier Sponsor: Homecare Homebase: https://hchb.com/Maxwell TEC: https://maxwelltec.com/StenoHealth: https://www.stenohealth.com/IntellaTriage: https://intellatriage.com/ Subscribe to Last Visit First for new episodes every week with the leaders shaping home health, hospice, palliative care and the future of healthcare.

    59 min
  5. How 1 Million Texts Are Reconnecting Hospice & Home Health Families | nanaCONNECT

    Jun 4 ·  Bonus

    How 1 Million Texts Are Reconnecting Hospice & Home Health Families | nanaCONNECT

    Last Visit First sponsor Maxwell TEC just hit a massive milestone: their nanaCONNECT platform reached 1 million messages sent across home health and hospice. With a 31% engagement rate and a 1.3% opt-out rate, this is patient communication that actually works. In this special bonus episode, Andy O'Connell (Director of Product) and Desiree Ardoin (Senior Consultant, Product Adoption) of Maxwell TEC join the podcast to unpack what 1 million connections really means for patients, families, caregivers, and the agencies that serve them. This is what proactive, compassionate, scalable patient communication looks like. What we get into: The numbers behind the milestone, including a 31% engagement rate (6% is considered excellent) and roughly $436,000 a month in savings versus traditional mailThe bereavement stories families are sending back, and why Maxwell TEC is rethinking the traditional 13-month cutoffHow real-time caregiver feedback through text is helping agencies catch problems long before an HCAHPS survey ever shows upA quick look at how it all works across NOTIFY, ENGAGE, REACH, and BEREAVE: no app, no logins, just a text from a number families already recognize Chapters: 00:00 Celebrating Milestones in Healthcare Communication02:48 The Impact of NanoConnect on Patient Care06:01 Engagement Metrics and Cost Efficiency08:35 Cultural Sensitivity and Regional Adaptation11:17 Real-Time Feedback and Continuous Improvement14:22 Future of Communication in Home Health and Hospice16:39 Extending Bereavement Support Beyond Traditional Limits19:38 The Human Element in Healthcare Communication Sponsors: Maxwell TEC: Learn more or schedule a demo at https://www.maxwelltec.com Subscribe to Last Visit First for new episodes every 10 days with the leaders shaping home health, hospice, palliative care and the future of healthcare.

    22 min
  6. The Home Health Data Reckoning: Fraud, Moratoriums & the Future of Post-Acute Care

    May 30

    The Home Health Data Reckoning: Fraud, Moratoriums & the Future of Post-Acute Care

    The numbers are in — and home health care is at a turning point. In this data-packed episode of Last Visit First, host Tom Maxwell sits down with Scott Tapp (CEO, Trella Health) and Carter Bakkum (Senior Data Scientist, Trella Health) for a quarterly deep dive into what the Medicare claims data is actually telling us about the state of home health and hospice in America. Key Stats from This Episode: Home health market: $162B in 2024 → projected $380B94% of U.S. counties saw a reduction in home health agencies (2019–2023)2,201 new hospice NPIs enumerated in LA County since Jan 2020Average patient risk score increased from 2.3 → 2.5 (2021–2024)Readmission rates dropped from 11.9% → 11.8%Time to start of care: 4.8 days → 3.12 days724 hospitals participating in the TEAM model$11.8B in annual Medicare reimbursements tied to 3 TEAM categories Chapters: 00:00 - Introduction & Guest Welcome00:59 - Who Is Carter Bakkum? Scott Explains01:45 - Why We're Doing Quarterly Data Deep Dives02:04 - Big News: Trella's Monthly CMS Data Access03:19 - How Trella Combines Billions of Claims04:43 - The Lag Problem with Finalized CMS Claims05:39 - CMS Moratorium on New Home Health & Hospice Licenses05:59 - The $162B Home Health Market & Home Infusion Surge07:10 - Shocking Stat: 94% of Counties Lost Home Health Agencies07:53 - Carter Explains the County Reduction Data09:10 - Trella's New Interactive NPI County Map Tool11:20 - 2,200+ New Hospice NPIs in LA County Alone12:30 - The Fraud Hotspots: Clark County, Franklin County & Miami-Dade12:54 - Does the Map Include Change of Ownership (CHOW)?13:35 - What the Moratorium Means for De Novo vs. Acquisition Strategy14:33 - The 36-Month Rule & Who's Actually Acquirable Right Now15:10 - Is This Essentially a National Certificate of Need?15:32 - What Comes After the Moratorium? New CMS Rules Explained16:22 - Real Impact: Access to Care Is Already Being Restricted17:09 - Tom's Story: No Home Health Available in Upstate New York18:30 - The PR Problem: Seniors Seeing Home Health as "All Fraud"19:49 - Adherence to Home Health Discharge Instructions Is Rising21:02 - Should We Look at Adherence by Rural vs. Urban Classification?21:26 - Home Health Is Treating Sicker Patients — And Doing It Better22:22 - Patient Risk Scores: Up from 2.3 to 2.5 (What That Really Means)25:00 - Readmission Rates Down Despite Higher Complexity25:38 - Why Patients Are Being Discharged So Much Faster Now27:03 - Time to Start of Care Dropped from 4.8 to 3.1 Days27:47 - Introducing the TEAM Model: What It Is & Who's Affected29:43 - Carter's TEAM Data: 724 Hospitals, Upside/Downside Risk Explained32:15 - $11.8 Billion in Medicare Reimbursements at Stake33:20 - Why CMS Chose These 5 Episode Categories34:10 - The $36,000 Variance in CABG Costs Across the Country34:39 - 39% of TEAM DRGs Are Discharged to Post-Acute — The Opportunity35:41 - What This Means for Home Health Agencies RIGHT NOW37:10 - Call to Action: Submit Your Data Questions for Next Quarter37:40 - Closing Thoughts from Scott & Carter38:51 - Goodbye & Happy Memorial Day Have a topic for next quarter's data deep dive? Drop it in the comments below. Sponsored by Trella Health: Learn more Trella Health: https://www.trellahealth.comConnect with Scott Tapp: https://linkedin.com/in/scotttappConnect with Carter Bakkum: https://linkedin.com/in/carterbakkumSubscribe to Last Visit First for new episodes every week with the leaders shaping home health, hospice, palliative care and the future of healthcare.

    39 min
  7. From the DOJ to the Defense Table: What Hospice Operators Need to Hear

    May 20

    From the DOJ to the Defense Table: What Hospice Operators Need to Hear

    Former DOJ prosecutor Jonathan Porter joins Tom Maxwell for the Season 2 premiere of Last Visit First, and the timing could not be more critical. With CMS announcing a nationwide enrollment moratorium on hospice and home health agencies and over 440 providers already suspended, every operator in the industry needs to understand what is actually happening and what to do about it. Jonathan spent years at the Department of Justice taking down healthcare fraud schemes involving billions in billings. Now, as a partner at Husch Blackwell, he defends the hospices, home health agencies, and healthcare executives caught in the crossfire. He knows exactly how this machine works from both sides of the table, and he is not holding back. He explains: Why legitimate agencies are getting swept up in enforcement actions designed to catch bad actorsHow the whistleblower incentive system is structurally built to go after the good guys with deep pockets rather than the fraudsters who already moved their money offshoreWhat actually triggers a federal investigation for a compliant hospice or home health agencyThe real difference between a compliance program that protects you and binders collecting dust on a shelfHow AI is creating brand new enforcement risks that most operators have not thought about yetWhen self-disclosure to CMS or DOJ makes sense and when it does notWhat to do the moment an agent shows up at your door CHAPTERS 0:00 Introduction — Meet Jonathan Porter, Former DOJ Prosecutor and Partner at Husch Blackwell1:07 Jonathan's Path: From Capitol Hill to the DOJ to Healthcare Law4:09 Prosecuting Doctors, Executives and a Pastor: What It Taught Him About Human Behavior7:39 Why He Left DOJ to Defend the People He Used to Investigate8:59 The CMS Crackdown: 447 Hospices and 23 Home Health Agencies Suspended in LA Alone12:35 Why the Government Keeps Lumping the Good Guys In With the Bad13:30 The Whistleblower Incentive Problem: Why Relator Lawyers Target Deep Pockets15:51 Payment Suspensions: What Happens to Legitimate Agencies Caught in the Crossfire19:42 What Actually Triggers a Federal Investigation for a Compliant Agency24:33 Ads25:52 Husch Blackwell, the Anti-Kickback Statute and How It Applies to Hospice and Home Health33:15 Real Examples: When Giving Something of Value Crosses the Line34:59 Home Health Enforcement: What DOJ Is Actually Watching in the Data38:41 Whistleblowers: Disgruntled Employees, Wired Informants and Data Mining Companies41:43 Ads44:08 AI Enforcement Risks, Self-Disclosure and Where the Line Is in Clinical Documentation51:44 The Three Things Every Compliance Officer Needs to Address Immediately54:43 Binders on a Shelf vs. a Compliance Program That Actually Protects You58:21 If Jonathan Could Change One Thing About Government Enforcement59:58 Don't Panic: What Every Operator Needs to Hear Before It Gets to That Point1:01:44 How to Reach Jonathan Porter and the Husch Blackwell Team Learn more about Husch Blackwell: https://www.huschblackwell.comConnect with Jonathan Porter: jonathan.porter@huschblackwell.com Sponsors: Premier Sponsor: Trella Health: ⁠https://trellahealth.com/⁠ Premier Sponsor: Homecare Homebase: ⁠https://hchb.com/⁠ Maxwell TEC: ⁠https://maxwelltec.com/⁠ StenoHealth: ⁠https://www.stenohealth.com/⁠IntellaTriage: ⁠https://intellatriage.com/⁠ Subscribe to Last Visit First for new episodes every week with the leaders shaping home health, hospice, palliative care and the future of healthcare.

    1h 5m
  8. The $1.5B Home-Based Care CEO Getting Honest About the Future of Healthcare | Mike Asselta

    May 4

    The $1.5B Home-Based Care CEO Getting Honest About the Future of Healthcare | Mike Asselta

    Compassus CEO Mike Asselta on clinical insights, care leadership and the future of healthcare. He leads one of the nation's largest home-based care companies, 10,000 caregivers and $1.5B in integrated services. He finally sat down with Tom and did not hold back. With 31 years of healthcare leadership behind him and a platform covering home health, hospice, palliative care, infusion and private duty services, Mike is driving healthcare innovation and the future of patient-centered care from the inside out. He explains: How you scale a $1.5B home-based care company without losing the culture that made it greatThe AI investments that are giving nurses their evenings back and cutting intake from 4 hours to 15 minutesWhy joint venture partnerships with health systems are the future and what the Providence deal taught themThe palliative care strategy, the SNF-at-home model and where the patient journey is actually headingThe nurse practitioner workforce crisis and the clinical data signals every provider should be watchingWhat great care leadership looks like at scale and the legacy he is building at Compassus CHAPTERS 0:00 Introduction — Meet Mike Asselta, CEO of Compassus0:27 Mike's Career Journey: Lab One, Quest, Fresenius and Three Failed Retirements3:28 Entering Home-Based Care: The Fragmentation Shock5:20 Leading a Mobile Workforce: Care Leadership at Scale6:18 Compassus by the Numbers: $1.5B, 11,500 Caregivers and a Mission-First Culture8:24 The Leadership Summit in San Antonio: Leading With Heart12:11 Operational Excellence vs. Clinical Excellence14:15 The Single Biggest Strategic Decision of Mike's First Two Years15:19 Why Hospital-Health System JV Partnerships Are the Future of Post-Acute Care21:07 Inside the Providence Partnership: Values, Scale and Continuity of Care23:21 How Health Systems Should Be Thinking About Hospice and Palliative Care26:45 The Hospice Conversation Nobody Wants to Have (But Everyone Needs To)28:09 Industry Fragmentation, Fraud, Waste and Abuse — and Why the Real Story Isn't Being Told30:06 Ads31:45 Independent, Hospital-Owned or JV? What the Industry Looks Like in 10 Years32:30 Interoperability, Faxing and the $781M Problem CMS Is Finally Addressing33:58 Balancing Home Health, Hospice, Palliative Care and Infusion Across the Patient Journey35:58 SNF at Home, Nurse Practitioners and the Next Frontier of Home-Based Care37:52 The Nurse Practitioner Workforce Crisis and the Student Loan Reclassification Problem40:28 Palliative Care Volumes Up 50%: The Compassus Strategy44:41 Clinical Data Signals Every Home-Based Provider Should Be Tracking48:31 AI Is Transforming Intake: From 4 Hours to 15 Minutes49:37 AI at the Bedside: Reducing Start-of-Care Time by 50% and Ending Pajama Charting52:23 Ads54:37 Revenue Cycle, AI Workflows and the Art of the Possible in 2026 and 202757:17 Claude Cowork, Agentic AI and the Back Office Revolution at Compassus1:00:14 Real-World AI Win: A 45-Minute Fix for What Should Have Been a 3-Week Project1:02:03 Reducing Nurse Fear and Burnout Around AI Adoption1:04:47 Developing the Next Generation of Home Health and Hospice Leaders1:08:00 Mike's Legacy: What He Wants Compassus to Be Known For Learn more about Compassus: https://www.compassus.com Careers at Compassus: https://www.compassus.com/careers Sponsors: Premier Sponsor: Trella Health: https://trellahealth.com/ Premier Sponsor: Homecare Homebase: https://hchb.com/ Maxwell TEC: https://maxwelltec.com/ StenoHealth: https://www.stenohealth.com/IntellaTriage: https://intellatriage.com/ Subscribe to Last Visit First for new episodes every week with the leaders shaping home health, hospice, palliative care and the future of healthcare.

    1h 11m
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out of 5
2 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
    45
  • Rating
    Explicit
  • Copyright
    © Tom Maxwell
  • Show Website
    Last Visit First

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