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

    1D AGO

    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
  2. 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
  3. 10 BILLION in Investments Later: David Schuppan on Scaling Healthcare Winners

    APR 23

    10 BILLION in Investments Later: David Schuppan on Scaling Healthcare Winners

    How do you manage a $17 billion investment firm while staying focused on meaningful clinical impact? In this episode of Last Visit First, Tom Maxwell sits down with David Schuppan, Co-President of Flagship Funds and Co-Head of Healthcare at The Vistria Group. With a career spanning over $10 billion in healthcare investments across 28 companies, David is one of the primary architects of the modern post-acute landscape. We go behind the scenes of the "Power of Three" investment model and discuss: The History of PE: David’s early days working with industry legends Bryan Cressey and Carl Thoma.Portfolio Strategy: Why Vistria invested in industry leaders like Homecare Homebase, Mosai (Medalogix), tango, and Anew Health.The "Duals" Frontier: Why the intersection of Medicare and Medicaid is the next great value-based care opportunity.AI in Healthcare: Shifting the industry from the "IQ business" (data analysis) to the "EQ business" (human-to-human care).Scaling for Success: David’s advice for CEOs looking to scale from $50M to $500M and beyond. David also shares a personal look at his legacy and why he believes private capital is the "action engine" for improving the lives of patients and families. 0:00 - Introduction to David Schuppan1:27 - From Missouri to Wall Street: David’s Origin Story4:30 - Meeting the Founders of Private Equity (Cressey & Thoma)8:07 - The Sourcing Strategy: Active Listening & B2B Healthcare10:43 - The Vistria Group’s "Power of Three" Model15:22 - The Mosai & Medalogix Story: Data-Driven Outcomes16:25 - Tango: Aligning Payers and Providers22:39 - Relationship-Driven Private Equity vs. Transactional PE25:42 - The Home-Based Care Ecosystem (Anew, Help at Home, PACE)29:27 - AI in Healthcare: Use Cases in Recruitment and Operations37:34 - David’s New Role as Co-President of Flagship Funds42:40 - The Future of Consolidation in Home Health & Hospice46:03 - The Toughest Investment Decisions & Lessons Learned49:20 - Advice for CEOs: Scaling to $500M54:58 - The Legacy of Patient Impact Enjoyed the episode? Let us know in the comments! Make sure to leave a like and subscribe! Last 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-first Check out our 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/ Connect with David and The Vistria Group: https://vistria.com/contact/

    57 min
  4. CMS Policy Insider: 80% Of Healthcare Is Missing The Point! Why You Need A "Family Operating System"

    APR 13

    CMS Policy Insider: 80% Of Healthcare Is Missing The Point! Why You Need A "Family Operating System"

    Most families are flying blind when it comes to aging. They think the system has their back, but Dr. Katy Lanz is here to tell us that the healthcare machine is actually built for billing, not for people. As a triple board-certified doctor who has advised CMS and helped lead one of the biggest palliative care providers in the country, Aspire Health, she knows where the cracks are because she’s spent her career trying to fill them. Millions of us are currently caught in the "Sandwich Generation," struggling to raise kids while simultaneously managing care for our parents. Katy reveals why these caregivers are actually the most influential force in the entire industry and how a "Family Operating System" like LifePlans can handle the logistical chaos before a crisis forces your hand. Key Takeaways: The 80/20 Rule: 80% of stability is social, not medical, and ignoring this leads to unnecessary hospitalizations in the "ER trap".Integrity vs. Despair: Navigating the final psychological battle that determines if aging is defined by fulfillment or regret.Rural Healthcare Deserts: Why geography is a primary risk factor as local hospitals continue to vanish across America.Proactive Life Planning: How moving from reactive crisis management to a centralized hub protects family relationships and prevents clinical burnout. Chapters: 00:00 Intro00:09 Intro to Dr. Katy Lanz00:47 Katy's Journey into Serious Illness Care03:41 The Role of Aspire Health07:34 Innovations in Palliative Care11:51 The Intersection of Aging and Mental Health14:40 Navigating Healthcare Systems19:40 Future Policy Dynamics in Healthcare24:45 The "Sandwich Generation" and Caregiving30:25 The Evolution of Palliative Care in America33:10 Challenges in End-Stage Renal Disease (ESRD) Care35:23 Innovative Solutions for Life Planning40:20 The Concept of Whole Person Care48:13 Last Visit First: A Personal Reflection50:07 Legacy and Impact in Healthcare Enjoyed the episode? Let us know in the comments! Make sure to leave a like and subscribe! Last Visit First: Apple Podcasts: https://podcasts.apple.com/us/podcast/last-visit-first/id1830051182 Spotify: https://open.spotify.com/show/3iSKGRvHC9Bk3iq7l8UPxsYouTube: https://www.youtube.com/@lastvisitfirstpodcast Website: https://www.lastvisitfirst.com LinkedIn: https://linkedin.com/company/last-visit-first Check out our 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/ Connect with Dr. Lanz: LinkedIn: https://www.linkedin.com/in/katylanz/LifePlans: https://www.ourlifeplans.com/

    57 min

  5. APR 10 ·  BONUS

    Is Your Hospice A Target? The 2027 CMS "Report Card" Explained

    "It is not a transparency tool, it is a targeting system." On April 2, 2026, CMS released the FY 2027 Hospice Proposed Rule, and the message is clear: the days of flying under the radar are over. While many are focusing on the 2.4% payment increase, Tom Maxwell reveals why that "raise" is actually just a break even point against inflation.. More importantly, he explains why the new SSVI (Service and Spending Variation Index) is the real story you need to be watching. In this episode, we connect the dots between the new 16 point "report card" and "Operation Never Say Die", which was the FBI’s massive fraud takedown that landed the same week as this rule. If your hospice scores high on the SSVI, you aren't just getting a grade; you’re getting a target on your back for audits and revocations. What you’ll learn in this breakdown: The 16 Point Grading Scale: Learn why Measure 9 (non hospice spending) carries half the total weight and how to audit your patterns before CMS does.The FBI Factor: Understand the details behind the $60 million fraud scheme in LA and why CMS is expanding oversight to Georgia, Ohio, Arizona, and beyond.The "Red X" Penalty: See how failing to submit quality data in 2026 will lead to a public non compliance icon on Medicare.gov by 2028.October 2026 Deadlines: Discover the mandatory workflow changes you must implement for the new Election Statement Addendum. Chapters: 00:00 Overview of the 2027 Hospice Proposed Rule02:47 Payment Increase and Its Implications05:15 Introduction of the SSVI Report Card08:13 Impact of Fraud and Enforcement Actions10:38 Operational Changes and Compliance Requirements13:30 Preparing for Future Changes and Public Comments16:31 Outro Don't wait for the final rule in August to start adjusting your intake and clinical documentation. Watch now to learn how to protect your PTN and keep your hospice out of the "DANGER ZONE." Get Involved: The public comment period is open until June 1, 2026. Tom shares how you can collaborate with Maxwell TEC and your peers to impact the final ruling. Connect with Tom Maxwell: Email: tom@maxwelltec.com Podcast Website: www.lastvisitfirst.com Connect with Maxwell TEC: Website: www.maxwelltec.comEmail: sales@maxwelltec.com #hospicecare #HospiceUpdate #cms #hospice #SSVI #lastvisitfirst #HospiceLeadership #HospiceOperations #HospiceCompliance #medicarefraud #OperationNeverSayDie #HospiceOversight #healthcarefraud #postacutecare #palliativecare #homehealthcare #healthpolicy #MaxwellTEC #healthcareinnovation #audits #droz #houseoversightcommittee #medicaid #medicare #healthcarepodcast

    17 min
  6. Crazy ER Stories, Crushing Student Loans, & The Real Reason Doctors Burn Out | Dr. Danielle Kelvas

    APR 3

    Crazy ER Stories, Crushing Student Loans, & The Real Reason Doctors Burn Out | Dr. Danielle Kelvas

    Is the ER where healthcare begins to fail, or just where chronic disease finally runs out of time? In this episode of the Last Visit First podcast, host Tom Maxwell sits down with Dr. Danielle Kelvas—a physician entrepreneur, medical marketing leader, and the Chief Medical Marketing Officer for Credential Network. Dr. Kelvas brings her frontline experience from emergency medicine, family medicine, and concierge clinics to discuss the massive disconnect between the "business" of healthcare and actual patient care. Tom and Dr. Kelvas dive deep into the unseen bottlenecks crippling the industry, from the absurdly inefficient credentialing process keeping nurses and doctors off the floor, to the crushing student loan debt reshaping the future of medical professionals. Plus, expect some wild, laugh-out-loud ER stories (yes, there is a cockroach involved), a candid look at why "loneliness" is treated as a medical emergency, and a fascinating breakdown of how AI is already transforming patient outcomes in speech pathology, ultrasound interpretation, and rural prescribing. Whether you work in home health, hospice, or are just curious about the future of medicine, this episode is packed with unfiltered truths and actionable insights. What you’ll learn in this episode: How a global medical mission trip shaped Dr. Kelvas’s communication skills.The massive inefficiencies in medical credentialing and how Credential Network is fixing it.Why the shift in graduate loan policies is a double-edged sword for mid-level providers.Why the USMLE Step 1 going pass/fail is controversial among program directors.The reality of the ER: Why it's a catch-all for systemic healthcare failures.How home health and hospice agencies can better prevent avoidable hospital readmissions.The real-world impact of AI in healthcare, from Doctronic to AI-assisted ultrasounds.Chapters: 00:00 Introduction to Dr. Danielle Kelvas05:25 Transitioning from Medicine to Medical Marketing11:16 The Healthcare Credentialing Crisis20:41 The Financial Hemorrhage of Medical Student Debt25:03 The Pass/Fail Dilemma in Medical Training36:48 Health Literacy & Crazy ER Stories45:23 Why Loneliness Presents as a Medical Emergency49:14 Keeping Patients Out of the ER (Assessing Stability)54:41 Why Continuity of Care is Broken01:06:20 AI in Healthcare: A Tool for Progress, Not Fear01:14:28 Building a Medical Consulting Firm01:21:03 The Legacy of a PhysicianConnect with Dr. Danielle Kelvas: LinkedIn: https://linkedin.com/in/danielle-kelvas-md-488936186Email: danielle@credentialnetwork.comDKMD Consulting: https://dkmdconsulting.com/Credential Network: https://credentialnetwork.com/Special thank you to our 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/Check out Last Visit First on other platforms: Apple Podcasts: https://podcasts.apple.com/us/podcast/last-visit-first/id1830051182 Spotify: https://open.spotify.com/show/3iSKGRvHC9Bk3iq7l8UPxsYouTube: https://www.youtube.com/@lastvisitfirstpodcastWebsite: https://www.lastvisitfirst.com LinkedIn: https://linkedin.com/company/last-visit-first#lastvisitfirst #healthcareai #clinicaldocumentation #hospicecare #homehealthcare #emergencyroom #nursing #physician #healthtechnologyinnovator #healthtech #innovation #podcast #healthcarepodcast #emergencymedicine #medicalmarketing #medicalpodcast

    1h 26m
  7. 50% Documentation Time Savings? The AI Revolution Hitting Post-Acute Care

    MAR 24

    50% Documentation Time Savings? The AI Revolution Hitting Post-Acute Care

    This episode is a deep dive into the biggest technical shift in the history of home-based care. Tom Maxwell sits down with Dr. Alex Milani, the MD/MBA power-player behind Steno Health, to break down their massive new integration with HomeCare HomeBase. Documentation is the #1 reason for clinician burnout. Between the rigidity of OASIS and the hours spent "pajama documenting" at night, the industry is losing its best people. Dr. Milani explains how ambient "clinical intelligence" is changing the game—acting as a co-pilot that listens in the background, pre-populates complex forms, and gives nurses up to 50% of their time back. Key discussion points: The HCHB Integration: How Steno Health is being deployed at scale to 195,000 clinicians.Ending "Pajama Documentation": Moving from 2005-era "click-click-click" charting to real-time clinical capture.The "Angel on the Shoulder": How AI serves as a safety net for high-risk cases like CHF and fall prevention.Patient Literacy: Breaking communication barriers with support for 80+ languages.The Future of the Role: Why AI won't replace clinicians, but will replace those who refuse to use it.Chapters: 00:00 Introduction to Steno Health and AI in Home Care01:57 Reducing Documentation Burden with AI04:32 Enhancing Clinical Documentation Efficiency07:45 The Future of Clinical Intelligence13:26 Alex Milani's Journey: From Medicine to Entrepreneurship15:35 Steno Health's Unique Position in the Market19:03 Addressing Language Barriers in Home Health20:59 Popular Features and Overcoming Skepticism24:45 Combating Burnout in Healthcare Professionals26:08 Future Roadmap and Innovations26:53 The Role of AI in Healthcare Documentation28:19 AI's Impact on Radiology and Job Dynamics31:28 Building a High-Performance Team33:47 Navigating the Rapid Evolution of AI Tools38:12 The Importance of Effective Onboarding in Home Health41:57 Service Codes and Flexibility in Home Health Documentation45:15 Enhancing Patient Care Through Better Communication49:25 Future Prospects and Industry ChangesSpecial thank you to our 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/Check out Last Visit First on other platforms: Apple Podcasts: https://podcasts.apple.com/us/podcast/last-visit-first/id1830051182 Spotify: https://open.spotify.com/show/3iSKGRvHC9Bk3iq7l8UPxsYouTube: https://www.youtube.com/@lastvisitfirstpodcastWebsite: https://www.lastvisitfirst.com LinkedIn: https://linkedin.com/company/last-visit-first DISCLAIMER The investment or stock-related information discussed or referenced in this podcast is provided for informational and educational purposes only and should not be considered financial, investment, or trading advice. The views and opinions expressed by participants are their own and may not reflect the views of any affiliated organizations. Content discussed may not be suitable for all investors. Each participant may or may not hold positions in securities referenced during the discussion. Individuals and organizations associated with the participants may serve different clients with varying objectives, risk tolerances, investment horizons, and strategies. As a result, such entities may maintain positions or viewpoints regarding specific securities, markets, or sectors that differ from those expressed in the discussion. Viewers and listeners should conduct their own research and consult appropriate financial professionals before making any investment decisions. #lastvisitfirst #StenoHealth #HomeCareHomeBase #healthcareai #clinicaldocumentation #hospicecare #homehealthcare #nursing #healthtechnologyinnovator #healthtech #innovation #podcast #healthcarepodcast

    52 min
  8. The Logistics of a Calling and Rich Johnson’s Journey to Healthcare CEO

    MAR 13

    The Logistics of a Calling and Rich Johnson’s Journey to Healthcare CEO

    Rich Johnson’s path to becoming a healthcare CEO began in a juvenile courtroom where a judge gave him two choices: jail or the service. Choosing the Air Force didn't just change his life; it gave him the logistical blueprint to manage a $90 million appropriation by age 18 and eventually build ViaQuest, Inc. into an integrated healthcare powerhouse. Today, Rich oversees 4,500 employees providing a "Circle of Care" that spans hospice, behavioral health, and services for the IDD community. This discussion pulls back the curtain on how military discipline translates to healthcare culture and why the integration of mental health is the missing piece in the modern hospice puzzle. We also dive into the technical "headwinds" facing the industry, ranging from the regulatory shift of Section 504 to the potential for AI agents to solve the hiring crisis for home health and hospice agencies. In this episode, we cover: The Military Mindset — Why accountability and shared values are the only way to lead 4,500 "heroes" in the home.The Integrated Model — How ViaQuest leverages behavioral health to support grieving families and terminal IDD patients.The AI Revolution — Real-world applications for Perplexity Computer and autonomous agents in nurse recruiting and clinical workflows.The Pediatric Paradox — Examining the data that proves concurrent curative treatment actually improves quality of life while lowering costs.Chapters: 00:00 Introduction of Rich Johnson and the ViaQuest story02:02 From the courtroom to the cockpit — How the Air Force saved Rich’s life 04:53 Transitioning from military finance to healthcare consulting06:09 The origin of ViaQuest and stepping into the CEO role at age 3008:36 Creating a Circle of Care — Integrating IDD and Behavioral Health11:21 The decision to pivot away from Home Health to focus on Hospice13:27 Navigating the regulatory landscape and provider "flooding" in Ohio15:32 The calling of healthcare — Recognizing the heroes in the IDD and Hospice space18:48 Leadership lessons — Using military discipline to manage 4,500 employees21:50 Boot camp stories — Learning knots and discovering "I’m short"24:51 The unique challenges of recruiting for the IDD population27:04 Serving the same patients for 25 years — "Three self-made men"28:33 Rebranding the hospice conversation from "dying" to "living"30:19 Why ViaQuest is adopting Bereavement for Life32:05 AI in healthcare — Ambient listening and ending "pajama documentation"34:56 Using Perplexity Computer to build autonomous recruiting agents39:49 Creating automated daily intelligence reports with AI41:55 The Section 504 deadline — Preparing for new ADA website compliance46:50 Industry Headwinds — Facing the "Senior Tsunami" and staffing shortages50:16 The role of remote monitoring and home-based surgery recovery53:08 Legislative gaps in ESRD and Pediatric Concurrent Care56:45 Identifying "Bad Actors" and the future of government audits1:00:00 Inducting a CEO into the Ohio Veterans Hall of Fame1:03:25 Changing lives — Rich’s proudest career accomplishmentsGet ahold of Rich and ViaQuest: ViaQuest, Inc. website: https://viaquestinc.com/ViaQuest, Inc. LinkedIn: https://www.linkedin.com/company/viaquest/Rich's email: Rich.Johnson@ViaQuestInc.comRich's LinkedIn: https://www.linkedin.com/in/richdjohnsonSpecial thank you to our 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/Check out Last Visit First on other platforms: Apple Podcasts: https://podcasts.apple.com/us/podcast/last-visit-first/id1830051182 Spotify: https://open.spotify.com/show/3iSKGRvHC9Bk3iq7l8UPxsYouTube: https://www.youtube.com/@lastvisitfirstpodcastWebsite: https://www.lastvisitfirst.com LinkedIn: https://linkedin.com/company/last-visit-first

    1h 7m
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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
    39
  • Rating
    Explicit
  • Copyright
    © Tom Maxwell
  • Show Website
    Last Visit First

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