In this episode of Home Health Revealed, hosts Hannah Vale and Joe Russell sit down with Lindsay Williams, founder of Four Pillars Hospice in Texas, for a truly powerful conversation on what it truly takes to open and grow a hospice agency today.

Lindsay shares her journey launching a hospice while navigating the realities of purchasing a location, serving rural communities across long distances, and building a team capable of wearing multiple hats. From salaries clinicians who balance care delivery with outreach, to the day to day decisions that shape a new agency's identity, Lindsay pulls back the curtain on the challenges and opportunities of building something meaningful.

This episode explores "the power of the pivot" when regulations, geography and resources don't align, how innovative staffing models can create stability and continuity, lessons learned from starting a hospice in rural Texas (and renting a jet to get from place to place). More than anything, this is a lesson about how flexibility, grit, and mission-driven leadership shape success.

• (00:00:02) - Home Health Revealed
• (00:00:32) - An Ohioan on the Issues
• (00:01:16) - Startup Four Pillars Hospice
• (00:04:00) - Hospice Care for Rural Communities
• (00:06:03) - Hospice: Utilizing the Community
• (00:07:15) - Hospice Care as a Rural Provider
• (00:12:48) - How Hospice Care is Collaborating
• (00:13:22) - Hospice CEO on Next Step
• (00:14:51) - Wonders of the World interview

Join us for a milestone celebration of Home Health Revealed by HealthRev Partners—our 100th episode! Reflect on four transformative years in home health: nationwide HHVBP rollout since 2022, PDGM-driven reimbursement cuts, climbing aide turnover near 35%, and the shift to value-based care and Medicare Advantage. We've covered it all—from staffing crises to AI tools and CMS final rules. Whether you're tackling AR aging, clinician burnout, or payer mix shifts, this retrospective delivers actionable takeaways from 100 episodes of industry truth.

A HUGE thank you to our guests, our listeners, and our partners. Here's to the next 100 episodes!

• (00:00:02) - Home Health Revealed: Turning 100 Episodes
• (00:01:19) - A Thanksgiving Special: Thank You
• (00:03:24) - Home Health Care: The Last Four Years
• (00:05:48) - Home Health Revealed: A 100-Episode Podcast
• (00:10:44) - Home Health Revealed: The Next 100 Episodes

Explore the essential updates from the official CMS Fact Sheet on the 2026 Home Health Final Rule in this episode of Home Health Revealed, hosted by Hannah Vale. This episode breaks down what the CMS rule means for home health agencies, covering payment changes, compliance updates, and care quality adjustments.

Key highlights include:

• A 2.4% market payment update, offset by adjustments, resulting in an overall 1.3% reduction in Medicare payments to home health agencies.

• Recalibrated PDGM case-mix weights and updated LUPA thresholds, changing how agencies need to plan visits and document care.

• Important changes to the Home Health Quality Reporting Program (QRP), including removal of the COVID-19 vaccination measure, as well as updates to OASIS data elements.

• The launch of a revised Home Health CAHPS survey, new value-based purchasing measures, and changes in quality measure weightings.

• New compliance provisions and revised provider enrollment rules designed to ensure program integrity and fight fraud.

Whether you’re an agency leader, clinician, or RCM professional, this episode provides everything you need to know direct from CMS guidance to keep your agency compliant, competitive, and prepared for 2026. Don’t miss Hannah’s expert take and practical tips for navigating the year’s most important regulatory updates.

Like, share, and subscribe for more insights on home health policy, revenue cycle optimization, and industry trends.

#HomeHealthRevealed #CMSFinalRule #HomeHealth2026

• (00:00:02) - Home Health Revealed
• (00:00:36) - CMS Final Rules for Home Health Services (2026)
• (00:03:28) - CMS Final Rule 1, Home Health Payment Rates
• (00:05:47) - CMS Rule 6, Home Health Quality Reporting Program (HHQ
• (00:12:36) - CMS Final Rule 2026 for DME POS

In this episode, we welcome Nina Del Grande, Director of Quality- Home Health at Addus HomeCare, for an insightful discussion on why quality is the hearbeat of home health.

Nina brings her deep passion for quality to this conversation, showing how it influences everything from star ratings to documentation to the level of care delivered. Together, we dive into the important connection between the actual patient and the "paper patient", providing exceptional patient-facing care while maintaining compliance, how targeted education can strengthen both clinical outcomes and documentation, the impact of of quality on reimbursement, reputation, and clinician confidence, and practical strategies for leaders and clinicians to align care delivery with documentation requirements.

• (00:00:02) - Home Health Revealed
• (00:00:36) - How Quality Drives Everything at Addis Home Care
• (00:05:41) - President Trump on the culture of the NBA
• (00:05:58) - Democracy in the Elevator

In this episode of Home Health Revealed, we sit down with Mike Sokoloski, Director, Grassroots Advocacy at BAYADA Home Health Care to discuss one of the most impactful ways you can support home health- advocacy.

Mike shares how clinicians, agency leaders, and even patients can get involved at the state and national levels to influence legislation, improve reimbursement models, and protect access to home care services.

This episode covers why advocacy is essential for the future of home health, how to get involved with your state and national associations, like Alliance for Home Care, including practical steps to take- even if you're new to advocacy.

Bayada is also launching their new podcast, "Home Care, You Say?" (worth following!).

Learn more about advocacy and get involved at heartsforhomecare.com

• (00:00:02) - Home Health Revealed
• (00:00:38) - Hearts for Home Care: On Advocacy
• (00:01:50) - Advertisements for Home Health and Hospice
• (00:03:20) - In the Elevator With Tom Rath

In this episode, recorded on site at the 2025 Alliance annual conference, Nicole Hoesing from Chadron Hospice opens up about the true impact of hospice care, not just for patients, but for their families as well. Hospice isn't only about end-of-life care; it's about preserving dignity, offering comfort, and supporting loved ones long after the patient has passed.

Nicole shares about the emotional, spiritual, and practical support given to families and how some times the family support can be a deciding factor for a patient choosing hospice services.

Nicole also talks about how her time at Alliance allows her to focus on what she does, why she does it, and how to better take care of her team so they can take care of their patients who need that last grace.

• (00:00:02) - Home Health Revealed: The Alliance in New Orleans
• (00:01:00) - Hospice Expo 2017: Talking About the Future

In this poppin' Alliance conference episode, Hannah Vale sits down with Jil Schexnayder from Kantime and Ashley Franciol with Complete Home Health to talk all things connection! Yes, including the Kantime popcorn. Together, they explore what staff truly appreciate, why giving back matters, and how vendors can build meaningful, people-first relationships in this space. Ashley also shares how Complete Home Health's services are helping patients remain safely in their homes while improving overall quality of life. It's a fun, heartfelt episode about showing up, supporting agencies, and making this industry feel a little more human.

• (00:00:02) - Cantime Home Health and Hospice Conference
• (00:05:02) - Local People Talk New Orleans Beignets
• (00:05:54) - Home Health and Hospice Advocates
• (00:09:30) - How to Keep a Nursing Staff Happy

This Alliance conference episode wastes no time in diving in to what defines excellence in hospice and palliative care. Co-hosted with Jess Chew from Trella Health, Hannah Vale welcomes Natalie McNeal, Director of Hospice and In Home Palliative Care for Northeast Georgia Health System, Board Chair for the Georgia Hospice and Palliative Care Organization, and Education Chair for Alliance for Care at Home. Natalie shares practical insights on navigating accreditation, maintaining compliance and WHY is matters, and keeping person-centered care at the heart of every process. With a focus on doing the right things the right way, this thoughtful conversation blends compassion, leadership, heart, and a hometown connection in all the right ways.

• (00:00:02) - Home Health Revealed
• (00:01:12) - In the Elevator With Hospice Director Natalie McNeil
• (00:01:37) - Quality and Compliance in the Hospice Care Industry
• (00:03:04) - Georgia's hospice coverage