https://www.spreaker.com/podcast/coming-home-the-alliance-podcast--6581237
Care at home will impact us all. Let’s shape the future together.]]>enBusinessNational Alliance for Care at Homehttps://d3wo5wojvuv7l.cloudfront.net/t_rss_itunes_square_1400/images.spreaker.com/original/1d478ce5387339019c8bdc7d3e890b12.jpghttps://www.spreaker.com/podcast/coming-home-the-alliance-podcast--6581237Tue, 23 Jun 2026 14:46:53 +0000National Alliance for Care at HomeNational Alliance for Care at Homeallianceforcareathomewhocares@gmail.comComing Home is the podcast dedicated to informing, inspiring, and empowering the care at home community. Hosted by the National Alliance for Care at Home, we bring expert insights, meaningful conversations, and advocacy for person-centered healthcare...
Care at home will impact us all. Let’s shape the future together.]]>falseepisodichttps://www.spreaker.com/episode/what-s-actually-happening-in-home-care-in-2026--72651391
Ken Albert of Andwell Health Partners, Beth Slepian of Granite VNA, and Mario D'Aquila of Assisted Living Services cover the hard truths facing every service line in the care-at-home continuum, from the erosion of the Medicare home health benefit to the AI tools genuinely changing how clinicians work, to the culture-first retention strategies keeping turnover in the high teens. If you're a care-at-home operator, this conversation is the most honest hour you'll spend this year.

What you'll take away:
- How to diversify payer sources before rate cuts force your hand The AI tools that actually got 90%+ clinician adoption, and the three-point policy framework you need before you roll any of them out
- Why staffing retention beats recruitment every time, and the 1.5:1 caregiver-to-referral ratio that keeps one operator running lean
- The community trust-building strategies, thrift stores, death cafes, hospice houses, and helping providers fight back against fraud narratives]]>https://api.spreaker.com/episode/72651391Tue, 23 Jun 2026 14:45:32 +0000National Alliance for Care at HomeHome-based care is at a crossroads, from relentless rate cuts to workforce shortages and a fraud narrative threatening patient trust in the hospice benefit. In this special live episode recorded on the main keynote stage of the New England Home Care...
Ken Albert of Andwell Health Partners, Beth Slepian of Granite VNA, and Mario D'Aquila of Assisted Living Services cover the hard truths facing every service line in the care-at-home continuum, from the erosion of the Medicare home health benefit to the AI tools genuinely changing how clinicians work, to the culture-first retention strategies keeping turnover in the high teens. If you're a care-at-home operator, this conversation is the most honest hour you'll spend this year.

What you'll take away:
- How to diversify payer sources before rate cuts force your hand The AI tools that actually got 90%+ clinician adoption, and the three-point policy framework you need before you roll any of them out
- Why staffing retention beats recruitment every time, and the 1.5:1 caregiver-to-referral ratio that keeps one operator running lean
- The community trust-building strategies, thrift stores, death cafes, hospice houses, and helping providers fight back against fraud narratives]]>3616falsefullhttps://www.spreaker.com/episode/what-palliative-care-really-means-and-why-it-matters--69746527
This episode is a long-overdue deep dive into palliative care, led entirely by Elyssa Katz and Dr. Steve Landers. Together, they cut through confusion, address common misconceptions, and explain why palliative care should be a core part of person-centered healthcare in America. With Dr. Landers’ clinical expertise in hospice and palliative medicine and Elyssa’s policy and advocacy perspective, the conversation brings clarity to a topic that is often oversimplified—or avoided altogether.

At its most basic level, palliative care is an extra layer of support. Elyssa and Dr. Landers explain how this model of care focuses on comfort, independence, and the whole person—not just a diagnosis. Palliative care addresses pain and symptom management, helps align care with patient goals, and supports both patients and families as they navigate complex medical decisions.

A major theme of the episode is how palliative care works alongside other medical treatments. Unlike hospice care, palliative care does not require patients to stop curative or life-prolonging treatment. It can be introduced at diagnosis, during aggressive treatment, or at any point when symptoms or care coordination become challenging. Elyssa and Dr. Landers discuss how palliative care teams help ensure providers are communicating effectively and that care plans reflect what matters most to patients.

The hosts also explore where palliative care is delivered. While many people associate it with hospitals, palliative care can be provided in outpatient clinics and increasingly in community-based settings, including the home. Dr. Landers explains why access to palliative care outside the hospital is critical for improving patient experience, reducing unnecessary hospitalizations, and supporting families where they want to be.

Eligibility is another key focus. Palliative care is not limited to older adults or those at the end of life. It can support children, working-age adults, and anyone living with a serious or chronic illness. The conversation highlights how palliative clinicians are uniquely trained to manage both disease-related symptoms and the side effects of treatments, while also helping patients navigate uncertainty and changing expectations.

Finally, Elyssa and Dr. Landers address one of the most commonly searched questions online: What’s the difference between hospice and palliative care? While hospice is a form of palliative care for people in the final months of life, palliative care itself is appropriate at any stage. Understanding that distinction can help people access support sooner—rather than struggling without help.

This episode is an essential listen for care leaders, clinicians, policymakers, and families who want a clear, honest explanation of palliative care—and why it plays such a critical role in the future of care at home.]]>https://api.spreaker.com/episode/69746527Tue, 03 Feb 2026 11:00:08 +0000National Alliance for Care at HomePalliative care is one of the most misunderstood services in healthcare—and palliative care is also one of the most important tools for improving quality of life for patients and families. In this episode of Who Cares, co-hosts Elyssa Katz and Dr....
This episode is a long-overdue deep dive into palliative care, led entirely by Elyssa Katz and Dr. Steve Landers. Together, they cut through confusion, address common misconceptions, and explain why palliative care should be a core part of person-centered healthcare in America. With Dr. Landers’ clinical expertise in hospice and palliative medicine and Elyssa’s policy and advocacy perspective, the conversation brings clarity to a topic that is often oversimplified—or avoided altogether.

At its most basic level, palliative care is an extra layer of support. Elyssa and Dr. Landers explain how this model of care focuses on comfort, independence, and the whole person—not just a diagnosis. Palliative care addresses pain and symptom management, helps align care with patient goals, and supports both patients and families as they navigate complex medical decisions.

A major theme of the episode is how palliative care works alongside other medical treatments. Unlike hospice care, palliative care does not require patients to stop curative or life-prolonging treatment. It can be introduced at diagnosis, during aggressive treatment, or at any point when symptoms or care coordination become challenging. Elyssa and Dr. Landers discuss how palliative care teams help ensure providers are communicating effectively and that care plans reflect what matters most to patients.

The hosts also explore where palliative care is delivered. While many people associate it with hospitals, palliative care can be provided in outpatient clinics and increasingly in community-based settings, including the home. Dr. Landers explains why access to palliative care outside the hospital is critical for improving patient experience, reducing unnecessary hospitalizations, and supporting families where they want to be.

Eligibility is another key focus. Palliative care is not limited to older adults or those at the end of life. It can support children, working-age adults, and anyone living with a serious or chronic illness. The conversation highlights how palliative clinicians are uniquely trained to manage both disease-related symptoms and the side effects of treatments, while also helping patients navigate uncertainty and changing expectations.

Finally, Elyssa and Dr. Landers address one of the most commonly searched questions online: What’s the difference between hospice and palliative care? While hospice is a form of palliative care for people in the final months of life, palliative care itself is appropriate at any stage. Understanding that distinction can help people access support sooner—rather than struggling without help.

This episode is an essential listen for care leaders, clinicians, policymakers, and families who want a clear, honest explanation of palliative care—and why it plays such a critical role in the future of care at home.]]>1329falsefullhttps://www.spreaker.com/episode/what-congress-gets-wrong-about-home-based-care--69518377
In this episode of Who Cares, hosts Elyssa Katz and Dr. Steve Landers, CEO of the National Alliance for Care at Home, take listeners inside the Alliance’s first-ever Advocacy Week, where more than 240 advocates held nearly 300 meetings on Capitol Hill to fight for the future of care at home.

This conversation breaks down why care at home advocacy is no longer optional—and why showing up matters now more than ever. Elyssa and Dr. Landers reflect on the power of uniting hospice, home health, Medicaid HCBS, and private-duty care under one movement, amplifying the voice of providers, patients, and families in Washington.

The episode explores the four key policy priorities advocates brought to Congress:

• Protecting access to home health policy and preventing further Medicare reimbursement cuts
 • Keeping hospice policy out of Medicare Advantage
 • Strengthening Medicaid funding for home and community-based services (HCBS)
 • Making pandemic-era telehealth flexibilities permanent

Dr. Landers explains why hospice does not belong inside Medicare Advantage plans, detailing how prior demonstrations failed patients, providers, and payers alike. The conversation highlights how hospice already delivers high-value, cost-effective care—and why introducing prior authorizations and utilization management threatens something that is already working.

The episode also tackles Medicaid HCBS funding pressures, including workforce shortages, waitlists exceeding 700,000 people, and why underfunding front-line care puts vulnerable populations at risk. Elyssa and Dr. Landers emphasize that investing in Medicaid HCBS isn’t just compassionate—it’s fiscally responsible.

A critical portion of the discussion focuses on telehealth flexibilities, especially for hospice and home health certifications. With provider shortages growing and rural access shrinking, the hosts explain why telehealth is essential for maintaining access to care—and how government shutdowns and temporary extensions jeopardize patients today.

Throughout the episode, the hosts return to one central truth: numbers don’t inspire movements—stories do. From frontline nurses to caregivers and clinicians, advocacy works best when policymakers hear directly how policy decisions affect real people.

The episode closes with a hopeful look ahead to 2026, where demographic shifts, technology, and voter priorities make care at home not just relevant—but inevitable. Elyssa and Dr. Landers make a clear call to action: if you care about patients, families, and sustainable healthcare, advocacy isn’t someone else’s job—it’s yours.]]>https://api.spreaker.com/episode/69518377Tue, 20 Jan 2026 13:23:05 +0000National Alliance for Care at HomeCare at home advocacy and hospice policy are at a pivotal moment. Care at home advocacy and hospice policy are shaping how home health policy and telehealth flexibilities will determine access, quality, and cost of care across America. In this...
In this episode of Who Cares, hosts Elyssa Katz and Dr. Steve Landers, CEO of the National Alliance for Care at Home, take listeners inside the Alliance’s first-ever Advocacy Week, where more than 240 advocates held nearly 300 meetings on Capitol Hill to fight for the future of care at home.

This conversation breaks down why care at home advocacy is no longer optional—and why showing up matters now more than ever. Elyssa and Dr. Landers reflect on the power of uniting hospice, home health, Medicaid HCBS, and private-duty care under one movement, amplifying the voice of providers, patients, and families in Washington.

The episode explores the four key policy priorities advocates brought to Congress:

• Protecting access to home health policy and preventing further Medicare reimbursement cuts
 • Keeping hospice policy out of Medicare Advantage
 • Strengthening Medicaid funding for home and community-based services (HCBS)
 • Making pandemic-era telehealth flexibilities permanent

Dr. Landers explains why hospice does not belong inside Medicare Advantage plans, detailing how prior demonstrations failed patients, providers, and payers alike. The conversation highlights how hospice already delivers high-value, cost-effective care—and why introducing prior authorizations and utilization management threatens something that is already working.

The episode also tackles Medicaid HCBS funding pressures, including workforce shortages, waitlists exceeding 700,000 people, and why underfunding front-line care puts vulnerable populations at risk. Elyssa and Dr. Landers emphasize that investing in Medicaid HCBS isn’t just compassionate—it’s fiscally responsible.

A critical portion of the discussion focuses on telehealth flexibilities, especially for hospice and home health certifications. With provider shortages growing and rural access shrinking, the hosts explain why telehealth is essential for maintaining access to care—and how government shutdowns and temporary extensions jeopardize patients today.

Throughout the episode, the hosts return to one central truth: numbers don’t inspire movements—stories do. From frontline nurses to caregivers and clinicians, advocacy works best when policymakers hear directly how policy decisions affect real people.

The episode closes with a hopeful look ahead to 2026, where demographic shifts, technology, and voter priorities make care at home not just relevant—but inevitable. Elyssa and Dr. Landers make a clear call to action: if you care about patients, families, and sustainable healthcare, advocacy isn’t someone else’s job—it’s yours.]]>1321falsefullhttps://www.spreaker.com/episode/the-truth-about-fraud-in-home-health--69358324Medicare home health program across the country.

Dr. Landers starts with a clear, plain-language refresher on what home health really is: supportive medical care at home for people who are homebound, recovering from illness or surgery, or living with serious chronic conditions. Then he zooms in on patterns that might indicate fraud in home health.

While most of the country actually lost home health agencies, Los Angeles County saw an explosion of roughly 900 new agencies. That growth, combined with unusual referral patterns, a lack of low-utilization payment adjustments, and strangely uniform patient diagnoses, points to a potential hotspot of fraudulent activity that could exceed a billion dollars in a single year.

But this isn’t just about numbers. Elyssa and Dr. Landers walk through what home health fraud can look like for real people: patients who never received a visit but had their Medicare number billed, families who feel pressured to sign paperwork they don’t understand, or individuals who are referred for services they clearly don’t need. They explain how certain populations—people living in poverty, those with limited English proficiency, or patients with cognitive or neurological challenges—can be especially at risk.

From there, the conversation moves to the systems-level damage. Fraudulent claims don’t just siphon money from the Medicare Trust Fund; they also get baked into complex budget neutrality formulas that Medicare uses to set Medicare home health payment rates. That means sham providers in one county can distort national data and trigger real cuts for legitimate agencies everywhere—just as those agencies are already struggling with workforce shortages, rising labor costs, and year-over-year rate reductions.

Throughout the episode, Elyssa and Dr. Landers return to a core theme: fix the fraud, not the funding. The Alliance is pushing for targeted action—tighter licensure and certification processes, better vetting of ownership, more on-site surveys, and a laser focus on geographic hotspots like Los Angeles—without unleashing auditors on good providers over minor technicalities.

The episode closes with a powerful story from Advocacy Week, where two frontline clinicians crowdfunded their way to Washington, DC so they could advocate for their community on Capitol Hill. It’s a reminder that home health is deeply valued by patients and families—and that protecting this benefit means rooting out fraud while preserving access to high-quality care at home for everyone who needs it.]]>https://api.spreaker.com/episode/69358324Fri, 09 Jan 2026 16:01:42 +0000National Alliance for Care at HomeIn this episode of Who Cares from the National Alliance for Care at Home, host Elyssa Katz sits down with Dr. Steve Landers to unpack home health fraud and what it means for the Medicare home health benefit. They explore how home health fraud in...Medicare home health program across the country.

Dr. Landers starts with a clear, plain-language refresher on what home health really is: supportive medical care at home for people who are homebound, recovering from illness or surgery, or living with serious chronic conditions. Then he zooms in on patterns that might indicate fraud in home health.

While most of the country actually lost home health agencies, Los Angeles County saw an explosion of roughly 900 new agencies. That growth, combined with unusual referral patterns, a lack of low-utilization payment adjustments, and strangely uniform patient diagnoses, points to a potential hotspot of fraudulent activity that could exceed a billion dollars in a single year.

But this isn’t just about numbers. Elyssa and Dr. Landers walk through what home health fraud can look like for real people: patients who never received a visit but had their Medicare number billed, families who feel pressured to sign paperwork they don’t understand, or individuals who are referred for services they clearly don’t need. They explain how certain populations—people living in poverty, those with limited English proficiency, or patients with cognitive or neurological challenges—can be especially at risk.

From there, the conversation moves to the systems-level damage. Fraudulent claims don’t just siphon money from the Medicare Trust Fund; they also get baked into complex budget neutrality formulas that Medicare uses to set Medicare home health payment rates. That means sham providers in one county can distort national data and trigger real cuts for legitimate agencies everywhere—just as those agencies are already struggling with workforce shortages, rising labor costs, and year-over-year rate reductions.

Throughout the episode, Elyssa and Dr. Landers return to a core theme: fix the fraud, not the funding. The Alliance is pushing for targeted action—tighter licensure and certification processes, better vetting of ownership, more on-site surveys, and a laser focus on geographic hotspots like Los Angeles—without unleashing auditors on good providers over minor technicalities.

The episode closes with a powerful story from Advocacy Week, where two frontline clinicians crowdfunded their way to Washington, DC so they could advocate for their community on Capitol Hill. It’s a reminder that home health is deeply valued by patients and families—and that protecting this benefit means rooting out fraud while preserving access to high-quality care at home for everyone who needs it.]]>1355falsefullhttps://www.spreaker.com/episode/what-americans-really-think-about-medicare-home-health--69062481

Elyssa Katz and Dr. Landers open with a quick primer: what Medicare Home Health actually is (skilled nursing, PT/OT, and rehab brought into the home for people who are homebound or have low mobility) and why the benefit prevents unnecessary hospitalizations and nursing facility stays while preserving independence. It’s beloved by families—and it saves the system money.


From there, they break down a new Fabrizio Ward poll commissioned by the Alliance: 1,200 voters, plus an oversample of 600 Trump voters, to ensure the results reflect the full electorate. The findings are striking: 70% oppose cutting home health; over 90% say access is essential for Medicare beneficiaries; 73% say cuts hurt legitimate providers and don’t stop fraud; 71% believe home health is the most affordable Medicare option vs. hospital or nursing home care. Politically, it’s low‑hanging fruit: supporting home health is good policy and good politics.


Listeners also hear how the Alliance is moving the issue forward: publishing the poll memo (find it on the Alliance’s site under “Protect Home Health”), meeting with members of Congress and the Administration, activating grassroots advocates, and elevating frontline voices in markets where access is already strained.


Then comes the human impact. Landers calls access to home health a life‑and‑death issue, describing later evaluations, missed visits, and agency closures—especially in rural communities where home health is often the only option. He contrasts misguided across‑the‑board cuts with a smarter path: target fraud and abuse while modernizing the program so it can grow. The result? Better outcomes for patients, stability for providers, and savings for the Medicare Trust Fund.
]]>https://api.spreaker.com/episode/69062481Tue, 16 Dec 2025 11:00:08 +0000National Alliance for Care at HomeHome health is on the ballot—home health is what Americans want, not Medicare cuts. In this episode of Who Cares, hosts Elyssa Katz and Dr. Steve Landers unpack fresh voter data on Medicare cuts and the Medicare Home Health benefit—plus what stopping...

Elyssa Katz and Dr. Landers open with a quick primer: what Medicare Home Health actually is (skilled nursing, PT/OT, and rehab brought into the home for people who are homebound or have low mobility) and why the benefit prevents unnecessary hospitalizations and nursing facility stays while preserving independence. It’s beloved by families—and it saves the system money.


From there, they break down a new Fabrizio Ward poll commissioned by the Alliance: 1,200 voters, plus an oversample of 600 Trump voters, to ensure the results reflect the full electorate. The findings are striking: 70% oppose cutting home health; over 90% say access is essential for Medicare beneficiaries; 73% say cuts hurt legitimate providers and don’t stop fraud; 71% believe home health is the most affordable Medicare option vs. hospital or nursing home care. Politically, it’s low‑hanging fruit: supporting home health is good policy and good politics.


Listeners also hear how the Alliance is moving the issue forward: publishing the poll memo (find it on the Alliance’s site under “Protect Home Health”), meeting with members of Congress and the Administration, activating grassroots advocates, and elevating frontline voices in markets where access is already strained.


Then comes the human impact. Landers calls access to home health a life‑and‑death issue, describing later evaluations, missed visits, and agency closures—especially in rural communities where home health is often the only option. He contrasts misguided across‑the‑board cuts with a smarter path: target fraud and abuse while modernizing the program so it can grow. The result? Better outcomes for patients, stability for providers, and savings for the Medicare Trust Fund.
]]>1186falsefullhttps://www.spreaker.com/episode/what-you-need-to-know-about-medicare-advantage-and-home-based-care--68817713
With over 31 million Americans enrolled in Medicare Advantage plans, understanding how they differ from Traditional Medicare has never been more important. Dr. Landers shares firsthand insights from the frontlines of healthcare, where patients may be caught off guard by the differences between the plans. 

Elyssa and Dr. Landers also tackle the role of policy in perpetuating or alleviating these problems. They call on healthcare professionals, caregivers, and advocates to help bridge the education gap so people can make informed choices. But the episode doesn’t just stay in the policy weeds. There are plenty of human moments too, stories of patients who had to drive 80 miles just to find a specialist, or who were left paying out-of-pocket for care they thought was covered. It’s critical information for anyone approaching 65 or supporting a loved one who is.

By the end of the episode, listeners will walk away with a clear understanding of:

- How Medicare Advantage originated
- The difference between Traditional Medicare and Medicare Advantage
- What to understand before choosing a plan
- How the policy landscape is shaping patient outcomes

It’s not just an episode, it’s a must-listen primer on one of healthcare’s most complex topics.]]>https://api.spreaker.com/episode/68817713Tue, 02 Dec 2025 11:00:17 +0000National Alliance for Care at HomeMedicare enrollment and coverage changes are crucial topics every American should understand, especially when it comes to Medicare Advantage. In this episode of Who Cares, hosts Elyssa Katz and Dr. Steve Landers break down the complexities of Medicare...
With over 31 million Americans enrolled in Medicare Advantage plans, understanding how they differ from Traditional Medicare has never been more important. Dr. Landers shares firsthand insights from the frontlines of healthcare, where patients may be caught off guard by the differences between the plans. 

Elyssa and Dr. Landers also tackle the role of policy in perpetuating or alleviating these problems. They call on healthcare professionals, caregivers, and advocates to help bridge the education gap so people can make informed choices. But the episode doesn’t just stay in the policy weeds. There are plenty of human moments too, stories of patients who had to drive 80 miles just to find a specialist, or who were left paying out-of-pocket for care they thought was covered. It’s critical information for anyone approaching 65 or supporting a loved one who is.

By the end of the episode, listeners will walk away with a clear understanding of:

- How Medicare Advantage originated
- The difference between Traditional Medicare and Medicare Advantage
- What to understand before choosing a plan
- How the policy landscape is shaping patient outcomes

It’s not just an episode, it’s a must-listen primer on one of healthcare’s most complex topics.]]>2219falsefullhttps://www.spreaker.com/episode/protect-home-health-care-the-cuts-the-costs-and-the-comeback--68524684
Listeners will learn what’s behind the proposed 9% Medicare payment adjustment for 2026, why it represents more than $1 billion in funding changes, and how these reductions would impact providers and families across the country. Dr. Landers explains how the Home Health Stabilization Act of 2025 could help pause future cuts to allow the Centers for Medicare & Medicaid Services to redo their flawed payment approach, remove fraudulent data, and ensure fairness and sustainability. He also clarifies how program calculations are made and why accurate data matters.

Key themes include improving access to care in rural and underserved areas, ensuring accurate data in Medicare funding decisions, and mobilizing advocacy that supports patients and providers alike. The hosts also spotlight bipartisan members of Congress, including Rep. Kevin Hern and Rep. Terri Sewell, who have introduced legislation designed to strengthen and stabilize home health care for the future.

Whether you’re a provider, policymaker, or advocate, this episode offers a clear look at how policy decisions shape patient access and what steps are being taken to preserve care in the home setting.

Because protecting home health is ultimately about helping people recover and live well in the place they know best—home.

Take action to protect care at home → https://allianceforcareathome.org/advocacy/protect-home-health-care/ ]]>https://api.spreaker.com/episode/68524684Tue, 11 Nov 2025 17:21:43 +0000National Alliance for Care at HomeWhen home health agencies close, it affects more than providers—it changes how patients receive care. In this episode of Who Cares, hosts Elyssa Katz and Dr. Steve Landers discuss the ongoing challenges around Medicare home health funding and the work...
Listeners will learn what’s behind the proposed 9% Medicare payment adjustment for 2026, why it represents more than $1 billion in funding changes, and how these reductions would impact providers and families across the country. Dr. Landers explains how the Home Health Stabilization Act of 2025 could help pause future cuts to allow the Centers for Medicare & Medicaid Services to redo their flawed payment approach, remove fraudulent data, and ensure fairness and sustainability. He also clarifies how program calculations are made and why accurate data matters.

Key themes include improving access to care in rural and underserved areas, ensuring accurate data in Medicare funding decisions, and mobilizing advocacy that supports patients and providers alike. The hosts also spotlight bipartisan members of Congress, including Rep. Kevin Hern and Rep. Terri Sewell, who have introduced legislation designed to strengthen and stabilize home health care for the future.

Whether you’re a provider, policymaker, or advocate, this episode offers a clear look at how policy decisions shape patient access and what steps are being taken to preserve care in the home setting.

Because protecting home health is ultimately about helping people recover and live well in the place they know best—home.

Take action to protect care at home → https://allianceforcareathome.org/advocacy/protect-home-health-care/ ]]>1322falsefullhttps://www.spreaker.com/episode/give-us-20-minutes-we-ll-build-an-advance-care-plan-for-your-parents--68353986
Advance care planning isn’t about predicting the future; it’s about protecting your future self. Listeners will learn what documents are included (like living wills, health care proxies, DNRs, and POLST or MOLST forms), how these tools differ, and why it’s critical to designate someone you trust to speak on your behalf. The hosts also explain how Medicare covers advance care planning conversations, how to store your documents safely on paper or digitally, and how to keep them updated as your life changes.

Dr. Nelson offers an inside look at how these plans are interpreted in hospitals and why confusion persists among both patients and providers. She shares practical tips for initiating tough conversations, whether you’re a patient, caregiver, or clinician, and highlights national resources such as CaringInfo.org, which provides free, state-specific advance directive forms in English and Spanish. Through personal anecdotes and expert guidance, she reframes these conversations not as morbid tasks but as meaningful gifts that bring clarity, autonomy, and love.

Key themes include the emotional and relational relief that comes from documenting your wishes, how to normalize discussions around “what matters most,” and how simple actions, like talking during a family gathering or reviewing your documents on your birthday, can safeguard peace of mind for years to come.

Whether you’re a healthcare professional guiding patients, a caregiver seeking reassurance, or someone planning ahead for yourself, this episode shows how advance care planning transforms uncertainty into confidence. It’s not just paperwork; it’s a legacy of compassion and control for those you love.

Visit https://www.caringinfo.org/ for more information. ]]>https://api.spreaker.com/episode/68353986Tue, 04 Nov 2025 11:00:08 +0000National Alliance for Care at HomeWhen a crisis strikes, the question no one wants to ask, “What do we do?”, can leave families scrambling. In this episode of Who Cares, hosts Elyssa Katz and Dr. Steven Landers unpack the essential but often overlooked practice of advance care...
Advance care planning isn’t about predicting the future; it’s about protecting your future self. Listeners will learn what documents are included (like living wills, health care proxies, DNRs, and POLST or MOLST forms), how these tools differ, and why it’s critical to designate someone you trust to speak on your behalf. The hosts also explain how Medicare covers advance care planning conversations, how to store your documents safely on paper or digitally, and how to keep them updated as your life changes.

Dr. Nelson offers an inside look at how these plans are interpreted in hospitals and why confusion persists among both patients and providers. She shares practical tips for initiating tough conversations, whether you’re a patient, caregiver, or clinician, and highlights national resources such as CaringInfo.org, which provides free, state-specific advance directive forms in English and Spanish. Through personal anecdotes and expert guidance, she reframes these conversations not as morbid tasks but as meaningful gifts that bring clarity, autonomy, and love.

Key themes include the emotional and relational relief that comes from documenting your wishes, how to normalize discussions around “what matters most,” and how simple actions, like talking during a family gathering or reviewing your documents on your birthday, can safeguard peace of mind for years to come.

Whether you’re a healthcare professional guiding patients, a caregiver seeking reassurance, or someone planning ahead for yourself, this episode shows how advance care planning transforms uncertainty into confidence. It’s not just paperwork; it’s a legacy of compassion and control for those you love.

Visit https://www.caringinfo.org/ for more information. ]]>3106falsefullhttps://www.spreaker.com/episode/the-hidden-side-of-grief-support--68169060
Together, Elyssa and Dr. Landers explore how hospice is more than a medical benefit, it's a lifeline for those navigating late-stage illness. They explain how the six-month prognosis requirement works, how hospice services are covered financially, and how to start a conversation about comfort-based care. Listeners will learn that hospice care doesn’t mean less care, it often means more care, delivered in the patient's home, with a personalized, interdisciplinary team that includes nurses, social workers, chaplains, aides, and volunteers.

Key themes include the emotional transformation families experience once hospice care begins, the role of spiritual and emotional healing, the nuances of care delivery at home, and powerful anecdotes, including Elyssa's deeply personal story about her father’s final months on hospice. Dr. Landers also addresses misconceptions, explaining how hospice can actually prolong life by avoiding harmful overtreatment and fostering stability.

This episode is essential for anyone grappling with tough healthcare decisions or looking to better understand how to support loved ones at the end of life. It's packed with insights on hospice access, patient advocacy, and the compassionate professionals who bring humanity into healthcare.

Whether you’re a caregiver, a healthcare worker, or just a curious listener, this discussion offers clarity and compassion around a topic we often avoid until it’s too late. Don’t miss this episode, it might be the most important healthcare conversation you’ll hear this year.]]>https://api.spreaker.com/episode/68169060Tue, 21 Oct 2025 10:00:08 +0000National Alliance for Care at HomeHospice care and hospice eligibility are often misunderstood, but in this deeply moving and informative episode of Who Cares, hosts Elyssa Katz and Dr. Steven Landers take a deep dive into what hospice care truly means for families and patients. With...
Together, Elyssa and Dr. Landers explore how hospice is more than a medical benefit, it's a lifeline for those navigating late-stage illness. They explain how the six-month prognosis requirement works, how hospice services are covered financially, and how to start a conversation about comfort-based care. Listeners will learn that hospice care doesn’t mean less care, it often means more care, delivered in the patient's home, with a personalized, interdisciplinary team that includes nurses, social workers, chaplains, aides, and volunteers.

Key themes include the emotional transformation families experience once hospice care begins, the role of spiritual and emotional healing, the nuances of care delivery at home, and powerful anecdotes, including Elyssa's deeply personal story about her father’s final months on hospice. Dr. Landers also addresses misconceptions, explaining how hospice can actually prolong life by avoiding harmful overtreatment and fostering stability.

This episode is essential for anyone grappling with tough healthcare decisions or looking to better understand how to support loved ones at the end of life. It's packed with insights on hospice access, patient advocacy, and the compassionate professionals who bring humanity into healthcare.

Whether you’re a caregiver, a healthcare worker, or just a curious listener, this discussion offers clarity and compassion around a topic we often avoid until it’s too late. Don’t miss this episode, it might be the most important healthcare conversation you’ll hear this year.]]>3401falsefullhttps://www.spreaker.com/episode/a-beginner-s-guide-to-hospice-that-won-t-freak-you-out--67999128Who Cares, hosts Elyssa Katz and Dr. Steven Landers take a deep dive into what hospice care truly means for families and patients. With an emphasis on demystifying hospice eligibility and outlining the holistic support available through hospice care, this episode serves as both a practical guide and a human-centered conversation. Hospice care and hospice eligibility aren't just bureaucratic terms, they're pathways to comfort, dignity, and community for individuals nearing the end of life.

Together, Elyssa and Dr. Landers explore how hospice is more than a medical benefit, it's a lifeline for those navigating late-stage illness. They explain how the six-month prognosis requirement works, how hospice services are covered financially, and how to start a conversation about comfort-based care. Listeners will learn that hospice care doesn’t mean less care, it often means more care, delivered in the patient's home, with a personalized, interdisciplinary team that includes nurses, social workers, chaplains, aides, and volunteers.

Key themes include the emotional transformation families experience once hospice care begins, the role of spiritual and emotional healing, the nuances of care delivery at home, and powerful anecdotes, including Elyssa's deeply personal story about her father’s final months on hospice. Dr. Landers also addresses misconceptions, explaining how hospice can actually prolong life by avoiding harmful overtreatment and fostering stability.

This episode is essential for anyone grappling with tough healthcare decisions or looking to better understand how to support loved ones at the end of life. It's packed with insights on hospice access, patient advocacy, and the compassionate professionals who bring humanity into healthcare.

Whether you’re a caregiver, a healthcare worker, or just a curious listener, this discussion offers clarity and compassion around a topic we often avoid until it’s too late. Don’t miss this episode, it might be the most important healthcare conversation you’ll hear this year.]]>https://api.spreaker.com/episode/67999128Tue, 07 Oct 2025 10:00:09 +0000National Alliance for Care at HomeHospice care and hospice eligibility are often misunderstood but in this deeply moving and informative episode of Who Cares, hosts Elyssa Katz and Dr. Steven Landers take a deep dive into what hospice care truly means for families and patients. With...Who Cares, hosts Elyssa Katz and Dr. Steven Landers take a deep dive into what hospice care truly means for families and patients. With an emphasis on demystifying hospice eligibility and outlining the holistic support available through hospice care, this episode serves as both a practical guide and a human-centered conversation. Hospice care and hospice eligibility aren't just bureaucratic terms, they're pathways to comfort, dignity, and community for individuals nearing the end of life.

Together, Elyssa and Dr. Landers explore how hospice is more than a medical benefit, it's a lifeline for those navigating late-stage illness. They explain how the six-month prognosis requirement works, how hospice services are covered financially, and how to start a conversation about comfort-based care. Listeners will learn that hospice care doesn’t mean less care, it often means more care, delivered in the patient's home, with a personalized, interdisciplinary team that includes nurses, social workers, chaplains, aides, and volunteers.

Key themes include the emotional transformation families experience once hospice care begins, the role of spiritual and emotional healing, the nuances of care delivery at home, and powerful anecdotes, including Elyssa's deeply personal story about her father’s final months on hospice. Dr. Landers also addresses misconceptions, explaining how hospice can actually prolong life by avoiding harmful overtreatment and fostering stability.

This episode is essential for anyone grappling with tough healthcare decisions or looking to better understand how to support loved ones at the end of life. It's packed with insights on hospice access, patient advocacy, and the compassionate professionals who bring humanity into healthcare.

Whether you’re a caregiver, a healthcare worker, or just a curious listener, this discussion offers clarity and compassion around a topic we often avoid until it’s too late. Don’t miss this episode, it might be the most important healthcare conversation you’ll hear this year.]]>1525falsefullhttps://www.spreaker.com/episode/everything-you-need-to-know-about-medicaid-hcbs--67824192
In this episode of Who Cares, hosts Elyssa Katz and Dr. Steve Landers dive deep into Medicaid Home and Community-Based Services (HCBS), breaking down their structure, state-level variability, and what looming budget cuts could mean for vulnerable communities.
Dr. Landers kicks off by grounding the conversation in the basics: what Medicaid is, who it serves, and how it supports nearly 80 million Americans, including children, the elderly, pregnant women, and individuals with disabilities. He then provides a rich historical context around HCBS, including the landmark Olmstead decision that changed how the U.S. government is required to provide care for people with intellectual and developmental disabilities.

This episode explains why Medicaid HCBS programs are not just beneficial but they’re vital. Listeners will hear real-world examples of the types of services these programs fund, from home health aides and personal care attendants to adult day care and even Meals on Wheels. The episode also confronts head-on the limitations of Medicaid HCBS: it's an optional program, not uniformly implemented across states, and often subjected to political and financial pressures.

The conversation transitions into timely policy analysis of the "One Big Beautiful Bill Act" signed into law on July 4th, and its implications for Medicaid HCBS funding. Dr. Landers warns of the cascading effects on state-level budgets, provider taxes, and managed care. He underscores the very real possibility of longer waitlists and reduced access to services, despite these programs ultimately saving money by reducing institutional care needs.
Listeners will also get practical advice. Elyssa and Dr. Landers talk about how providers, constituents, and everyday citizens can advocate for Medicaid HCBS by sharing personal stories, engaging with state representatives, and pushing for strategic policy decisions that recognize home-based care as a cost-saving, dignity-enhancing alternative.

In closing, the hosts make a powerful case for why the U.S. as a wealthy, compassionate nation should double down on investments in Medicaid HCBS. From healthcare policy nerds to everyday caregivers and patients, this episode has something for everyone who believes healthcare should be accessible, humane, and future-ready.]]>https://api.spreaker.com/episode/67824192Tue, 23 Sep 2025 10:00:07 +0000National Alliance for Care at HomeIf you're trying to understand Medicaid HCBS programs and how recent legislation could impact healthcare at home, you're not alone. Medicaid HCBS programs are confusing. Medicaid HCBS programs are also essential.  In this episode of Who Cares, hosts...
In this episode of Who Cares, hosts Elyssa Katz and Dr. Steve Landers dive deep into Medicaid Home and Community-Based Services (HCBS), breaking down their structure, state-level variability, and what looming budget cuts could mean for vulnerable communities.
Dr. Landers kicks off by grounding the conversation in the basics: what Medicaid is, who it serves, and how it supports nearly 80 million Americans, including children, the elderly, pregnant women, and individuals with disabilities. He then provides a rich historical context around HCBS, including the landmark Olmstead decision that changed how the U.S. government is required to provide care for people with intellectual and developmental disabilities.

This episode explains why Medicaid HCBS programs are not just beneficial but they’re vital. Listeners will hear real-world examples of the types of services these programs fund, from home health aides and personal care attendants to adult day care and even Meals on Wheels. The episode also confronts head-on the limitations of Medicaid HCBS: it's an optional program, not uniformly implemented across states, and often subjected to political and financial pressures.

The conversation transitions into timely policy analysis of the "One Big Beautiful Bill Act" signed into law on July 4th, and its implications for Medicaid HCBS funding. Dr. Landers warns of the cascading effects on state-level budgets, provider taxes, and managed care. He underscores the very real possibility of longer waitlists and reduced access to services, despite these programs ultimately saving money by reducing institutional care needs.
Listeners will also get practical advice. Elyssa and Dr. Landers talk about how providers, constituents, and everyday citizens can advocate for Medicaid HCBS by sharing personal stories, engaging with state representatives, and pushing for strategic policy decisions that recognize home-based care as a cost-saving, dignity-enhancing alternative.

In closing, the hosts make a powerful case for why the U.S. as a wealthy, compassionate nation should double down on investments in Medicaid HCBS. From healthcare policy nerds to everyday caregivers and patients, this episode has something for everyone who believes healthcare should be accessible, humane, and future-ready.]]>3396falsefullhttps://www.spreaker.com/episode/who-s-really-winning-from-the-push-for-value-based-care--67469564
In this compelling conversation, they break down the goals, realities, and challenges of aligning better outcomes with lower costs. Dr. Landers brings a unique lens as both a physician and former healthcare executive, providing behind-the-scenes insight into Medicare Advantage plans, demonstration programs, and risk-based care models. The duo unpacks how these models affect elder care, disability services, and home-based healthcare delivery, offering listeners clarity in an often jargon-heavy conversation.

Key concepts discussed include the nuances between avoidable vs. necessary hospitalizations, the true definition of patient-centered care, and the misalignment between coding systems and real-world outcomes. They examine how care at home providers can be empowered as frontline experts in managing complex patients safely and affordably, but also address the frustrating misfires when working with large managed care organizations.

Dr. Landers recounts his personal experiences with CMS demonstrations like Independence at Home and Primary Care First, and what they reveal about system incentives. Elyssa presses on practical implementation — what does value-based care look like when the rubber hits the road for providers and families?

They explore vital tools for success in these models — from telehealth to triage tools to outcome dashboards — and discuss why communication and risk assessment are foundational. A significant portion of the episode questions whether today’s models reward the right behaviors or merely incentivize better documentation and coding.

The episode ends with a powerful call to action: advocacy. With Medicare Advantage now covering more than 50% of Medicare beneficiaries, both hosts stress that now is the time for care at home providers to demand a seat at the table. The stakes are too high to leave policy conversations to profit-driven entities alone.

Tune in for an accessible, honest, and insightful look at the current state — and future possibilities — of value-based care. Whether you’re a home health provider, policy advocate, or family caregiver, this conversation will leave you more informed and inspired to take action.

Timestamp Topics
[00:00:00] What is Value-Based Care? 
[00:02:00] Medicare & Medicaid Focus
[00:05:00] Lessons from Demonstrations
[00:07:00] Risk Adjustment Challenges
[00:10:00] Tools for Success
[00:12:30] Communicating Value
[00:14:00] Home Care vs. Medicare Advantage
[00:17:00] Hospice & MA Carve-In Debate
[00:23:00] Breaking Down Jargon
[00:33:00] Advocacy and the Future ]]>https://api.spreaker.com/episode/67469564Tue, 26 Aug 2025 10:00:00 +0000National Alliance for Care at HomeHosts Elyssa Katz and Dr. Steve Landers explore the evolving landscape of value-based care in the context of the care at home community. With value-based care being one of the most prominent trends shaping healthcare policy, payment models, and...
In this compelling conversation, they break down the goals, realities, and challenges of aligning better outcomes with lower costs. Dr. Landers brings a unique lens as both a physician and former healthcare executive, providing behind-the-scenes insight into Medicare Advantage plans, demonstration programs, and risk-based care models. The duo unpacks how these models affect elder care, disability services, and home-based healthcare delivery, offering listeners clarity in an often jargon-heavy conversation.

Key concepts discussed include the nuances between avoidable vs. necessary hospitalizations, the true definition of patient-centered care, and the misalignment between coding systems and real-world outcomes. They examine how care at home providers can be empowered as frontline experts in managing complex patients safely and affordably, but also address the frustrating misfires when working with large managed care organizations.

Dr. Landers recounts his personal experiences with CMS demonstrations like Independence at Home and Primary Care First, and what they reveal about system incentives. Elyssa presses on practical implementation — what does value-based care look like when the rubber hits the road for providers and families?

They explore vital tools for success in these models — from telehealth to triage tools to outcome dashboards — and discuss why communication and risk assessment are foundational. A significant portion of the episode questions whether today’s models reward the right behaviors or merely incentivize better documentation and coding.

The episode ends with a powerful call to action: advocacy. With Medicare Advantage now covering more than 50% of Medicare beneficiaries, both hosts stress that now is the time for care at home providers to demand a seat at the table. The stakes are too high to leave policy conversations to profit-driven entities alone.

Tune in for an accessible, honest, and insightful look at the current state — and future possibilities — of value-based care. Whether you’re a home health provider, policy advocate, or family caregiver, this conversation will leave you more informed and inspired to take action.

Timestamp Topics
[00:00:00] What is Value-Based Care? 
[00:02:00] Medicare & Medicaid Focus
[00:05:00] Lessons from Demonstrations
[00:07:00] Risk Adjustment Challenges
[00:10:00] Tools for Success
[00:12:30] Communicating Value
[00:14:00] Home Care vs. Medicare Advantage
[00:17:00] Hospice & MA Carve-In Debate
[00:23:00] Breaking Down Jargon
[00:33:00] Advocacy and the Future ]]>2123falsefullhttps://www.spreaker.com/episode/who-s-defunding-your-parents-care--67348371https://api.spreaker.com/episode/67348371Wed, 13 Aug 2025 10:00:08 +0000National Alliance for Care at HomeWhat happens when federal agencies and policymakers quietly gut the key program supporting recovering or managing conditions at home? In this episode, Dr. Steve Landers and Elyssa Katz unpack the real consequences of proposed payment cuts to the...2158falsefullhttps://www.spreaker.com/episode/the-surprising-reality-of-home-caregivers--67159882
As our population ages and the demand for care at home surges, the spotlight turns to the individuals providing hands-on, personal care every single day. Bathing, dressing, companionship, feeding, and emotional support — these aren't just tasks, they're life-changing interactions. Dr. Landers shares compelling anecdotes and data, reinforcing why this workforce is vital to the future of aging in America.

With stories ranging from a veteran finally finding peace through the kindness of an aide, to thousands of referrals going unfilled due to workforce shortages, this episode paints a vivid picture of both crisis and opportunity. The conversation dives deep into critical topics like Medicaid reimbursement challenges, workforce housing scarcity, and the severe shortage of younger caregivers entering the field — all while highlighting transformative solutions that could change everything.

From developing training pipelines in high schools and community colleges to reimagining retirement for older adults as second careers in caregiving, Elyssa and Dr. Landers emphasize a path forward grounded in humanity, policy, and purpose. They also touch on nurse delegation laws, the importance of supporting family caregivers, and practical resources like CaringInfo.org to help bridge gaps in home care education.

Listeners will walk away with a newfound appreciation for home care aides and a clearer understanding of the urgent changes needed to support them. If you care about the future of aging in America, this episode is essential listening.]]>https://api.spreaker.com/episode/67159882Tue, 29 Jul 2025 10:00:08 +0000National Alliance for Care at HomeHome health aides are the backbone of our aging care system, yet they are too often overlooked. In this deeply moving episode of Who Cares, co-hosts Elyssa Katz and Dr. Steve Landers — physician and CEO of the Alliance — take listeners inside the...
As our population ages and the demand for care at home surges, the spotlight turns to the individuals providing hands-on, personal care every single day. Bathing, dressing, companionship, feeding, and emotional support — these aren't just tasks, they're life-changing interactions. Dr. Landers shares compelling anecdotes and data, reinforcing why this workforce is vital to the future of aging in America.

With stories ranging from a veteran finally finding peace through the kindness of an aide, to thousands of referrals going unfilled due to workforce shortages, this episode paints a vivid picture of both crisis and opportunity. The conversation dives deep into critical topics like Medicaid reimbursement challenges, workforce housing scarcity, and the severe shortage of younger caregivers entering the field — all while highlighting transformative solutions that could change everything.

From developing training pipelines in high schools and community colleges to reimagining retirement for older adults as second careers in caregiving, Elyssa and Dr. Landers emphasize a path forward grounded in humanity, policy, and purpose. They also touch on nurse delegation laws, the importance of supporting family caregivers, and practical resources like CaringInfo.org to help bridge gaps in home care education.

Listeners will walk away with a newfound appreciation for home care aides and a clearer understanding of the urgent changes needed to support them. If you care about the future of aging in America, this episode is essential listening.]]>3463falsefullhttps://www.spreaker.com/episode/hospice-reform-and-what-s-at-stake--66943594
They begin by framing hospice as a “national treasure” that’s been a vital part of Medicare since 1982, serving more than 1.7 million Americans each year. But while over half of Medicare beneficiaries receive hospice care, the average length of stay remains alarmingly short—just 18 days. This severely limits the full potential of the benefit.

Dr. Landers describes how hospice is often misunderstood as “giving up care,” when in fact it offers a more holistic, comfort-oriented model. The Medicare hospice benefit was designed to deliver personalized, interdisciplinary support—including nurses, social workers, chaplains, physicians, and even volunteers—to patients at the end of life. But outdated policies and funding models are threatening its effectiveness.

Key issues covered include the stagnant reimbursement rates, the problematic per diem payment structure, and the rising cost of labor that hospice providers can’t keep up with. The conversation also tackles Medicare sequestration, CAP limits, and the growing burnout among hospice workers due to financial and policy constraints.

A major reform opportunity discussed is concurrent care, which would allow patients to receive both hospice and curative treatments at the same time—something proven effective in the Medicare Choices Model. They also advocate for telehealth flexibility, extending bereavement support, and adapting care models for special populations like dementia patients, who often fall through eligibility cracks.

The episode takes a hard look at fraud too, noting how bad actors threaten the system’s credibility. But the hosts warn against using a sledgehammer approach, emphasizing that most providers are delivering high-quality care. “Use a scalpel, not a sledgehammer,” becomes a recurring refrain.By the end, listeners will understand that hospice reform must be careful and constructive. Cutting corners on reimbursement or overburdening providers with audits could do more harm than good. Instead, smart reforms can reduce costs while improving outcomes for both patients and caregivers.

Whether you're a policymaker, healthcare worker, or simply someone who wants to ensure dignity at the end of life, this episode offers a powerful look at what’s working—and what’s not—in American hospice care.]]>https://api.spreaker.com/episode/66943594Fri, 11 Jul 2025 12:39:18 +0000National Alliance for Care at HomeIn this compelling episode of Who Cares, hosts Elyssa Katz and Dr. Steve Landers dive deep into the state of hospice care in America, examining how the hospice benefit has evolved and why hospice reform is urgently needed. The conversation kicks off...
They begin by framing hospice as a “national treasure” that’s been a vital part of Medicare since 1982, serving more than 1.7 million Americans each year. But while over half of Medicare beneficiaries receive hospice care, the average length of stay remains alarmingly short—just 18 days. This severely limits the full potential of the benefit.

Dr. Landers describes how hospice is often misunderstood as “giving up care,” when in fact it offers a more holistic, comfort-oriented model. The Medicare hospice benefit was designed to deliver personalized, interdisciplinary support—including nurses, social workers, chaplains, physicians, and even volunteers—to patients at the end of life. But outdated policies and funding models are threatening its effectiveness.

Key issues covered include the stagnant reimbursement rates, the problematic per diem payment structure, and the rising cost of labor that hospice providers can’t keep up with. The conversation also tackles Medicare sequestration, CAP limits, and the growing burnout among hospice workers due to financial and policy constraints.

A major reform opportunity discussed is concurrent care, which would allow patients to receive both hospice and curative treatments at the same time—something proven effective in the Medicare Choices Model. They also advocate for telehealth flexibility, extending bereavement support, and adapting care models for special populations like dementia patients, who often fall through eligibility cracks.

The episode takes a hard look at fraud too, noting how bad actors threaten the system’s credibility. But the hosts warn against using a sledgehammer approach, emphasizing that most providers are delivering high-quality care. “Use a scalpel, not a sledgehammer,” becomes a recurring refrain.By the end, listeners will understand that hospice reform must be careful and constructive. Cutting corners on reimbursement or overburdening providers with audits could do more harm than good. Instead, smart reforms can reduce costs while improving outcomes for both patients and caregivers.

Whether you're a policymaker, healthcare worker, or simply someone who wants to ensure dignity at the end of life, this episode offers a powerful look at what’s working—and what’s not—in American hospice care.]]>2307false4fullhttps://www.spreaker.com/episode/how-ai-is-changing-home-care-forever--66719055
Today, we’re breaking it all down. We’ll separate fact from fiction, hear from experts on AI’s real impact in home care, and put AI to the test in some high-stakes scenarios.]]>https://api.spreaker.com/episode/66719055Tue, 24 Jun 2025 11:00:08 +0000National Alliance for Care at HomeAI is making its way into home care—helping improve efficiency, predict falls, assist caregivers, and even provide companionship. But is this the future of better care, or are we heading toward a system that replaces the human touch with algorithms?...
Today, we’re breaking it all down. We’ll separate fact from fiction, hear from experts on AI’s real impact in home care, and put AI to the test in some high-stakes scenarios.]]>4006falsefullhttps://www.spreaker.com/episode/the-crucial-role-of-nursing-in-home-care--66478131https://api.spreaker.com/episode/66478131Tue, 10 Jun 2025 10:00:00 +0000National Alliance for Care at HomeNurses in home care are the cornerstone of patient well-being and recovery—and yet, amid a growing nursing workforce shortage, the pressures on them are intensifying. In this episode of Who Cares, the official podcast of the National Alliance for Care...4029false2fullhttps://www.spreaker.com/episode/the-future-of-aging-in-america--66297217
Dr. Landers, a nationally recognized leader in geriatric and home-based care, shares compelling data that shows why focusing solely on those 65 and older misses the real urgency. He and Elyssa Katz explore the surge in unmet needs—especially when one-third of hospital referrals for home health go unfulfilled. This gap has life-or-death consequences, increases readmissions, and places enormous pressure on family caregivers and our already strained hospital systems.

The conversation underscores how the aging population is changing everything—from Medicare and Medicaid financing to hospital capacity, emergency room backups, and workforce shortages. Elyssa and Dr. Landers cite recent losses from prominent hospital systems and expose the bottlenecks created by the lack of available post-acute care options.

Listeners will learn about the Four M’s of Age-Friendly Health Systems—Mobility, Mentation, Medication, and What Matters Most—and how these principles can create better outcomes and more meaningful care experiences. With heart and humanity, the hosts emphasize that improving care isn’t just about systems; it’s about deeply personal moments.

Elyssa opens up about the final six months she spent with her father under hospice care, illustrating how care at home transformed not only his quality of life, but her family’s ability to create lasting memories. Dr. Landers also shares personal stories from his thousands of house calls, where seeing patients in their environments revealed issues that would have gone unnoticed in clinical settings—from safety hazards to malnutrition caused by undiagnosed vision loss.

The episode wraps with a deep dive into the Home Health Value-Based Purchasing Model, which has successfully saved Medicare hundreds of millions of dollars by aligning provider incentives with outcomes. This model is proof that care at home can deliver higher-quality outcomes at a lower cost—what the hosts call a “win-win-win” for patients, providers, and the system at large.

Whether you’re a policymaker, healthcare professional, caregiver, or simply someone concerned about aging with dignity, this episode lays the groundwork for the critical conversations ahead. Elyssa Katz and Dr. Steven Landers bring data, empathy, and clarity to the challenges and opportunities of aging in America.

Join the movement. Care at home is the future.]]>https://api.spreaker.com/episode/66297217Tue, 27 May 2025 19:30:23 +0000National Alliance for Care at HomeThe aging population is transforming healthcare in America—and the aging population isn't just a future concern, it's a present-day crisis. In this inaugural episode of Who Cares, hosts Elyssa Katz and Dr. Steven Landers confront the reality that our...
Dr. Landers, a nationally recognized leader in geriatric and home-based care, shares compelling data that shows why focusing solely on those 65 and older misses the real urgency. He and Elyssa Katz explore the surge in unmet needs—especially when one-third of hospital referrals for home health go unfulfilled. This gap has life-or-death consequences, increases readmissions, and places enormous pressure on family caregivers and our already strained hospital systems.

The conversation underscores how the aging population is changing everything—from Medicare and Medicaid financing to hospital capacity, emergency room backups, and workforce shortages. Elyssa and Dr. Landers cite recent losses from prominent hospital systems and expose the bottlenecks created by the lack of available post-acute care options.

Listeners will learn about the Four M’s of Age-Friendly Health Systems—Mobility, Mentation, Medication, and What Matters Most—and how these principles can create better outcomes and more meaningful care experiences. With heart and humanity, the hosts emphasize that improving care isn’t just about systems; it’s about deeply personal moments.

Elyssa opens up about the final six months she spent with her father under hospice care, illustrating how care at home transformed not only his quality of life, but her family’s ability to create lasting memories. Dr. Landers also shares personal stories from his thousands of house calls, where seeing patients in their environments revealed issues that would have gone unnoticed in clinical settings—from safety hazards to malnutrition caused by undiagnosed vision loss.

The episode wraps with a deep dive into the Home Health Value-Based Purchasing Model, which has successfully saved Medicare hundreds of millions of dollars by aligning provider incentives with outcomes. This model is proof that care at home can deliver higher-quality outcomes at a lower cost—what the hosts call a “win-win-win” for patients, providers, and the system at large.

Whether you’re a policymaker, healthcare professional, caregiver, or simply someone concerned about aging with dignity, this episode lays the groundwork for the critical conversations ahead. Elyssa Katz and Dr. Steven Landers bring data, empathy, and clarity to the challenges and opportunities of aging in America.

Join the movement. Care at home is the future.]]>1913falsefullhttps://www.spreaker.com/episode/welcome-to-who-cares--66100175
As the leading authority in home-based care, we invite dialogue and spark transformative discussions that shape the future of care across America. From hospice and home health to personal and palliative care, we explore the challenges, innovations, and human stories driving this essential industry.

Care at home will impact us all. Let’s shape the future together.]]>https://api.spreaker.com/episode/66100175Thu, 15 May 2025 12:58:51 +0000National Alliance for Care at HomeWho Cares is the podcast dedicated to informing, inspiring, and empowering the care at home community. Hosted by the National Alliance for Care at Home, we bring expert insights, meaningful conversations, and advocacy for person-centered healthcare to...
As the leading authority in home-based care, we invite dialogue and spark transformative discussions that shape the future of care across America. From hospice and home health to personal and palliative care, we explore the challenges, innovations, and human stories driving this essential industry.

Care at home will impact us all. Let’s shape the future together.]]>76falsetrailer