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May 8th, 2026

Part Two | Hospice Leaders Break Down Hospice Reform, Medicare & Quality Care

  1. Part Two | Hospice Leaders Break Down Hospice Reform, Medicare & Quality Care Chris Comeaux 22:56

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What does the future of hospice care really look like—and who’s shaping it?

In Part Two of this compelling conversation, healthcare leaders Tom Koutsoumpas and Carole Fisher join Chris Comeaux and Cordt Kassner to discuss the future of hospice reform, Medicare modernization, quality care standards, and the challenges facing nonprofit hospice providers across America.

From fraud prevention and workforce shortages to Medicare Advantage and innovative disease-specific care models, this episode delivers an inside look at the policy, leadership, and operational decisions shaping the future of end-of-life care.

Whether you’re a healthcare executive, hospice professional, nonprofit leader, policymaker, or business leader, this discussion provides valuable insight into how hospice organizations can remain relevant, sustainable, and mission-driven in a rapidly evolving healthcare environment.

Episode Highlights

✔️ Why hospice quality reporting and transparency matter more than ever
✔️ The growing impact of Medicare Advantage on hospice care
✔️ Challenges facing nonprofit hospice organizations
✔️ Innovation in palliative care and disease-specific support models
✔️ How NPHI is advocating for hospice reform and accountability
✔️ The workforce and financial pressures affecting hospice providers
✔️ The truth about the hospice carve-in debate and what the data shows
✔️ Why leadership and mission remain critical in end-of-life care

Key Quote From The Episode

“The future of hospice and palliative care is making sure we are staying relevant, necessary, and sustainable.” — Carole Fisher

About This Episode

This episode explores the intersection of healthcare leadership, hospice advocacy, Medicare reform, patient-centered care, and operational sustainability. The conversation emphasizes the importance of preserving the mission of hospice while adapting to changing healthcare systems and patient expectations.  

Featured Guests

🔹 Tom Koutsoumpas — National Partnership for Healthcare and Hospice Innovation (NPHI)
🔹 Carole Fisher — President, NPHI

🎙️ Hosted by Chris Comeaux, President / CEO of TELEIOS
     Co-Hosted by Cordt Kassner,  PhD, Publisher of Hospice & Palliative Care
     Today & CEO and Founder of Hospice Analytics 

Subscribe & Connect

👉 Subscribe for more conversations on leadership, healthcare innovation, hospice care, and nonprofit strategy.
👉 Share this episode with healthcare professionals, executives, clinicians, and industry leaders.
👉 Learn more about TCNtalks /Anatomy of Leadership, and NPHI in the links below.

TCNtalks
https://www.teleioscn.org/tcntalkspodcast
NPHI
https://www.nphihealth.org/
People Over Profits
https://www.nphihealth.org/peopleoverprofits/
Inside View Podcast
https://www.nphihealth.org/podcast/

The Anatomy of Leadership podcast explores the art and science of leadership through candid, insightful conversations with thought leaders, innovators, and change-makers from a variety of industries. Hosted by Chris Comeaux, each episode dives into the mindsets, habits, and strategies that empower leaders to thrive in complex, fast-changing environments. With topics ranging from organizational culture and emotional intelligence to navigating disruption and inspiring teams, the show blends real-world stories with practical takeaways. The goal is simple yet ambitious: to equip leaders at every level with the tools, perspectives, and inspiration they need to lead with vision, empathy, and impact.

https://www.teleioscn.org/anatomy-of-leadership

Chris Comeaux President / CEO of TELEIOS / Podcast Host

I am currently the President/CEO of Teleios Collaborative Network which is like a co-op of nonprofit hospice and palliative care organizations. I am also CEO of Teleios Consulting Group. The goal of the collaboration is to harness the best of each hospice and enable the network to better care in each community for the patients and families being served as well as introduce innovations across the membership network and work with payers for new innovative solutions for those dealing with serious or advanced illness.

I am also host two podcasts, Anatomy Of Leadership and TCNtalks. Anatomy of Leadership was inspired by my book "The Anatomy of Leadership" which I wrote for Leaders, visionaries, and change-makers. The podcast delves deep into the essence of purpose-driven and high-performance leadership.

The show guides you through a journey of discovery—revealing how effective leadership can significantly alter the trajectory of our teams, organizations, our lives, and the world at large.

We examine topics like:

- Self-Mastery
- Caring for Others
- Influence
- Intention
- Cause and Purpose

Bio

Over the years, I have become nationally known as a leader in our country’s hospice and palliative care industry, where I spent a large portion of my career as President/CEO of Four Seasons in western North Carolina, a 2009 American Hospital Association Circle of Life Award Winner. In 2005, the Carolinas Center for Hospice and End of Life Care honored me with the Peter Keese Leadership Award.

In 2006, I left Four Seasons for two years to build an alliance between the prestigious national healthcare consulting firm, the Studer Group, and Covenant Hospice in Pensacola. The vision was to transform, develop, and grow leaders throughout the hospice and palliative care world. With this venture from its infancy to an established coaching firm partnering with post-acute healthcare organizations from New York to California. I returned to Four Seasons in 2008 to apply everything learned in the trenches on leadership to an organization I knew and loved.

My hospice career began in 1997 at Covenant Hospice in Pensacola, Florida. Earlier in my career, where I worked with KPMG Peat Marwick, a “Big Four” CPA consulting firm, and with Cooper Industries, a Fortune 100 Company, in its Executive Development Program.

I have a Masters in Leadership from the Thayer Institute for Performance Virtuosity.

I am blessed to have a wonderful wife, Deshia and a proud parent of 5 children (3 boys and 2 girls). Love spending time outdoors with my family, reading, and learning in the mountains of Western North Carolina.