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July 8th, 2026

What’s Broken in American Healthcare—and How to Fix It | Part One

  1. What’s Broken in American Healthcare—and How to Fix It | Part One Chris Comeaux 32:37

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Is American healthcare truly serving patients—or has the system lost sight of its purpose?

In this powerful episode of TCNtalks / Anatomy of Leadership, host Chris Comeaux welcomes Dr. Don Berwick, former Administrator of the Centers for Medicare & Medicaid Services (CMS), President Emeritus and co-founder of the Institute for Healthcare Improvement (IHI), and one of the world’s foremost Experts in healthcare quality improvement.

Together, they explore what’s broken in American healthcare, why healthcare reform is urgently needed, and how leaders can build a system that delivers better patient outcomes, higher quality care, Health equity, value-based care, and a more sustainable future for healthcare organizations.  They also discuss the evolution of the Triple Aim into today’s Quintuple Aim, the growing influence of private equity in healthcare, the impact of healthcare policy, and why restoring purpose—not simply profitability—must become the foundation of modern healthcare leadership.

Whether you’re a healthcare executive, Hospice leader, hospital administrator, physician, nonprofit executive, or business leader, this conversation offers practical insights into improving healthcare while protecting the mission that first drew so many people into the profession.

In this episode you’ll learn:

✅ Why the Triple Aim evolved into the Quintuple Aim—and why it matters today

✅ How financial incentives can conflict with quality patient care

✅ Why clinician purpose and workforce well-being are essential to healthcare excellence

✅ The growing impact of private equity and financialization across healthcare

✅ What healthcare leaders can do to improve patient outcomes while reducing waste

✅ Dr. Berwick’s vision for meaningful healthcare reform

This conversation challenges conventional thinking and offers a hopeful vision for healthcare leaders who believe patients—not profits—should remain at the center of every decision.

Don’t miss Part Two, where Dr. Berwick outlines the structural changes he believes could fundamentally reshape American healthcare.

Subscribe for More Conversations

If you enjoy conversations about healthcare leadership, hospice, healthcare Innovation, leadership development, healthcare policy, and the future of patient-centered care, subscribe to TCNtalks / Anatomy of Leadership for weekly conversations with the leaders shaping the future of healthcare.

Guest:
Dr. Don Berwick, Former Administrator of CMS

Host:
Chris Comeaux, President / CEO of TELEIOS, author of The Anatomy of Leadership

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.