In this Alliance Conference conversation, Hannah Vale from HealthRev Partners and Bobbi Heimsoth from Careficient talk with Carol Weir, a dedicated clinician and leader from rural Maine, Chief Clinical Officer with Andwell Health Partners, about the real-world challenges of providing care across the continuum. Carol shares her insights on how technology partnerships and strong collaboration can ease burden and "drill tech down to the human being." She passionately describes the need for technology to make the jobs of clinicians easier, especially in rural areas. 

In this kick off episode from the Alliance Conference Series, the HealthRev Partners team dives into one of the most important decisions a home health agency can make- whether to outsource billing. Discover the reasons these team members would outsource. Recorded live at the Alliance Conference, this episode sets the tone for a series exploring innovation, collaboration, and success acros the post-acute care industry. 

If you've ever wondered whether outsourcing your billing could actually work for your agency, this episode is for you! The HealthRev Partners team breaks down the top reasons home health agencies choose to outsource and what THEY would look for in a strong partnership. 

Host Hannah Vale sits down with Demetress Harrell—CEO of Hospice in the Pines, Board Chair of the Texas New Mexico Hospice Organization, National Organization Alliance for Care at Home Board Member, and a long-time leader in hospice care. 

With more than 32 years of experience, Dr. Harrell shares her profound insights on effective leadership, emotional intelligence, and building resilient teams in hospice care.

Listen as she explores:

- How presence and accountability shape effective leadership in hospice

- The role of emotional intelligence in creating positive staff culture

- Strategies for leading through industry changes and regulatory updates

- Preparing for the HOPE Assessment and its impact on patient outcomes

- The importance of mission-driven work and empowering emerging leaders

You'll hear stories from the front lines, practical advice for staff development, and a passionate outlook on why compassion and adaptability matter most in end-of-life care. If you’re a hospice leader, staff member, or emerging professional looking to make a greater impact, this episode will equip and inspire you.

Connect with Dr. Harrell and Hospice in the Pines at [www.hospiceinthepines.org](https://www.hospiceinthepines.org), or by phone at 936-632-1514 / 1-800-324-8557.

Don’t forget to subscribe for more insightful episodes on the realities and opportunities in home health and hospice! #HomeHealthRevealed #HospiceLeadership #HOPEAssessment #HealthcarePodcast #EndOfLifeCare #TeamDevelopment #CompassionInCare #HospiceinthePines

For our final Live from the Alliance Conference episode of Home Health Revealed, Hannah Vale and Sara Nigro close out the series with an incredible conversation with Melissa Battistella of Cadre Hospice. With deep expertise in revenue cycle management (RCM) and years of hands-on leadership, Melissa shares what it really takes to guide teams through change while keeping people—and purpose—at the center.

Melissa dives into:

Leveraging human capital and why investing in your people delivers the greatest returns

Teaching teams to master Medicare collections with confidence

How to bundle into payor projects and document strategically so denied claims get paid

The value of training as an investment, staying ahead of RCM “snowballs,” and building sandboxes for safe experimentation

Avoiding analysis paralysis by creating safe spaces to use data, explore root causes, and strengthen decision-making

Her insights make it clear: lasting success in RCM isn’t just about processes—it’s about people leading those processes. If you’re ready to rethink how you support, teach, and empower your team, this is the conversation for you.

In this episode of Home Health Revealed: Live from the Alliance Conference, hosts Michael Greenlee, Sara Nigro, and Hannah Vale sit down with Jake Panowicz of Haven Hospice. Though Haven has only been open just over a year, the new agency is already caring for around 70 patients—a testament to the foundation of trust and shared purpose Jake built with his team.

Jake, no stranger to startups (this is his third business), pulls back the curtain on what it really takes to launch a hospice agency. He dives into:

Choosing the right team and leading with shared mission

Understanding the ins and outs of accreditation and state licensure

The milestone of admitting your very first patient

Preparing for the unknown, especially the challenges of securing a Medicare number

Why intentional planning—and mentorship—make all the difference

Sara and Hannah agree: Jake has the heart of a mentor, and he openly offers encouragement and guidance to those stepping into the industry with the right intentions.

If you’re considering starting a hospice or home health agency—or just want to hear the journey of an inspiring new leader—this episode is packed with experience-driven wisdom.

In this episode of Home Health Revealed, host Hannah Vale welcomes back Victoria Kuklina, of FinHealth, for Part Two: an actionable guide to what home health agencies can do NOW to prepare for the 2026 rate cuts—under the Home Health Proposed Rule 2026.

Victoria shares essential strategies for immediate action, including budgeting, scenario planning, and operational readiness for agencies navigating the upcoming payment reductions. Plus, discover her free tool, the FinHealth Score, which simplifies your agency’s financial readiness to a single, easy-to-understand number and provides tailored, actionable insights to help you plan and protect margins.

In this episode:

Budgeting amid regulatory changes

How to approach scenario planning: manage risk with data-driven forecasts

Operational strategies for staffing, patient access, compliance, and cash flow as the rules shift

How to use the FinHealth Score tool to benchmark readiness and access practical guidance

Vital updates as CMS transitions from the proposed rule to the home health final rule 2026

Proactive steps agencies can take now to build resilience and advocate for quality care

Whether your agency is just starting to assess the impact or already designing contingency plans, tune in for a practical roadmap to staying ahead.

Like, subscribe, and share to help home health leaders navigate the changes and optimize financial health ahead of 2026!

In this episode of Home Health Revealed, host Hannah Vale welcomes Victoria Kuklina, former CFO of Pinnacle and co-founder of FinHealth, for a deep dive into the 2026 PPS Proposed Rule and its widespread implications for home health agencies.

With potential Medicare rate cuts of 6.4%, supported by MedPac recommendation of 7% Post-Acute Care adjustment, and OBBBA impacts on the table, home health leaders face unprecedented financial pressures. Victoria shares insights from her upcoming white paper, explores contradictions in MedPAC’s data presented in the report and final recommendations, and explains what agency leaders should expect heading into 2026.

This episode covers critical topics for home health executives, including:

If you’re responsible for preparing your agency for future challenges, this conversation is packed with actionable strategies and foresight to help you plan effectively.

In this episode of Home Health Revealed: Live from the Alliance Conference, Michael Greenlee and Sara Nigro sit down with Katrina Reese of Enterprise Fleet Management to talk about one of the most practical—but often overlooked—needs in home-based care: reliable transportation for your staff.

Katrina shares how Enterprise partners with agencies to provide cost-effective, safe, and dependable fleet solutions that ensure caregivers can focus on what matters most—serving patients. From managing expenses and reducing liability to improving reliability and employee satisfaction, Katrina highlights the benefits that come when agencies no longer have to worry about the logistics of vehicles.

If your team is on the road every day, this episode is packed with insights you won’t want to miss.

In this episode of Home Health Revealed: Live from the Alliance Financial Management Conference, hosts Michael Greenlee and Sara Nigro are joined by Demetress Harrell, Founder and longtime CEO of Hospice in the Pines. With nearly 30 years of attending the conference, Demetress brings a wealth of perspective on leadership, collaboration, and the evolving role of technology in home health and hospice.

She shares powerful insights on:

The importance of building true partnerships within the industry

Supporting staff so they can effectively serve not just patients, but entire families

How approaches to AI have shifted over the years—and what it means for the future of care

Why attending the Alliance is invaluable for three reasons: learning from industry leaders (“Sometimes when you’re inside the whale, you don’t see how to float”), genuine networking that sustains, and gaining exposure to new technologies that can truly enhance outcomes.

If you want a thoughtful, heartfelt, and perspective-rich conversation on leadership in hospice and home health, this is an episode you won’t want to miss.

Home Health Revealed went on the road! During the Alliance conference, we grabbed the mics, hit “record,” and brought the conversations straight to you—uncut, unscripted, and right from the heart of the action. From leadership lessons to real-world strategies, you’ll hear the voices shaping the future of home health. 

We had good coffee from Dollop and Blue Bottle, deep dish pizza from Lou Maltnati's (and a nap!), settled in for conversations that are both inspiring and practical. 

We kicked off our first episode of the series with Michael Greenlee (HealthRev) and Sara Nigro (BetterRX). After a fun opener covering Chicago eats, coffee favorites, and a little banter with Hannah Vale, they sit down with Kristina Senna of Faith Home Health in Kansas City.

Kristina shares her perspective on leading with faith and resilience in the home health space.