Carve-In or Carve-Out? The Future of Hospice Under Medicare Advantage | Part Two

Send us Fan MailIn Part Two of this thought-provoking conversation, Chris Comeaux and Robin Heffernan unpack the complex realities shaping the future of hospice under Medicare Advantage. From the lessons learned in the VBID demonstration to the growing momentum behind “carve-in” models, this episode explores the tension between cost, quality, and patient experience—and what it will take to align all three.  At the center of the discussion is a critical question: how do we design a system that truly rewards high-quality care while eliminating inefficiencies and poor outcomes?The conversation dives into emerging models like concurrent care “bridge pathways,” which challenge the traditional binary transition into hospice and offer a more patient-centered approach to serious illness care. It also tackles the impact of private equity, consolidation, and payer incentives—raising important considerations about accountability, network design, and the sustainability of mission-driven providers.  For leaders navigating an evolving healthcare landscape, this episode provides both clarity and challenge on what comes next.  Key TakeawaysThe VBID demonstration revealed both promise and limitations—strong outcomes are possible, but only with better network control and quality alignment.  “Concurrent care bridges” may offer a more realistic and compassionate transition into hospice, improving patient experience and outcomes.  Financial incentives must shift toward total cost of care, not fragmented payment models, to truly drive better patient outcomes.  Consolidation is likely, but high-quality providers—regardless of size—can still thrive if value and outcomes are prioritized.  Payer accountability and earlier palliative care engagement are key to reducing costs while improving care quality.  Guest:Robin Heffernan, PhD, Co-Founder and CEO, EmpassionHost:Chris Comeaux, President / CEO of TELEIOS and author of The Anatomy Of LeadershipThe 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