EPISODE · Nov 7, 2025 · 51 MIN
Integrating Hospice Into Primary Care: Your Health’s Strategic Rollout
from The Disrupted Podcast · host Jamie Preston, Scott Middleton
Show Notes / SummaryWhy launch hospice now: continuity, fewer hospitalizations, value-based alignmentClarifying myths: CNA hours on hospice, attending provider still leads careRAF & staffing logic: ~$6k/mo hospice per diem ↔ RAF ~5; translating RAF → weekly CNA/CHW hoursNurse incentives: $150 per admission; double telehealth-assist credit on hospice patientsSoftware + workflow: Athena ↔ WellSky (care plans, documentation, pull-through)Facility model: converting buildings; estimating FTEs from hospice census + RAFChaplain/social work: leverage in-region LSWs; connect to patient’s faith communityRespite options: Medicare respite/GIP + GUIDE program for dementia (up to $2,500yr)Therapy as palliative strength: weekly PTA/COTA; telehealth supportAfter-hours model: optional call, $300 RN death/critical visit; $150 for non-nurse critical checksGuardrails: clinical judgment first; financials inform—not dictate—care www.YourHealth.Org
What this episode covers
This conversation breaks down Your Health’s strategic rollout of hospice—why we’re integrating it with primary care, how RAF scores guide staffing, the incentive model for nurses, partnerships with home care agencies, and practical supports like respite care and therapy. Scott explains how aligning hospice with value-based care reduces hospitalizations, improves comfort, and preserves continuity with the attending provider. If you work inside Your Health—or partner with us—this is the roadmap.
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Integrating Hospice Into Primary Care: Your Health’s Strategic Rollout
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