At The Table With CAHSAH

Many home health agencies are struggling to keep up with a rapidly shifting industry. But some are thriving through innovation and strategic mindset shifts. In this episode, Arnie Cisneros, president of Home Health Strategic Management, and Kimberly McCormick, clinical director with 20+ years in home health, reveal how top-performing agencies are rewriting the rules to succeed in today’s high-pressure environment. Discover how Medicare's move from volume to value is transforming care delivery. Sicker patients, faster hospital discharges, and the critical need for real-time documentation. Arnie shares his groundbreaking approach to service utilization review, leveraging Medicare’s evidence-based data models to improve outcomes while reducing costs. Kimberly highlights proven strategies to align clinicians' practices with regulatory standards, embrace objective metrics, and achieve deficiency-free audits.

Most hospice providers are feeling the heat right now — with hundreds facing abrupt Medicare payment suspensions based on low-standard allegations of fraud. But what’s really going on behind the headlines? And more importantly, what can providers do immediately to protect their operations, reputation, and patient trust? In this eye-opening episode, legal expert Judy Waltz reveals the secret weapon: understanding the true nature of these suspensions, how to navigate the critical 15-day rebuttal window, and strategies to safeguard your organization from unwarranted penalties. With Medicare now wielding powerful, rapid enforcement tools, it’s more urgent than ever to know how to respond effectively and keep your doors open. You’ll discover:- The low threshold for credible allegations of fraud that can trigger speedy suspensions- Practical steps to review your own hospice’s discharge rates, length of stay, and other vital KPIs to spot vulnerabilities- The importance of engaging in timely rebuttals and what to include in your response- How aggressive oversight is reshaping the future of hospice regulation — and why you can't to prepare- Ways to tell your own story before others shape the narrative with misinformationThis episode is essential listening for hospice CEOs, compliance officers, and home care advocates determined to defend their reputation while continuing to serve with integrity. With expert insights from Judy Waltz, a leading healthcare attorney at Foley & Lardner, you’ll walk away with concrete tactics to stay compliant, protected, and ready for what’s next. Don’t let swift enforcement catch you off guard — your license, your team, and your patients' trust depend on it. Tune in now for the critical knowledge shaping hospice’s future in California.

In this episode we’re stressing the importance of embracing accountability rather than being defensive in a world where media has had the first word on fraud. We welcome oversight and transparency and actively showcase what quality care looks like. This shift in mindset can help to counteract the negative perceptions and highlight the admirable work being done in home-based care.

Ever wondered how home-based care has evolved over 60 years? Let’s dive into the challenges and triumphs! From the days of nurses traveling on foot to today’s telehealth revolution, the landscape of home care has transformed dramatically. Some challenges remain timeless: workforce shortages, access to care, and the need for compassion in caregiving. The stories from the past remind us of the dedication required to care for loved ones in their own homes, even in tough environments. As we navigate the future, let's remember the pioneers who shaped our industry and continue to advocate for home and community-based services. What's your take on how far we've come?

Tag someone who needs to be part of this conversation!In this episode of At the Table with CAHSAH, we dive into the challenges facing our members, from policy issues to real conversations about what keeps them up at night.Our new CEO, Soua Vang, shares how we’re using this podcast as a platform to engage more deeply with our membership, ensuring their voices are heard in Sacramento and beyond.We recognize that every region in California has unique concerns and we are committed to listening and addressing those needs.This year, our theme is execution. We’re focusing on enhancing the voices of home care providers and making sure our industry is at the heart of health care decisions.Join us as we turn challenges into action!