Most care stories in home healthcare end with the last visit. Last Visit First podcast starts there.
Hosted by Tom Maxwell — a nationally respected healthcare veteran with over three decades of experience, Co-Founder and Chairman of Maxwell TEC, Maxwell Investment Partners, and Maxwell Advisory Group — this podcast features honest, unfiltered conversations with the founders, CEOs, clinicians, and innovators shaping the future of home health, hospice, palliative, and post-acute care.
If you lead, operate, or believe in the power of care in the home, this is your podcast. Subscribe to listen.
Who's Winning in Home Health and Hospice? New 2026 Data + Trella Health's AI First Look
Medicare Advantage growth stalled for the first time in a decade. Hospice admissions are growing faster every year. And in some states, patients wait nearly a week after hospital discharge for their first home health visit.
Trella Health CEO Scott Tapp and Senior Consultant of Data & Analytics Carter Bakkum join Tom Maxwell once again, this time to walk through Trella's new Post-Acute Market Intelligence Report: 2026 Edition, live on screen. This year the report is fully interactive, so you can drill into your own state and market instead of relying only on national benchmarks.
We cover why payers are pulling Medicare Advantage out of rural markets like Vermont, what accelerating hospice growth means after the moratorium, the time-to-start-of-care gap that's driving hospital readmissions, and why the TEAM model is a sales opportunity most home health agencies aren't using yet.
We also get a first look at Ask Trella AI, a new tool that answers market questions in plain language: who's gaining and losing share in your market, which physicians refer the most, where you can compete, and much more.
Topics covered:
The new interactive 2026 Post-Acute Market Intelligence Report
Medicare Advantage penetration stalls at 55.4%
Payer exits and the rural Medicare Advantage pullback
Accelerating hospice admissions and length of stay trends
Time to start of care and its impact on readmissions
First look at Ask Trella AI
Connect with the guests:
Scott Tapp (https://linkedin.com/in/scotttapp)
Carter Bakkum (https://linkedin.com/in/carterbakkum)
Chapters:
00:00 Welcome: Scott Tapp and Carter Bakkum of Trella Health
01:12 What's new in the 2026 Market Intelligence Report
04:23 The data behind the report
07:10 Medicare Advantage growth stalls
08:51 Vermont and the rural MA pullback
15:55 What MA shifts mean for providers
17:21 Hospice growth is accelerating
21:32 Discharge instructions and adherence
24:45 Time to start of care by state
29:13 The TEAM model and the Indiana opportunity
36:21 First look: Ask Trella AI
41:07 Who's gaining and losing market share
46:45 Where Trella AI is headed
53:53 When you can get it and wrap-up
Sponsors:
Presented by Last Visit First's Premier Sponsor, Trella Health (https://www.trellahealth.com).
Check out Trella Health's new 2026 Post-Acute Market Intelligence Report here (https://www.trellahealth.com/resource-center/report/2026-post-acute-market-intelligence-report/).
Check out Last Visit First on other platforms:
Apple Podcasts (https://podcasts.apple.com/us/podcast/last-visit-first/id1830051182)
Spotify (https://open.spotify.com/show/3iSKGRvHC9Bk3iq7l8UPxs)
YouTube (https://www.youtube.com/@lastvisitfirstpodcast)
Website (https://lastvisitfirst.com)
LinkedIn (https://linkedin.com/company/last-visit-first)
17 Sept 2026
Partners, Not Competitors: QAPIplus on Building a Better Home Health Ecosystem
QAPIplus Co-Founder and CEO Armine Khudanyan, Co-founder and CTO Lara Koraian, and Chief Growth Officer Jared Robey discuss building a better home health ecosystem through vendor partnerships with guest host Jennifer Maxwell.
17 Sept 2026
The 90% Rule: Element5 CEO Joe Randesi on AI, Automation & the Human in the Loop
Element5 CEO Joe Randesi and Maxwell TEC CEO Jennifer Maxwell discuss AI's role in automating revenue cycle management and the importance of human oversight in home health.
Who has been a guest on Last Visit First
Names identified in recent episode analyses. Showing up to five guests.
Armine Khudanyan
Lara Koraian
Jared Robey
Joe Randesi
Amee Devani
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Apple Podcasts (US)
5.0 / 5
2 ratings
Spotify
5.0 / 5
2 ratings
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