Coming Home is the podcast dedicated to informing, inspiring, and empowering the care at home community. Hosted by the National Alliance for Care at Home, we bring expert insights, meaningful conversations, and advocacy for person-centered healthcare to the forefront. As the leading authority in home-based care, we invite dialogue and spark transformative discussions that shape the future of care across America. From hospice and home health to personal and palliative care, we explore the challenges, innovations, and human stories driving this essential industry.<br /><br /><b>Care at home will impact us all. Let’s shape the future together.</b>

Who Cares
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Podcast Overview
Coming Home is the podcast dedicated to informing, inspiring, and empowering the care at home community. Hosted by the National Alliance for Care at Home, we bring expert insights, meaningful conversations, and advocacy for person-centered healthcare to the forefront. As the leading authority in home-based care, we invite dialogue and spark transformative discussions that shape the future of care across America. From hospice and home health to personal and palliative care, we explore the challenges, innovations, and human stories driving this essential industry.<br /><br /><b>Care at home will impact us all. Let’s shape the future together.</b>
Language
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Publishing Since
5/15/2025
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Recent Episodes

June 23, 2026
What's Actually Happening in Home Care in 2026
Home-based care is at a crossroads, from relentless rate cuts to workforce shortages and a fraud narrative threatening patient trust in the hospice benefit. In this special live episode recorded on the main keynote stage of the New England Home Care & Hospice Conference, host Elyssa Katz sits down with three of the region's most respected operators to cut through the noise and talk about what's actually moving the needle.<br /><br />Ken Albert of Andwell Health Partners, Beth Slepian of Granite VNA, and Mario D'Aquila of Assisted Living Services cover the hard truths facing every service line in the care-at-home continuum, from the erosion of the Medicare home health benefit to the AI tools genuinely changing how clinicians work, to the culture-first retention strategies keeping turnover in the high teens. If you're a care-at-home operator, this conversation is the most honest hour you'll spend this year.<br /><br />What you'll take away:<br />- How to diversify payer sources before rate cuts force your hand The AI tools that actually got 90%+ clinician adoption, and the three-point policy framework you need before you roll any of them out<br />- Why staffing retention beats recruitment every time, and the 1.5:1 caregiver-to-referral ratio that keeps one operator running lean<br />- The community trust-building strategies, thrift stores, death cafes, hospice houses, and helping providers fight back against fraud narratives

February 3, 2026
What Palliative Care Really Means (And Why It Matters)
Palliative care is one of the most misunderstood services in healthcare—and palliative care is also one of the most important tools for improving quality of life for patients and families. In this episode of Who Cares, co-hosts Elyssa Katz and Dr. Steve Landers break down what palliative care really is, who it’s for, and why it matters at every stage of serious illness.<br /><br />This episode is a long-overdue deep dive into palliative care, led entirely by Elyssa Katz and Dr. Steve Landers. Together, they cut through confusion, address common misconceptions, and explain why palliative care should be a core part of person-centered healthcare in America. With Dr. Landers’ clinical expertise in hospice and palliative medicine and Elyssa’s policy and advocacy perspective, the conversation brings clarity to a topic that is often oversimplified—or avoided altogether.<br /><br />At its most basic level, palliative care is an extra layer of support. Elyssa and Dr. Landers explain how this model of care focuses on comfort, independence, and the whole person—not just a diagnosis. Palliative care addresses pain and symptom management, helps align care with patient goals, and supports both patients and families as they navigate complex medical decisions.<br /><br />A major theme of the episode is how palliative care works alongside other medical treatments. Unlike hospice care, palliative care does not require patients to stop curative or life-prolonging treatment. It can be introduced at diagnosis, during aggressive treatment, or at any point when symptoms or care coordination become challenging. Elyssa and Dr. Landers discuss how palliative care teams help ensure providers are communicating effectively and that care plans reflect what matters most to patients.<br /><br />The hosts also explore where palliative care is delivered. While many people associate it with hospitals, palliative care can be provided in outpatient clinics and increasingly in community-based settings, including the home. Dr. Landers explains why access to palliative care outside the hospital is critical for improving patient experience, reducing unnecessary hospitalizations, and supporting families where they want to be.<br /><br />Eligibility is another key focus. Palliative care is not limited to older adults or those at the end of life. It can support children, working-age adults, and anyone living with a serious or chronic illness. The conversation highlights how palliative clinicians are uniquely trained to manage both disease-related symptoms and the side effects of treatments, while also helping patients navigate uncertainty and changing expectations.<br /><br />Finally, Elyssa and Dr. Landers address one of the most commonly searched questions online: What’s the difference between hospice and palliative care? While hospice is a form of palliative care for people in the final months of life, palliative care itself is appropriate at any stage. Understanding that distinction can help people access support sooner—rather than struggling without help.<br /><br />This episode is an essential listen for care leaders, clinicians, policymakers, and families who want a clear, honest explanation of palliative care—and why it plays such a critical role in the future of care at home.

January 20, 2026
What Congress Gets Wrong About Home-Based Care
Care at home advocacy and hospice policy are at a pivotal moment. Care at home advocacy and hospice policy are shaping how home health policy and telehealth flexibilities will determine access, quality, and cost of care across America.<br /><br />In this episode of Who Cares, hosts Elyssa Katz and Dr. Steve Landers, CEO of the National Alliance for Care at Home, take listeners inside the Alliance’s first-ever Advocacy Week, where more than 240 advocates held nearly 300 meetings on Capitol Hill to fight for the future of care at home.<br /><br />This conversation breaks down why care at home advocacy is no longer optional—and why showing up matters now more than ever. Elyssa and Dr. Landers reflect on the power of uniting hospice, home health, Medicaid HCBS, and private-duty care under one movement, amplifying the voice of providers, patients, and families in Washington.<br /><br />The episode explores the four key policy priorities advocates brought to Congress:<br /><br />• Protecting access to home health policy and preventing further Medicare reimbursement cuts<br /> • Keeping hospice policy out of Medicare Advantage<br /> • Strengthening Medicaid funding for home and community-based services (HCBS)<br /> • Making pandemic-era telehealth flexibilities permanent<br /><br />Dr. Landers explains why hospice does not belong inside Medicare Advantage plans, detailing how prior demonstrations failed patients, providers, and payers alike. The conversation highlights how hospice already delivers high-value, cost-effective care—and why introducing prior authorizations and utilization management threatens something that is already working.<br /><br />The episode also tackles Medicaid HCBS funding pressures, including workforce shortages, waitlists exceeding 700,000 people, and why underfunding front-line care puts vulnerable populations at risk. Elyssa and Dr. Landers emphasize that investing in Medicaid HCBS isn’t just compassionate—it’s fiscally responsible.<br /><br />A critical portion of the discussion focuses on telehealth flexibilities, especially for hospice and home health certifications. With provider shortages growing and rural access shrinking, the hosts explain why telehealth is essential for maintaining access to care—and how government shutdowns and temporary extensions jeopardize patients today.<br /><br />Throughout the episode, the hosts return to one central truth: numbers don’t inspire movements—stories do. From frontline nurses to caregivers and clinicians, advocacy works best when policymakers hear directly how policy decisions affect real people.<br /><br />The episode closes with a hopeful look ahead to 2026, where demographic shifts, technology, and voter priorities make care at home not just relevant—but inevitable. Elyssa and Dr. Landers make a clear call to action: if you care about patients, families, and sustainable healthcare, advocacy isn’t someone else’s job—it’s yours.
19 total episodes available
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This podcast is available on 4 platforms including Apple Podcasts, Spotify, and more. You can also use the RSS feed directly.
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