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Top News Stories of the Month, January 2026
At the end of life, quality matters—but too often, the metrics used in hospice and palliative care fail to reflect the care patients and families actually experience.

In Episode One of Measures That Matter: How Better Metrics Can Transform End-of-Life Care, TCNtalks / Anatomy of Leadership explores why fewer, clearer quality measures are essential for reducing variability, improving patient outcomes, and supporting value-based care at the end of life.

This episode introduces the Measures That Matter initiative through the lens of experience, data, and leadership responsibility. Bob Tavares explains how decades of healthcare analytics revealed a fundamental problem in hospice quality measurement: an abundance of metrics that fail to differentiate performance. Many current measures cluster nearly all providers at the top, making it difficult for patients, payers, and value-based organizations to identify true centers of excellence or address variability that puts patients at risk.

From the provider and network perspective, Robin Heffernan and Mindy Stewart-Coffee highlight the real-world consequences of that variability. Across thousands of hospice and palliative care providers nationwide, quality is inconsistent—even within the same organization across different markets. Staffing changes, lack of collaboration with risk-bearing entities, and late referrals all contribute to uneven patient and family experiences, reinforcing the need for fewer, clearer, and more actionable measures.

Episode One ultimately reframes measurement as a leadership issue—not a compliance exercise. Great hospice and palliative care, the panel argues, doesn’t happen by accident. It is intentionally designed, supported by the right systems and processes, and continuously measured to reduce variability and honor patient goals. This opening episode sets the stage for a deeper exploration of the specific metrics that matter most—and how leaders can use them responsibly to improve care where it matters most.

Host:
Chris Comeaux, President / CEO of TELEIOS

Co-Host:
Cordt Kassner, PhD, Publisher of Hospice & Palliative Care Today
& CEO and Founder of Hospice Analytics

Guest:

Bob Tavares, VP & General Manager, HealthPivots

Robin Heffernan, PhD, Co-Founder and CEO, Empassion

Mindy Stewart-Coffee, National Vice President, Palliative Care

The 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

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In Part Two of Protecting Patients at the End of Life: Why CON Still Matters, host Chris Comeaux continues the conversation with two of the nation’s most respected hospice policy leaders—Paul A. Ledford, President & CEO of the Florida Hospice & Palliative Care Association, and Tim Rogers, President & CEO of the Association for Home & Hospice Care of North Carolina.

This episode moves beyond regulatory theory and into the real-world patient and family experience—especially in states without hospice Certificate of Need (CON) laws. Drawing on decades of leadership, personal stories of loved ones in hospice, and data-informed insights, Paul and Tim explore what families actually face when hospice markets are oversaturated, fragmented, or poorly regulated.

The conversation examines how too many choices can overwhelm families, how small, unsustainable hospice programs can dilute quality, and how fraud and inappropriate enrollments disproportionately affect vulnerable populations—often stripping patients of access to Medicare benefits when they need them most.

Listeners also gain a deeper understanding of how Florida and North Carolina use CON to balance:

• Access to hospice care
• Program sustainability and scale
• Rural and underserved community coverage
• Inpatient hospice availability
• Protection against bad actors

The episode concludes with a forward-looking discussion on what principles—not politics—should guide states that are reconsidering or redesigning hospice CON laws today.

This is an essential conversation for healthcare leaders, policymakers, hospice executives, board members, and anyone committed to protecting quality end-of-life care.

Guest:

Paul A. Ledford, President & CEO of the Florida Hospice & Palliative Care Association

Tim Rogers, President & CEO of the Association for Home & Hospice Care of North Carolina

Host:

Chris Comeaux, President / CEO of TELEIOS

The 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

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Certificate of Need (CON) laws are among the most debated—and misunderstood—regulatory frameworks in healthcare. In this timely Part One conversation, host Chris Comeaux is joined by two of the most respected voices in hospice policy and advocacy: Paul A. Ledford, President & CEO of the Florida Hospice & Palliative Care Association, and Tim Rogers, President & CEO of the Association for Home & Hospice Care of North Carolina.

Together, they unpack why CON laws were originally created, what problems they were designed to solve, and why hospice continues to raise unique concerns that set it apart from other healthcare services. Drawing on decades of leadership and real-world experience, Paul and Tim explain why hospice does not function like a traditional free market—highlighting fixed reimbursement rates, demographic-driven demand, and the responsibility to serve entire communities, including rural and complex patient populations.

This episode explores what actually happens in states without hospice CON: oversaturation in urban markets, reduced access in rural areas, fragmented care, and increased vulnerability to fraud and abuse. The discussion challenges common assumptions about competition and access, using data, policy insight, and firsthand examples to illustrate the unintended consequences of deregulation.

Part One lays the foundation for a deeper conversation about quality, equity, and patient protection at the end of life—and why thoughtful oversight still matters in preserving the integrity of the hospice benefit.

👉 Don’t miss Part Two, where the conversation continues with a closer look at quality outcomes, bad actors, and what states can learn from one another moving forward.

Guest:

Paul A. Ledford, President & CEO of the Florida Hospice & Palliative Care Association

Tim Rogers, President & CEO of the Association for Home & Hospice Care of North Carolina

Host:

Chris Comeaux, President / CEO of TELEIOS

The 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