Arrive Where We First Began, A Strategic Path Forward with Dr. Ira Byock

In this episode of TCNtalks, Chris Comeaux and Cordt Kassner reflect on the significance of hospice and palliative care, especially during the holiday season. They discuss the evolution of the field, the importance of fostering well-being for patients, and the transformative impact of hospice on healthcare. Dr. Ira Byock, a pioneer in the field, shares insights on the need to reframe the narrative around hospice, emphasizing its role in life completion and the importance of strategic planning for the future. The conversation highlights the overwhelming positive feedback received on Dr. Byock's strategic framework for hospice and palliative care, showcasing the ongoing relevance and necessity of these services in modern healthcare. In this conversation, Ira Byock discusses the importance of equity in palliative care, emphasizing the need for inclusivity and a rethinking of existing frameworks to better serve diverse populations. He addresses barriers to quality care, the role of health plans in ensuring quality, and the necessity of implementing clear standards for hospice and palliative care.  Byock also advocates for a compassionate approach to dying, celebrating life while acknowledging the challenges of mortality.Guest:Dr. Ira Byock, MD, FAAHPMHost:Chris Comeaux, President / CEO of TELEIOSCo-Host:Cordt Kassner, PhD, Publisher of Hospice & Palliative Care Today & CEO and Founder of Hospice AnalyticsTeleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast

In this episode Scott Tarde talks about how a lab breakthrough became a lifeline for families, and why immersive reminiscence, caregiver coaching, and data-driven collaboration can change dementia care. Tarde, is the CEO of the George G. Glenner Alzheimer’s Family Centers, emphasizes the significance of collaboration over competition in business, particularly in the healthcare sector.  He advocates for organizations to support one another and engage in meaningful discussions to foster community and transformation within healthcare. Tarde believes that there is ample opportunity for synergy among organizations, and that intentional conversations are crucial to prevent individuals from being left behind in the evolving landscape of healthcare.  He also covers the incredible innovative model that the Glenner Alzheimer’s Family Centers has implemented for dementia care and is now franchising nationwide as Town Square.   Join us, it is a great listen.Be sure to subscribe to both of our podcast, Anatomy of Leadership and TCNtalks. Some Highlights • Origins of Glenner Centers and caregiver-first mission • Town Square immersive reminiscence model and design • Virtual Glenner Care to upskill family caregivers • Reducing ER visits and hospitalizations with coaching • Franchising strategy with local adaptation and standards • Data, EHR, and AI for trend spotting and prevention • Leadership practices: expectations, accountability, consistencyGuest:  Scott Tarde, CEO of the George G. Glenner Alzheimer’s Family CentersHost:  Chris Comeaux, President / CEO of TeleiosTeleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast

This TCNtalk episode explores the multifaceted role of thrift stores in hospice care, highlighting their impact on community engagement, grief support, and economic sustainability. Our guests, Lin Sue Flood, Director of Community Engagement at Hospice of the Valley, and Mark Cohen,  retired Editor & Publisher of Hospice News Today, and Principal, Cohen-Fyfe Communications, discuss how thrift stores serve as vital assets for hospices, providing not only financial support but also fostering community connections and environmental sustainability. They reveal how these stores generate essential financial support, strengthen community ties, provide meaningful volunteer opportunities, and even offer gentle pathways through grief. You’ll hear how mission-aligned messaging, environmental stewardship, and a new generation of thrift-loving shoppers are reshaping the future of hospice support.Lin Sue and Mark share how purposeful messaging can ignite the interest of younger generations, who aren’t just hunting for treasures— they’re seeking ways to make their shopping choices count for something bigger.It’s an inspiring look at how everyday purchases can make an extraordinary impact.  Join us — this is truly a conversation worth hearing.Guest:Lin Sue Flood, Director of Community Engagement at Hospice of the Valley Mark Cohen, retired Editor & Publisher of Hospice News Today, and Principal, Cohen-Fyfe CommunicationsHost:Chris Comeaux, President / CEO of TELEIOShttps://www.teleioscn.org/tcntalkspodcast/the-hidden-value-of-thrift-stores-in-hospice-careTeleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast

In this week’s special joint episode of TCNtalks and Anatomy of Leadership, host Chris Comeaux welcomes Andrew Molosky, President and CEO of Chapters Health System. Together, they explore what it means to lead with perseverance, authenticity, and vision in times of change.Andrew shares powerful insights on cultivating culture, navigating uncertainty, and the role of vulnerability in leadership. The conversation provides a thoughtful examination of how clarity of mission and purpose can guide teams through even the most challenging seasons.Guest:Andrew Molosky, President and CEO of Chapters Health SystemHost:Chris Comeaux, President and CEO of TELEIOSTeleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast

Top News Stories October 2025In this episode of TCNtalks, Chris Comeaux and Cordt Kassner discuss the top news stories of October, focusing on AI in healthcare, innovations in hospice care, and the impact of personal experiences on healthcare practices.  They explore the ethical implications of AI surrogates in life-or-death decisions, the importance of equitable access to hospice care, and the role of technology in improving care delivery. The conversation also highlights the significance of personal stories in shaping healthcare perspectives and the ongoing challenges in the hospice industry.Co-host:Cordt Kassner, PhD, Publisher of Hospice & Palliative Care Today & CEO and Founder of Hospice AnalyticsHost:Chris Comeaux, President / CEO of TELEIOSTeleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast

In this episode of TCNtalks, host Chris Comeaux welcomes back Jason Bradshaw, a seasoned benefits consultant with USI Insurance Services. Together, they unpack why healthcare premiums are rising, where volatility is coming from, and how employers can regain control without gutting benefits. Jason shares practical funding models, transparency tools, and a playbook for building a cost culture that actually moves behavior.Also, they delve into the complexities of the U.S. healthcare insurance market, discussing the key drivers of rising premiums and the challenges employers face in managing costs while maintaining competitive benefits.Jason shares insights on innovative plan designs and funding models, emphasizing the importance of developing a cost culture within organizations. Tune in to explore strategies for balancing affordability and sustainability in healthcare benefits.. Guest: Jason Bradshaw, Benefits Consultant with USI Insurance ServicesHost:Chris Comeaux, President / CEO of TELEIOSTeleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast

In this episode of TCNtalks, host Chris Comeaux welcomes Dr. Khai Nguyen, a geriatrician and age-friendly care champion. They discuss the 4Ms framework for age-friendly care, which includes what matters, mentation, medications, and mobility. Dr. Nguyen shares his personal journey into geriatrics, inspired by his father's health challenges, and emphasizes the importance of integrating the 4Ms into healthcare practices, particularly in hospice and home health settings. The conversation highlights the need for a paradigm shift in care, focusing on quality and patient-centered approaches.  Be sure to hit that subscribe button.  Pay this one forward, especially to your friends, your co-workers, your colleagues.  We want the forums to catch on like wildfire, so we can make a significant difference as we go forward into this future.Guest: Dr. Khai Nguyen, Geriatrician and Age-Friendly Care Champion for Care-At-Home with CHAP - Medical Affairs & Innovation at Community Health Accreditation Partners. Host:Chris Comeaux, President / CEO of TELEIOSTeleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast

In this conversation, Peter Benjamin and Chris Comeaux discuss the impact of COVID-19 on mortality rates, particularly the concept of 'death pull forward' and its implications for hospice care. Peter highlights the significant role of assisted living facilities in hospice days and explores macro trends in healthcare, emphasizing the shift from vertical to horizontal care models. The discussion also covers the evolution of palliative care, frail elderly practices, and institutional special needs plans (iSNPs), while stressing the importance of measuring quality of care, particularly in pain management. The conversation concludes with reflections on the future of healthcare and the necessity of collaboration across various care models.Guest:Peter Benjamin, Partner, The Huntington Consulting GroupHost:Chris Comeaux, President / CEO of TELEIOShttps://www.teleioscn.org/tcntalkspodcast/conspiracy-of-verticals-rethinking-healthcare-models-with-peter-benjaminTeleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast

As the seasons shift, so do the conversations shaping Hospice and Palliative Care.  In this week’s episode, host Chris Comeaux and Hospice Analytics expert and co-host Cordt Kassner explore the latest headlines, challenges, and innovations impacting Hospice and Palliative Care.Together, they provide timely insights and thoughtful reflection on what matters most right now for providers, patients, and families, with discussion on the latest trends and insights in Hospice and Palliative Care. Covering a range of topics, including the impact of AI on Hospice Care, the importance of end-of-life visits, and the challenges of Hospice utilization trends.  Also highlights significant events and stories from the Hospice community, such as the launch of a new nursing scholarship program and the impact of Hurricane Helene one year later.More than just a news recap, this episode offers perspective, encouragement, and a reminder of why Hospice and Palliative Care are both urgent and deeply meaningful.  Whether you’re a healthcare leader, frontline caregiver, or simply someone passionate about end-of-life care, this conversation will keep you informed and inspired as we enter the fall season.Highlights• Projected RN, LPN, NP shortages through 2032 and what that means for bedside care• Waste, fraud, abuse headlines and the urgency of last week's visit quality• Byock’s four pillars as a roadmap for standards, data, competition, and brand• Mental health in palliative care and dignity therapy as practical tools• HOPE implementation and iQIES readiness across hospices• Scholarships and legacy programs to build CNA-to-RN pipelines• AI use cases, editing pitfalls, and critical thinking guardrails• PACE vs hospice at end-of-life and “rehab to death” incentives• Utilization trends, COVID death pull-forward, and state disparities• Disaster preparedness lessons when communications fail• Leadership training gaps and the masterclass: return to fundamentalsCo-host:Cordt Kassner, PhD, Publisher of Hospice & Palliative Care Today & CEO and Founder of Hospice AnalyticsHost:Chris Comeaux, President / CEO of Teleios Collaborative Network, Teleios Consulting GroupPlease subscribe, share TCN Talks with a colleague, and help us reach more hospice and palliative leadersTeleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast

Are we headed for a healthcare train wreck?  The warning signs are flashing: skyrocketing premiums, looming Medicaid cuts, significant reductions in home health funding, and major insurers experiencing substantial stock losses.  These aren't isolated issues but symptoms of fundamental structural flaws in our healthcare system.Rita E. Numerof, co-founder and president of Numerof & Associates, returns to TCNtalks with a powerful analysis of the healthcare industry's trajectory and a bold vision for transformative change.  As an "equal opportunity critic" with over 30 years of experience spanning the entire healthcare ecosystem, Numerof offers a uniquely comprehensive perspective on why our current system is failing and what must change.Host Chris Comeaux and Rita explore the pressing issues facing the healthcare industry and the train wreck they foresee in 2026 and 2027, but this may be the opportunity to finally fix healthcare for our country.  From policy reform to consumer empowerment, with her extensive experience, Rita offers a visionary perspective on how to reform healthcare, despite its complexities, and to truly create meaningful change.Guest:  Rita E. NumerofCo-founder and President of Numerof & AssociatesHost:  Chris ComeauxPresident / CEO of TeleiosTeleios Collaborative Network / https://www.teleioscn.org/tcntalkspodcast