Private Equity, AI, and the Future of End-of-Life Care | Part One

In this thought-provoking episode, Chris Comeaux and Cordt Kassner unpack some of the most pressing forces shaping the future of end-of-life care—private equity, rising healthcare costs, and the accelerating influence of artificial intelligence. Grounded in real-world stories and industry data, the conversation explores a growing tension between the promise of hospice as a gold-standard care model and the operational, financial, and expectation gaps that providers and families are increasingly experiencing. The discussion dives into systemic challenges, including stagnant reimbursement structures, workforce limitations, and a fragmented healthcare ecosystem that often leaves hospice providers navigating complexity without a clear seat at the broader policy table. As private equity and consolidation trends continue to reshape the landscape, the hosts raise critical questions about whether scale enhances or erodes the deeply human, high-touch nature of hospice care.Looking ahead, the episode broadens into a philosophical and strategic lens—examining how AI may redefine not only care delivery, but the very meaning of being human in healthcare. For leaders across hospice, nonprofit, and healthcare sectors, this conversation offers both a warning and a call to action: innovate thoughtfully, protect what works, and ensure the future of end-of-life care remains anchored in purpose, dignity, and humanity.  Key TakeawaysHospice remains a highly effective and compassionate care model—but growing expectation gaps between families and providers are creating friction.Reimbursement and funding structures have not kept pace with inflation, limiting the ability to deliver comprehensive support.The healthcare system’s pricing inconsistencies and payer mix distortions are creating downstream pressure on hospice providers.Despite consolidation trends, hospice remains a highly fragmented industry, raising important questions about private equity’s role and impact.AI is poised to transform care delivery—but also introduces ethical questions about consciousness, purpose, and the human role in care.(This episode is a Top News Stories of Month March 2026)Co-Host:  Cordt Kassner, PhD, Publisher of Hospice & Palliative Care Today & CEO and Founder of Hospice AnalyticsHost:  Chris Comeaux, President / CEO of TELEIOS, author of The Anatomy of LeadershipTeleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast

In Part Two of this powerful conversation, hospice pioneer Barbara Karnes brings clarity and compassion to one of life’s most misunderstood experiences: the final days of life. With her signature ability to translate complex end-of-life processes into simple, human language, Karnes reframes dying not as a medical failure—but as a natural, deeply human transition. She emphasizes that fear often stems from misunderstanding, and that education is the single most powerful tool to help families navigate this sacred time with confidence and peace.Listeners will gain profound insight into what actually happens as the body begins to shut down—from changes in eating, sleeping, and socialization to the emotional and spiritual realities unfolding beneath the surface. Karnes challenges common misconceptions, including fears around morphine and pain management, and reminds us that it is disease—not dying itself—that causes pain. Through practical guidance and deeply human wisdom, she equips caregivers and clinicians alike to better support both patients and families.At its core, this episode is a call back to purpose. Karnes urges healthcare leaders and hospice professionals to resist the pull toward systems, regulations, and business pressures—and instead refocus on the human being at the center. End-of-life care, she reminds us, is not just clinical work. It is sacred work—an opportunity to guide families through one of the most meaningful moments they will ever experience.5 Key TakeawaysDying is often misunderstood — real end-of-life experiences differ significantly from what people expect based on media portrayals.  Education reduces fear — preparing families with clear, simple explanations helps normalize the dying process and ease anxiety.  The body follows a natural progression — decreased appetite, increased sleep, and withdrawal are expected and mirror the reverse of birth.  Pain is caused by disease, not dying — proper use of comfort medications like morphine is essential and often misunderstood.  Hospice care is sacred, not transactional — the focus must remain on guiding people through a profound human experience, not just managing systems or regulations.  Guest: Barbara Karnes, End of Life Educator and Hospice Pioneer Host:Chris Comeaux, President / CEO of TELEIOS, author of The Anatomy of LeadershipTeleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast

In this powerful conversation, hospice pioneer Barbara Karnes joins TCNtalks / Anatomy of Leadership to unpack with Chris Comeaux what truly happens in the final days of life—and what healthcare professionals often miss. Drawing from over four decades of bedside experience, Barbara shares how hospice care began as a movement outside the traditional medical model, rooted not in treating disease, but in caring for people and their families during life’s most vulnerable moments.  Her insights challenge modern healthcare to return to a more human-centered approach—one that prioritizes presence, education, and compassion.Barbara offers a deeply practical and emotional perspective on the role of hospice professionals as “invisible conductors,” guiding families through fear, uncertainty, and grief.  She explains that while death may be the defining moment, the preparation leading up to it—through education, support, and connection—is what truly shapes the experience for patients and loved ones alike.  This episode also explores the origin story behind her widely influential booklet Gone From My Sight, now distributed in the tens of millions worldwide.  What began as a simple response to families’ fear and confusion became one of the most trusted resources in end-of-life care—reminding us that clarity, simplicity, and empathy are essential in moments that matter most.  5 Key Takeaways:Hospice should prioritize people and families—not just disease.  Education reduces fear at end of life.  Clinicians guide families as an “invisible conductor.”  Self-awareness is essential for effective caregiving.  Clear, simple resources empower families.  Guest: Barbara Karnes, End of Life Educator and Hospice Pioneer Host:Chris Comeaux, President / CEO of TELEIOS, author of The Anatomy of LeadershipTeleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast

What if your leadership challenges aren’t about skill—but about your story?In Part Two of The Secure Leader: How Attachment Styles Shape Leadership, Dr. Jaime Goff dives deeper into how your past experiences, internal narratives, and emotional triggers shape the way you lead today.This episode moves beyond awareness into transformation—helping leaders understand how to rewrite limiting leadership stories, regulate emotional responses, and create environments where teams can truly thrive.You’ll discover how attachment styles influence leadership behavior, why your brain reacts the way it does under pressure, and how secure leaders build trust, psychological safety, and high-performing cultures.If you’re a healthcare leader, nonprofit executive, hospice professional, or business leader looking to grow in emotional intelligence and self-awareness—this conversation will challenge and equip you.⸻🔑 What You’ll Learn:• How your leadership story is shaping your decisions (often unconsciously)• Why emotional triggers live in both your mind and your body• How to reframe past experiences for growth—not limitation• What it means to be a “secure leader” in today’s workplace• Practical ways to regulate emotions and lead with clarity_______Guest: Jamie Goff, Founder and President of The Empathic LeaderHost:Chris Comeaux, President / CEO of TELEIOS / Author of The Anatomy of LeadershipTeleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast

What if the greatest barrier to effective leadership isn’t a lack of skills—but a lack of self-awareness?In Part One of this powerful conversation, Chris Comeaux sits down with Dr. Jamie Goff, executive coach and author of The Secure Leader, to explore how deeply our leadership is shaped by the stories we tell ourselves.  Drawing from her background in psychology and leadership development, Dr. Goff challenges the traditional focus on technical leadership skills and instead shines a light on the internal mindset shifts that truly transform leaders.  Through real-world experience and personal reflection, she introduces the concept of attachment theory in leadership—revealing how patterns formed early in life influence how we lead, trust, and connect with others. This episode offers a compelling invitation for leaders to move beyond surface-level tactics and begin the deeper work of understanding who they are, so they can lead with greater clarity, confidence, and impact.Key TakeawaysMost leadership programs emphasize skills, but overlook the mindset and internal narratives driving behaviorLeadership effectiveness is deeply influenced by personal history, beliefs, and relational patternsAttachment theory reveals three leadership tendencies: secure, avoidant, and anxiousSelf-awareness is the foundation for growth—leaders must examine their internal stories and assumptionsCoaching and intentional development can help leaders bridge the gap between knowing and doingIf you’re ready to lead with greater self-awareness and impact, this episode is your starting point.Listen now—and don’t miss Part Two, where we dive even deeper into how to transform your leadership from the inside out.Guest:  Jaime Goff, Founder and President of The Empathic LeaderHost:  Chris Comeaux, President / CEO of TELEIOS, author of The Anatomy of Leadershipleadership development, emotional intelligence, attachment styles, executive coaching, healthcare leadershipTeleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast

Artificial intelligence is rapidly reshaping healthcare—and hospice leaders cannot afford to ignore its impact.  In this episode of TCNtalks / Anatomy of Leadership, host Chris Comeaux continues his conversation with hospice leader and AI innovator Ernesto Lopez to explore how artificial intelligence is beginning to transform the hospice industry. Drawing from nearly 15 years of operational experience, Lopez explains why hospice needs technology built specifically for its unique clinical, regulatory, and operational realities, rather than tools retrofitted from other healthcare sectors.  The conversation dives deep into the real-world challenges hospice organizations face—particularly around Medicare audits, documentation risk, and operational inefficiencies.  Lopez introduces the concept of “hospice-native AI”, technology designed from the ground up to help organizations proactively identify documentation gaps, reduce compliance risks, and improve patient care. By shortening the feedback loop between documentation and compliance, AI has the potential to give leaders real-time insight into their clinical records instead of discovering problems months or years later during an audit.  But adopting AI requires wisdom. Lopez and Comeaux caution leaders to move forward thoughtfully—focusing on clear use cases, trusted technology partners, and measurable return on investment.  AI is not a cure-all, but when used responsibly, it can become a powerful tool to strengthen hospice operations, improve care quality, and support clinicians doing some of the most meaningful work in healthcare.Key TakeawaysHospice needs “hospice-native” technology. Many existing tools are retrofitted from other healthcare sectors, creating inefficiencies and gaps.AI can help reduce audit risk. By proactively identifying documentation issues and eligibility gaps, hospices can better prepare for Medicare contractor audits.Real-time feedback improves clinical documentation. AI can shorten the compliance feedback loop from months or years to near real time.Technical documentation failures are a major risk. Missing signatures, dates, or admission requirements remain one of the most common audit issues.Responsible AI adoption requires strategy. Leaders should define a clear use case, vet trusted vendors, ensure data security, and measure ROI before implementation.About the GuestErnesto Lopez is the Founder & CEO of 1520 AI, a company developing artificial intelligence tools focused on hospice quality, compliance, and clinical operations.  He previously spent more than two decades leading healthcare organizations across hospice, home health, and hospital settings. About the HostChris Comeaux is the President and CEO of Teleios Collaborative Network (TCN) and host of the TCNtalks / Anatomy of Leadership podcast.  A respected leader in healthcare and organizational strategy, Chris has spent decades helping mission-driven organizations strengthen leadership, culture, and operational excellence—particularly within hospice and serious illness care.Chris is also the author of The Anatomy of Leadership: The 21 Irrefutable Laws of Effective Leadership, where he explores how purpose-driven leadership shapes strong teams and enduring organizations.  Through his podcast and writing, Chris equips leaders with practical tools to navigate complex challenges, lead with integrity, and align strategy with mission.On TCNtalks / Anatomy of Leadership, Chris brings thoughtful conversations with leaders across healthcare, nonprofit, and business sectors—exploring topics such as leadership, innovation, healthcare transformation, and the future of hospice.Teleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast

Artificial intelligence is rapidly entering healthcare—but what does it actually mean for hospice leaders?In this episode of TCNtalks / Anatomy Of Leadership, host Chris Comeaux sits down with Ernesto Lopez, Founder and CEO of 1520 AI, to explore the real impact of AI in hospice care.  Ernesto brings a rare perspective as a registered nurse, healthcare executive, and AI founder, combining decades of hospice leadership experience with formal training in data analytics from Harvard Business School.  Together they unpack what artificial intelligence in healthcare really does, why many leaders misunderstand it, and how hospice organizations can adopt AI responsibly without compromising the human-centered mission of end-of-life care.  They also discuss the growing number of AI vendors entering the hospice space, the risks around data security and patient privacy, and why leaders must exercise caution before integrating new technologies.If you’re a hospice leader, healthcare executive, compliance professional, or nonprofit leader, this conversation will help you understand how to approach AI adoption in hospice, avoid common mistakes, and use technology as an accelerator—not a replacement—for compassionate care.What You’ll Learn•  What AI actually does (and what it doesn’t)•  How large language models like ChatGPT process information•  The biggest mistakes healthcare leaders make with AI adoption•  Why data governance and security are critical•  How hospice leaders can use AI responsibly to support mission-driven careAbout the GuestErnesto Lopez is the Founder & CEO of 1520 AI, a company developing artificial intelligence tools focused on hospice quality, compliance, and clinical operations.  He previously spent more than two decades leading healthcare organizations across hospice, home health, and hospital settings.  About the Host Chris Comeaux is the President and CEO of Teleios Collaborative Network (TCN) and host of the TCNtalks / Anatomy of Leadership podcast.  A respected leader in healthcare and organizational strategy, Chris has spent decades helping mission-driven organizations strengthen leadership, culture, and operational excellence—particularly within hospice and serious illness care.Chris is also the author of The Anatomy of Leadership: The 21 Irrefutable Laws of Effective Leadership, where he explores how purpose-driven leadership shapes strong teams and enduring organizations.  Through his podcast and writing, Chris equips leaders with practical tools to navigate complex challenges, lead with integrity, and align strategy with mission.On TCNtalks / Anatomy of Leadership, Chris brings thoughtful conversations with leaders across healthcare, nonprofit, and business sectors—exploring topics such as leadership, innovation, healthcare transformation, and the future of compassionate care.************TCN Talks explores leadership, healthcare innovation, and mission-driven organizations.👉 Subscribe for more conversations on leadership, healthcare innovation, and the future of hospice care.Teleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast

In Part Two of “Love Hurts: Leadership, Quality, and the Future of Hospice & Palliative Care,” leaders from the GeriPal podcast and TCNtalks / Anatomy of Leadership, continue a thoughtful discussion on the most pressing issues facing hospice and palliative care today.The conversation explores how waste, fraud, and abuse in isolated cases can tarnish the reputation of an entire field—even when the majority of providers deliver extraordinary care.  The panel dives into the evolving landscape of ownership models, from nonprofit and faith-based organizations to private equity–backed providers, raising an important question: does ownership affect quality, or does leadership and accountability matter more?  The discussion also examines structural challenges within the healthcare system, including flawed quality reporting tools like Medicare Compare and the unintended consequences of free-market dynamics in healthcare.  With over 300 hospices sometimes operating within a single county, leaders highlight the need for transparency, meaningful quality metrics, and thoughtful regulation such as Certificate of Need laws to ensure resources are distributed responsibly and patients receive the best possible care.  Finally, the conversation pivots to leadership—arguably the most important ingredient in shaping the future of hospice and palliative care.  From the principle of “Go See for Yourself” (Gemba Leadership) to the importance of servant leadership, focus, curiosity, and interdisciplinary collaboration, the panel shares powerful lessons for healthcare leaders navigating complex systems while staying grounded in mission-driven care for patients and families.Key TakeawaysFraud and bad actors can damage the reputation of the entire hospice field.  Ownership models matter less than maintaining high-quality patient care.  Healthcare markets lack true transparency and informed consumer choice.  Many hospices still lack meaningful public quality ratings.  Effective leaders stay close to the mission and frontline care.  (This episode is a Top News Stories of Month February 2026)TCNtalks:Chris Comeaux, President / CEO of TELEIOSTCNtalks Co-Host:Cordt Kassner, PhD, Publisher of Hospice & Palliative Care Today & CEO and Founder of Hospice Analytics GeriPal Podcast:Dr. Eric Widera, Professor of Medicine and clinician-educator in the Division of Geriatrics at the University of California San Francisco (UCSF) and co-host of Geri-Pal PodcastDr. Alex Smith, UCSF faculty in the Division of Geriatrics and ) and co-host of Geri-Pal PodcastTeleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast

This episode explores the future of hospice leadership and hospice quality through a collaborative discussion between the TCNtalks and GeriPal podcasts. TCNtalks host Chris Comeaux and co-host Cordt Kassner join forces with Dr. Eric Widera and Dr. Alex Smith of the GeriPal Podcast , leaders in palliative care and hospice innovation discuss emerging quality measures, data-driven hospice analytics, research challenges, and the leadership needed to guide healthcare organizations through change. For professionals working in healthcare leadership and serious illness care, the conversation offers valuable insight into the policies, research, and innovations shaping the future of hospice and palliative medicine.This is a thoughtful roundtable discussion on leadership, quality, and the evolving future of hospice and palliative care. Together, they explore the biggest stories shaping the field—from emerging quality metrics and research priorities to the human side of hospice leadership.  If you’re passionate about improving serious illness care, this conversation is just the beginning.  Subscribe to TCNtalks and GeriPal to stay informed on the latest trends in hospice leadership, palliative care innovation, and healthcare policy. Share this episode with a colleague, discuss it with your team, and join the movement to strengthen the mission and future of hospice care.(This episode is a Top News Stories of Month February 2026)TCNtalks:Chris Comeaux, President / CEO of TELEIOSTCNtalks Co-Host:Cordt Kassner, PhD, Publisher of Hospice & Palliative Care Today & CEO and Founder of Hospice Analytics GeriPal:Dr. Eric Widera, Professor of Medicine and clinician-educator in the Division of Geriatrics at the University of California San Francisco (UCSF) and co-host of Geri-Pal PodcastDr. Alex Smith, UCSF faculty in the Division of Geriatrics and ) and co-host of Geri-Pal PodcastTeleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast

In Part Two of Be Where You Are: Leadership, Caregiving, and the Courage to Pause, Carla Davis reflects on a transformative year away from executive leadership—one shaped by caregiving, reflection, and rediscovering her deeper purpose.  What began as a pause became a profound reaffirmation of calling.  Carla shares how stepping out of the day-to-day demands of leadership gave her clarity around stewardship, alignment, and the responsibility to use her gifts—leadership and mercy—with intention and courage.Drawing from her personal experience navigating a fragmented healthcare system while caring for her mother, Carla offers an unfiltered look at the gaps in care coordination—and the urgent opportunity hospice and end-of-life leaders have to model something better.  Innovation, she argues, isn’t just about big ideas.  It’s about tighter coordination, presence, responsiveness, and getting the fundamentals right—because in hospice, we only get one chance to do it well.At the heart of this conversation is a simple yet powerful leadership mandate: Be where You Are.  In a distracted, high-pressure world, Carla reminds healthcare leaders that presence is the ultimate act of service.  Whether leading teams, caring for patients, or mentoring the next generation, the future of hospice depends on leaders who choose to fill their time with purpose.5 Key TakeawaysClarity Comes in the Pause – Stepping away from leadership can reinforce—not redefine—your purpose and calling.Alignment Drives Leadership Effectiveness – Leaders are at their best when their strengths, values, and roles are aligned.Healthcare’s Greatest Innovation is Coordination – True transformation in hospice and healthcare begins with connected, responsive care—not just big, disruptive ideas.Presence is Leadership – “Be where you are.” The most powerful leadership moments often come from simple, undistracted presence.Legacy is Leadership Multiplication – You’re not truly a leader until you’ve developed leaders who develop leaders.Guest: Carla Davis, Executive in Residence for Cressey and CompanyHost: Chris Comeaux, President / CEO of TELEIOSTeleios Collaborative Network   /   https://www.teleioscn.org/tcntalkspodcast