Literature Review

Conspiracy of verticals:  Rethinking healthcare models with Peter Benjamin Teleios collaborative Network (TCN); video/podcast hosted by Chris Comeaux with Peter Benjamin; 10/8/25 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. 

One year after Hurricane Helene: Lessons in resilience, recovery, and renewal Hospice & Palliative Care Today; Joy Berger and Cordt Kassner with Vern Grindstaff, Millicent Burke-Sinclair, and Chris Comeaux; 9/26/25 At this time last year, Hospice & Palliative Care Today brought you a series of articles reporting on the devastating impact of Hurricane Helene across the Southeast, focusing on hospices in the North Carolina mountains. We remain deeply grateful for the many ways you—our readers and colleagues—rallied in support of those hospice organizations and their communities during their time of urgent need. This Saturday, September 27, 2025, marks the one-year anniversary of that epic disaster. To reflect on what has been learned and how recovery has unfolded, Vern Grindstaff (CEO of Compassionate Care WNC, Burnsville, NC), Millicent Burke-Sinclair (President and CEO of Four Seasons, Flat Rock, NC), and Chris Comeaux (President and CEO of Teleios Collaborative Network, Flat Rock, NC) gathered in conversation with Cordt Kassner (publisher) and Joy Berger (editor-in-chief). The insights that follow honor the hospice employees who persevered to provide urgent patient care. We celebrate their spirit of compassionate community and courageous problem-solving from the onset one year ago through ongoing recovery.

Transforming healthcare: A conversation with Rita E. Numerof Teleios Collaborative Network (TCN); pod/videocast by Chris Comeaux with Rita E. Numerof; 9/17/25 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. 

Exploring hospice care innovations - Top news stories, August 2025 Teleios Collaborative Network (TCN); podcast by Chris Comeaux with Cordt Kassner; 9/3/25 Hospice and palliative care face significant challenges amid broader failures in the healthcare system, with experts anticipating a critical opportunity for reform by 2026-2027 as Medicare faces potential bankruptcy and employers confront double-digit premium increases. Join Chris Comeaux and Cordt Kassner as they delve into the latest trends and challenges in hospice care.  From the impact of AI to the importance of research and innovation, this episode covers it all.

How to create meaning in every season of life with Dr. Trisha Welstad Teleios Collaborative Network (TCN); podcast hosted by Chris Comeaux with Trisha Welstad; 8/27/25 In this conversation, Dr. Trisha Welstad shares her philosophy on leadership, highlighting the importance of healthy leaders who can heal the world, demonstrating how personal pain can shape a person's purpose, and highlighting the value of reflection in leadership. Dr. Trisha Welstad explores how purpose emerges from our deepest wounds and why healthy leaders can heal the world through their wholeness.  She shares her belief that purpose isn't a luxury, but a necessity for our identity, one that develops throughout all stages of life.

Navigating the Wage Index: Insights from industry experts Teleios Collaborative Network (TCN); podcast by Chris Comeaux with Annette Kiser and Judi Lund Person; 8/20/25 The healthcare landscape is transforming before our eyes, shifting away from hospital-centered care toward home-based models.  This fundamental change raises urgent questions about Medicare's outdated reimbursement systems, particularly for Hospice providers facing a mere 2.6% rate increase while battling significant inflation. Join us in this illuminating conversation and in-depth discussion with industry experts Annette Kiser, Chief Compliance Officer with Teleios, and Judi Lund Person, Principal, Lund Person & Associates LLC, as they sit down with Chris and explore the complexities of the final 2026 Hospice Wage Index and its impact on Hospice organizations.

The path to the future may be the un-obvious: Top news stories, July 2025 Teleios Collaborative Network (TCN); podcast by Chris Comeaux with Cordt Kassner; 8/6/25 The future of hospice care hangs in the balance as providers navigate a perfect storm of challenges and opportunities. From financial pressures closing hospice houses to unprecedented Medicare fraud schemes, from technological disruption to changing consumer expectations – the hospice field stands at a critical inflection point that demands both reflection and action. Join hosts Chris Comeaux and Cordt Kassner as they delve into the latest trends and challenges in Hospice and Palliative Care, discussing key trends, challenges, and innovations shaping the field. This episode covers a wide range of topics, including the impact of healthcare layoffs, disruptive innovations, and the importance of disaster preparedness. 

AMOREM cuts ribbon on long-awaited hospice patient care unit WataugaDemocrat.com, Boone, NC; by Abigail Eggers; 7/30/25 Boone’s long-awaited and first hospice patient care unit, AMOREM’s SECU Patient Care Unit, has officially opened. “AMOREM has long believed in the power of a hospice patient care unit. In fact, we opened North Carolina’s very first patient care unit in 1989. We’ve seen firsthand the comfort these places bring to our patients,” said April Moore, CEO of AMOREM, at the July 25 ribbon cutting. AMOREM purchased the land for the facility in January 2020. A month later, the property was annexed into the town of Boone. In October 2020, the state approved AMOREM’s request for six inpatient beds in Watauga County, and first broke ground on the property in September 2023.Editor's Note: Congratulations to AMOREM. Their January 2020 purchase plans were surely interrupted by March 2020's COVID. After breaking ground in September 2023, Hurricane Helene hit this mountain in September 2024. Having had family who lived in this area, your resilience and tenacity through especially challenging time is inspiring. 

Where Teal meets Requisite Organization with Bruce PetersTeleios Collaborative Network (TCN); podcast by Chris Comeaux with Bruce Peters; 7/9/25What happens when two powerful organizational frameworks converge? Bruce Peters, founder of Beyond Teal LLC and longtime student of leadership, joins Chris Comeaux to explore the fascinating intersection of Requisite Organization and TEAL principles—and how they might save modern workplaces from disconnection and disengagement. The conversation begins with a provocative question about superpowers, with Peters suggesting most of us misidentify the source of our success. Additionally, they delve into the complexities of leadership and organizational structure, with a specific focus on the healthcare sector.

HOPE Tool Anxiety, Part II: From planning to practice Teleios Collaborative Network (TCN); podcast by Melissa Calkins; 6/30/25The countdown has begun. With October 1 on the horizon, hospice teams across the country are deep into training and testing—but preparation alone won’t guarantee success. The shift to HOPE isn’t just operational; it’s cultural. And real readiness goes far beyond timelines and task completion. It demands that every clinician, across every shift and care setting, understands what’s changing and feels confident in how to respond. This is the critical moment when planning must translate into practice—because once HOPE is live, the margin for error disappears.

Teleios announces addition of Sharon S. Richardson Community Hospice Teleios Collaborative Network (TCN), Hendersonville, NC; by Tina Gentry; 6/17/25 Teleios Collaborative Network (TCN) announced the addition of Sharon S. Richardson Community Hospice (SSRCH) as a member. Since 2007, SSRCH has been providing compassionate care and quality of life to all those in need through its hospice and palliative care programs. Although most patients are served wherever they call home, they offer a beautiful inpatient center for patients when needed. In addition to these services, SSRCH also provides grief support to the community and offers the We Honor Veterans and No One Dies Alone programs.

HOPE Tool Anxiety: What are we forgetting in the rush to prepare?Teleios Collaborative Network (TCN); by Melissa Calkins and Ashley Espy; 5/30/25 Panic is in the air.  With the HOPE assessment tool set to replace HIS, hospice teams are racing to prepare—scrubbing workflows, updating systems, and trying to wrap their heads around new clinical documentation demands.  But amid the rush, it's easy to overlook critical gaps: non-clinical staff being left out of planning, unclear timelines, poor communication, or the complete absence of a project lead.  HOPE isn't just about compliance—it's about execution. If we don't step back and ask what's missing, we risk rolling out a system that nobody is truly ready for.Steps to Operationalize the HOPE Tool:

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