Integrating Hospice Into Primary Care: Your Health’s Strategic Rollout
This conversation breaks down Your Health’s strategic rollout of hospice—why we’re integrating it with primary care, how RAF scores guide staffing, the incentive model for nurses, partnerships with home care agencies, and practical supports like respite care and therapy. Scott explains how aligning hospice with value-based care reduces hospitalizations, improves comfort, and preserves continuity with the attending provider. If you work inside Your Health—or partner with us—this is the roadmap.
The Disrupted Podcast · Jamie Preston, Scott Middleton
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Show Notes
Show Notes / Summary
- Why launch hospice now: continuity, fewer hospitalizations, value-based alignment
- Clarifying myths: CNA hours on hospice, attending provider still leads care
- RAF & staffing logic: ~$6k/mo hospice per diem ↔ RAF ~5; translating RAF → weekly CNA/CHW hours
- Nurse incentives: $150 per admission; double telehealth-assist credit on hospice patients
- Software + workflow: Athena ↔ WellSky (care plans, documentation, pull-through)
- Facility model: converting buildings; estimating FTEs from hospice census + RAF
- Chaplain/social work: leverage in-region LSWs; connect to patient’s faith community
- Respite options: Medicare respite/GIP + GUIDE program for dementia (up to $2,500yr)
- Therapy as palliative strength: weekly PTA/COTA; telehealth support
- After-hours model: optional call, $300 RN death/critical visit; $150 for non-nurse critical checks
- Guardrails: clinical judgment first; financials inform—not dictate—care