Expert Resources for Care at Home

Paul Kusserow On What Really Fixes Home Health and Hospice | MTEC

Written by Maxwell TEC | Nov 10, 2026

Maxwell TEC is a proud sponsor of Last Visit First with Tom Maxwell, a podcast bringing leaders, innovators, and caregivers together to talk honestly about the choices shaping the future of home health and hospice. 

Paul Kusserow took over Amedisys when it was under a Corporate Integrity Agreement, carrying heavy debt, fighting activist shareholders and trading at a low. He spent about a week a month in the field, scrapped a nearly $100 million in-house software build, cut nurse turnover from the 40s to 15%, raised quality to 4.8 stars, and grew Amedisys into the third-largest hospice provider before UnitedHealth's Optum acquired it.

Now Executive Chairman and CEO of Careforth, Paul sits down with Tom Maxwell to talk about what actually fixes home health and hospice: why payers bought the industry's biggest home health companies, how Careforth cares for nursing-home-eligible patients at home for $45 to $60 a day, the ESRD and dialysis rule that keeps patients out of hospice, what Medicare Advantage gets wrong about care in the home, and why he believes healthcare will change more in the next five years than in the last hundred.

Listen Now: