Hospice with Jim

Hospice with Jim Former hospice Chaplain, COO, and CEO with 15+ years of experience. New episodes Tuesday & Thursday.

Host of Dying for Profits: Exposing the Business of Hospice Care a 13-episode podcast series uncovering fraud, regulatory failure, and private equity.

Hospice. Assisted living. A diagnosis that changes everything. When the fear and confusion set in, you don't have to nav...
06/18/2026

Hospice. Assisted living. A diagnosis that changes everything.

When the fear and confusion set in, you don't have to navigate it alone.

Plain-language guidance for less than a Cafè coffee - just $3.99/mo.

Take a breath. Start here! www.silverseasonsnavigator.com

06/17/2026

The doctor just said there's nothing else they can do, and it's time for hospice.
The first thing most families do next is the worst thing they can do: they go quiet. Everyone starts protecting everyone else, nobody says what they're feeling, and that silence becomes the thing people regret for years.
In the first week, have one honest conversation. Not about logistics. Just, "I love you, I'm scared too, and I'm not going anywhere." That one conversation changes everything that comes after it.
I've spent several years serving in hospice care, and I've built a library of plain-language guides for families walking this exact road. 80 guides.
👉 https://www.silverseasonsnavigator.com

06/09/2026

A medical director's silence speaks volumes. It can signal a commitment to clinical rigor or, conversely, a lack of due diligence in reviewing patient documentation. In many hospices, doctors only learn about patient admissions during IDT meetings, ratifying decisions already made by nurses. This sequence is common, but what does the silence truly communicate about the organization's priorities?

06/09/2026

In a mission-driven hospice, patient outcomes guide conversations, ensuring nurses have resources. Financials support care. In a margin-driven hospice, admissions and cost per day take precedence, with clinical outcomes secondary. You know which is which within minutes.

06/09/2026

A nurse caring for 22 patients faces impossible choices daily. Triage decisions, shortened visits, compressed documentation—standards erode. This isn't about bad actors; it's a system where capacity is sacrificed for growth, leading to moral injury.

06/08/2026

Why Integrity Without Structure Still Fails Patients

A hospice nurse caring for over 18 patients cares deeply about every one of them. That doesn't change the math. A hospice medical director with genuine clinical commitment works inside a governance culture that quietly pressures him to stop asking hard questions. That doesn't change the outcome. I've spent over 16 years in this industry, and bad people didn't always run the hospice organizations that failed their patients. They were run by good people inside broken structures. This is Episode 11 of Dying for Profits.

06/05/2026

The doctor's signature is on the paperwork. But in many hospices, the doctor didn't make the decision and didn't know it happened until the next team meeting. Here's what actually goes on when someone is admitted to hospice.

06/04/2026

I've sat in rooms with operators who wouldn't put their name on a single ownership document. Prior sanctions. Prior investigations. So they found someone they trusted. And that person signed. I watched this happen. Here's what it actually looks like from the inside.

06/04/2026

Most people assume hospice fraud happens because bad people sneak past the rules.
The harder truth is that the rules themselves created the incentive.
Medicare pays hospice a flat daily rate for every patient, every day. That rate was designed in 1982 for nonprofits whose sole purpose was to care for people at the end of life.
When for-profit companies, and later private equity, entered the market, they found a payment model that rewarded keeping patients enrolled longer rather than serving them better.
I spent 15 years in this industry. I saw it from the inside.
This is not about blaming an entire profession. Most people in hospice are there because they care. This is about a payment structure that was never updated to match the industry it created.
Dying for Profits is a 13-episode investigation into what that gap has cost patients and families.

06/02/2026

The federal government has known exactly how to fix Medicare hospice fraud for more than a decade. The reports are published. The recommendations are on record. The bill is written. This episode asks the only question left: why hasn't hospice reform happened?

Address

Forney, TX
75126

Website

Alerts

Be the first to know and let us send you an email when Hospice with Jim posts news and promotions. Your email address will not be used for any other purpose, and you can unsubscribe at any time.

Shortcuts

Featured

Share

Category