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What happens when a disaster-response leader gets pulled back home by a family tragedy and suddenly has to run a deeply regulated health care company that shows up in people’s living rooms instead of a clinic? That’s the heart of our conversation with Vince Moffitt of Basin Health Companies, the locally owned provider serving Farmington and communities across Northwest New Mexico with home health care, hospice, and caregiving.

We get real about what “keeping seniors at home” actually requires: clinical standards, caregiver training, patient goals, and a documentation burden so strict that a small mistake in a chart can have massive consequences during a CMS audit. Vince also explains how breaking out of organizational silos and leaning on state and national associations helped drive a full cultural shift and earn five-star home health outcomes.

Then we dig into the money and policy forces shaping care, including Medicare reimbursement cuts and the growing influence of Medicare Advantage plans. Vince shares why denials and minimal approvals can leave patients without meaningful therapy, and why advocacy in Santa Fe and Washington, DC is not optional if communities want sustainable home-based care. We also touch palliative care expansion, rural health care logistics, and the unique cultural realities of serving Navajo Nation families with respect and clarity.

If you care about aging in place, hospice support, rural health care, or how local businesses survive in a world of national chains, listen now, then subscribe, share with a friend, and leave a review so more people can find the show.

Be sure to follow or subscribe! And, if you're a local business owner who'd like to be featured - or know someone whose story should be told - get in touch at Ken@StrategicHorizonsConsulting.com

This show is brought to you by Strategic Horizons Consulting (a division of Ken Collins Marketing).

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