Home Care, You Say?

Home care is a pillar of our health care system, but navigating through the complex legislation, federal and state compliance policies, and learning to advocate for yourself or your family can feel daunting. Where do you even begin?

Welcome to 'Home Care, You Say?', the essential podcast for advocates, frontline workers, patients, and their families. Join your hosts, Michael Sokoloski and Bliss Pointer, as they demystify the forces shaping home care in America and empower you to make a difference and create change.

Whether you're in the field, receiving care, or fighting for a better system, 'Home Care, You Say?' is your indispensable guide. Tune in to get informed, get inspired, and take action. 

Updates with Bliss Pointer

Join H4HC insider Bliss Pointer and stay ahead of the curve. Bliss offers important, boots-on-the-ground updates on everything you need to know right now. Be the first to learn about pending state and federal legislation that directly impacts home care workers and recipients, and follow along as she explains new compliance rules and industry trends so you're never caught off guard. Bliss also provides vital advocacy alerts and actionable steps on how to improve home care in your state and beyond. Join Bliss as she brings community voices to the forefront, sharing thoughts, questions, and insights from frontline workers, care providers, and their patients. 

Interviews with Michael Sokoloski

H4HC's Director of Grassroots Advocacy, Michael Sokoloski, goes behind the headlines and inside the halls of power. Join Michael as he sits down for candid conversations with legislators from across the country to tackle the big-picture issues, including core legislative and financial challenges facing Medicare and Medicaid. Tune in as Michael reveals how policy and budget decisions shape the work of frontline caregivers—and shares his playbook for navigating legislation and advocating effectively

Whether you're in the field, receiving care, or fighting for a better system, 'Home Care, You Say?' is your indispensable guide. Tune in to get informed, get inspired, and get activated.

Created and distributed by Hearts for Home Care and produced by slanted.design

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Episodes

2 days ago

Want to level up your advocacy game but feel intimidated by the political scene? We've all been there—but it's time to learn just how easy these meetings can be and what you should expect before heading in. Mike is back on the mic today to bust the ultimate myth: the idea that your elected officials are too booked up to listen to what you have to say.
In reality, state and federal officials often enjoy connecting with their constituents because they need to know what matters most to the voters in their districts. You are the true expert in the room, and your unique experiences hold the power to drive real, lasting change.
 
In This Episode, You'll Learn:
- Why you are the true experts in the room.
- How to easily track down your specific representatives using a simple online search tool.
- The crucial differences between state advocacy (Medicaid reimbursed home care) and federal advocacy (Home Health and Hospice).
- The absolute best methods to reach out and schedule a quick 15 to 20-minute meeting with an elected official.
 
Resource Links:
- Request a meeting with your local lawmakers: heartsforhomecare.quorum.us/campaign/request-visit/
- Submit your personal video story if you can't make a face-to-face meeting: heartsforhomecare.com/share-story
- Use the "Find Your Lawmaker" tool: heartsforhomecare.quorum.us/officials/
- Reach out for extra support and advocacy strategy by emailing advocacy@heartsforhomecare.com.
 

At the Table or On the Menu?

Friday May 29, 2026

Friday May 29, 2026

In this episode, host Michael Sokoloski sits down with Maggie DiPasquale, the Area Director of Government Affairs for Hearts for Home Care and Bayada Home Health Care.
Maggie breaks down the complex, sometimes frustrating world of Medicare policy and explains why home care providers are facing an uphill battle against continuous reimbursement cuts.
 
In This Episode, You'll Learn:
- The Policy vs. Access Gap: How viewing healthcare cuts through a "spending lens" instead of an "access lens" hurts real patients.
- The Compounding Effect: Why year-over-year payment reductions create massive challenges for recruiting and retaining a fragile workforce.
- The Power of the Human Story: Why home visits are the ultimate advocacy tool to change lawmakers' minds.
- How to Take Action: The simplest way for new advocates to share their stories and secure their seat at the policy table.
Share Your Story: Hearts for Home Care Website
Learn More: Medicare Payment Advisory Commission (MedPac)
 
 
produced by slanted.design

Friday May 22, 2026

Happy May advocates! Advocacy season is officially in full swing, and host Bliss Brown returns for a quick classroom session. In this episode, we are clearing up the ultimate healthcare confusion once and for all: what is the actual difference between Medicare and Medicaid, and how does it impact the future of home care?
In This Episode, You'll Learn
The Alphabet Soup of Care: A simple breakdown of Medicare Parts A, B, C, and D—and which one you'll hear about most in home health.
The Long-Term Lifeline: How Medicaid acts as the primary payer for long-term, home-based services across America.
The Power of Both: What it means to be "dual-eligible" and how these two massive programs work together for patients.
Why It Matters Right Now: How federal funding decisions directly impact state budgets and the home care services your family and community may rely on.
 

Friday May 15, 2026

We sit down with Laura Brigandi, senior manager of advocacy practice for the Public Affairs Council, to pull back the curtain on what actually moves the needle with decision-makers. We discuss the importance of personalization in messaging and building relationships that are beneficial, not transactional. Laura delivers the blueprint for influence that sticks. If you’re ready to stop just "raising awareness" and start driving real policy change, this conversation is your new secret weapon🔥
In This Episode, You’ll Learn 💡
Why credibility, relevance, and human consequence are the non-negotiables for any successful campaign.
How to move past generic "action alerts" and use your authentic story to cut through the noise of AI-generated messages.
Why "knowing an issue exists" isn't enough—and how to target the right people to actually change a decision.
How resource-constrained organizations can build a powerhouse advocacy practice without a massive staff or budget.
The critical importance of the "follow-up" and why advocacy is a relationship discipline, not a one-time event.
Resource Links 🔗
Guest Info: Connect with Laura Brigandi at the Public Affairs Council.
Event Alert: Don't miss the upcoming Public Affairs Council Advocacy Conference.
Become an advocate at H4HC
 
produced by slanted.design

Friday May 01, 2026

Get ready to feel inspired! In this episode, we’re joined by the ultimate power duo from the New Jersey State Legislature: Assemblywoman Carol Murphy and Assemblywoman Aura Dunn. Despite being on different sides of the aisle, these two are proof that passion for the home care community transcends politics. They dive deep into the formation of New Jersey's first-of-its-kind Bipartisan Home Care Caucus and share heart-to-heart stories about how visiting families in their homes changed their entire legislative perspective. It’s a masterclass in advocacy, empathy, and getting things done for the "Silver Tsunami" heading our way.
 
Are you a home care advocate in the tristate area? Learn more about our New Jersey Home Care Rally happening in May and RSVP today! https://heartsforhomecare.quorum.us/event/33183/
In This Episode, You’ll Learn:
The Power of Proximity: Why seeing home care in action is 100x more impactful than reading a budget report.
Small Wins, Big Impact: The "behind the scenes" saga of the Parking Plaque Bill and why persistent advocacy matters for home health aides.
The Workforce Crisis: A candid look at why raising the minimum wage isn't a "one-size-fits-all" fix for the dedicated DSPs and LPNs in the field.
Cutting the Red Tape: What the new administration can do to simplify the permitting and hospitalization transfer process for families.
The Future of Advocacy: How to be your own "Nudger in Chief" and effectively reach out to your local representatives.
 
Loved this episode? Don't let the conversation stop here! Subscribe to our channel, leave a review on your favorite podcast platform, and head over to our website to see how you can join our grassroots advocacy efforts today! Let’s keep nudging for change together!
 
 
 
produced by slanted.design

Friday Apr 17, 2026

This week Mike Sokolowski sits down with Jason Lee, CEO of the Home Care Association of America (HCAOA). They tackle the massive forces reshaping how we care for our aging population—from AI breakthroughs to the urgent need for a professionalized workforce. If you want to know where the future of healthcare is headed (hint: it’s right in your living room), you can't afford to miss this one! 
 
Don't forget that next week is the HCAOA Advocacy Day in Washington D.C. (April 22, 2026), be part of the movement to protect home health care at
hcaoa.org/national-home-care-advocacy-day.html
 
In the Episode:
- Policy Power Plays: How the HCAOA is working with legislators to create "common sense" policies that support both agencies and families.
- The 2050 Demographic Cliff: Why the exponential growth of the 65+ and 85+ populations is the biggest external factor facing the industry.
- Professionalizing the Caregiver: Shifting the narrative from a "calling" to a rewarding, high-skill "career path" to solve the recruitment crisis.
- Immigration as a Solution: The push for streamlining EB-3 visas and creating a specific "Home Care Visa" to bolster the workforce.
- Advocacy 101: Why you are the "most important person in the room" when meeting with members of Congress (and how to tell your story).
- The Tech Evolution: How AI and electronic visit verification (EVV) are streamlining operations and ensuring program integrity.
- Protecting the "Agency Model": Why W-2 employment is the gold standard for preventing fraud, waste, and abuse compared to 1099 models.
Resource Links 
HCAOA Website: Home Care Association of America
Become a H4HC Advocate at heartsforhomecare.com
 
 
 
 
produced by slanted.design

Friday Apr 03, 2026

We are ready to answer all your questions about hospice and hospice care. Most people associate it with the very final days of life, but there is so much more to the story. In this episode, Mike sits down with Logan Hoover, Vice President of Policy and Government Relations at the National Alliance for Care at Home, to pull back the curtain on the industry. From the "2.6% problem" to the bad actors giving the field a bad name, we’re diving deep into the advocacy work keeping compassionate care alive. Logan shares why hospice is a "career calling" and how we can protect the most vulnerable patients from fraud while ensuring quality providers have the resources they need to thrive. 
 
In This Episode, You'll Learn:
The 2.6% Dilemma: Why a "pay increase" is actually a budget cut for small and rural providers when inflation is factored in.
The "Law Enforcement Problem": How criminal actors in places like LA County are "robbing banks" by exploiting the hospice benefit.
The Special Focus Program: The difference between an anti-fraud program and one designed to help "needs improvement" providers raise their game.
Beyond the "Final Days" Myth: When and why families should start the hospice conversation much earlier than the final 48 hours.
The Future of the Workforce: Strategies to fight burnout, increase wages, and use technology like telehealth to keep clinicians in the field.
Advocacy in Action: What the National Alliance for Care at Home is doing to protect the industry.
 
Resource Links 🔗
Caring Info: CaringInfo.org – All the resources you need for hospice, palliative care, and advance directives. Available in both English and Spanish.
National Alliance for Care at Home: Visit Website – Stay updated on the latest policy and advocacy efforts.
 
 
 
produced by slanted.design

Monday Mar 30, 2026

Spring has officially sprung, and that means one thing: the heat is turning up on home care advocacy!
In this update, Bliss breaks down the massive turnout at Pennsylvania’s Advocacy Day and why those conversations are "strategic gold" when negotiating the state's budget. We also take a tour across the nation—from the "juicy" political upsets in North Carolina to the looming budget battles in Florida and New Jersey.
Whether you're curious about the "Medicaid spending microscope" hitting blue states or want to know when the next big Advocacy Day is happening near you, this episode is packed with the intel you need to stay ahead of the curve. Get ready to be inspired and get involved! 
 
Episode highlights
Pennsylvania’s Record Run: How a massive turnout on March 24th is tackling the direct care worker crisis and Medicaid reimbursement rates.
The Federal "Fraud" Focus: Why CMS, the President, and Congress are putting a magnifying glass on program oversight and what that means for your state.
A Political Plot Twist: Why the defeat of North Carolina’s Senate Pro Tem by just 23 votes is a game-changer for the state's budget future.
State Breakdown: The latest on HCBS service increases in South Carolina, New Jersey's budget prep, and Florida’s workforce shortage battles.
Your Advocacy Calendar: Save the date and RSVP for upcoming events in Delaware (May 14) and North Carolina (May 13).
 
Resources
Take Action: Visit the Hearts for Home Care Website to contact your legislators.
Get Involved: Email the team directly at advocacy@heartsforhomecare.com to join the movement.
Stay Social: Check out the Pennsylvania Fireside Chats for local advocacy updates, you can RSVP on the event page.
 
produced by slanted.design

Friday Mar 20, 2026

Get ready for an insider look at the rapidly evolving world of home-based healthcare! In this episode, Mike Sokolowski sits down with Liza Berger, the Editor of McKnight’s Home Care. Liz shares her unique perspective on the future trends and challenges of home health care, cultivated from her 20-year journey through healthcare journalism.
They dive deep into the "miracle" of modern home care—from hospital-at-home models to improvements of specialized care—while tackling the gritty realities of reimbursement cuts and the increased focus on fraud in the industry. Whether you’re a provider, a caregiver, or an advocate, this conversation is packed with the data and heart you need to navigate the home care landscape. 
 
In this episode:
- The Hospital-at-Home Boom: Why the five-year extension of the hospital-at-home model is a game-changer for sector stability.
- The Advocacy Shift: How the industry battles "asking for increases" to "protecting against cuts".
- Resonating with Lawmakers: How personal storytelling remains the most powerful tool to influence busy lawmakers.
- Red Flags: The truth about the "fraud bullseye" on the back of home care and how the industry is fighting back.
- Knowledge is Power: Liza's top tips for staying informed and making your voice heard, no matter how busy your schedule is.
 
Resources:
Hearts for Home Care: heartsforhomecare.com
McKnights Home Care: mcknightshomecare.com
 
You can also listen to Liza's 'Newsmakers' podcast: mcknightshomecare.com/home/news/newsmakers-podcasts/
 
produced by slanted.design

Monday Mar 16, 2026

In This Episode, You’ll Learn:
- New Jersey’s New Budget: What the Governor's latest proposal means for Medicaid spending and the new employer assessment.
- Federal Trickle-Down: How increased scrutiny on fraud, waste, and abuse in states like Minnesota is heading to a capital near you.
- Delaware's Big Win: Why recent testimonies before the Joint Finance Committee are changing the narrative for funding.
- South Carolina Update: The latest on the House budget pass and why the fight for rate increases moves to the Senate next.
- North Carolina Primary Shocker: A breakdown of the recent election results, including a major loss for a key home care champion and what it means for the future of the NC Senate.
Don't just listen—lead! If you're feeling the "advocacy itch," head over to our website to join a letter-writing campaign or sign up for an Advocacy Day near you. ✍️ Also, don't forget to subscribe and leave us a 5-star review if you found these updates helpful!
Resource Links:
- Hearts for Home Care Website: heartsforhomecare.com — Your hub for state-specific action centers!
- South Carolina Letter Campaign: Use the pre-drafted templates to reach your Senators in seconds!
- Pennsylvania Advocacy Day: Mark your calendars for March 24th—don't miss the biggest event of the season!
 
produced by slanted.design

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