We talk with Vince Moffitt about the behind-the-scenes reality of home health, hospice, and caregiving in Northwest New Mexico and why keeping seniors at home takes more leadership, compliance, and grit than most people ever see. He shares how family tragedy pulled him into the business, what it took to reach five-star patient outcomes, and why reimbursement and Medicare Advantage decisions can make or break real care.
• stepping into a multigenerational company after loss and rebuilding trust
• learning Medicare, Medicaid, clinical standards, and CMS compliance fast
• using state and national associations to break silos and bring in outside ideas
• creating a culture where kindness is a practiced value
• how caregivers and clinicians structure days around patient goals
• preventing falls and broken hips as a cost and quality issue
• what hospice really provides for patients and families, including bereavement support
• rebuilding processes to reach five-star home health outcomes
• treating employees like customers, flexibility, and tools that improve retention
• why missing documentation can trigger fraud findings in audits
• reimbursement pressure and the impact of Medicare Advantage denials
• growth plans including palliative care and cautious optimism on technology and AI
• delivering rural care across long distances and navigating Navajo cultural barriers
• practical advice for starting a local business using SBDC, Four Corners Economic Development, and the chamber
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.
