Compliance, Coverage, and Care: A Critical Industry Deep Dive with Angelo Spinola
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About this listen
The home care and hospice landscape is shifting faster than ever, are you ready for the legal and legislative tidal wave hitting in 2026? In this must-listen episode, Mike sits down with Angelo Spinola, an employment law titan with 25 years of industry-specific expertise.
From the nuances of live-in caregiver pay to the massive implications of HR1 and Medicaid rule changes, Angelo breaks down the "niche" legal areas that can make or break a home care provider's future.
In this episode:
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The HR1 (Big Beautiful Bill) Effect: How administrative burdens and Medicaid eligibility verification are tightening the "squeeze" on providers and potentially limiting patient access.
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Legislative Shifts in 2026: Why the potential reinstatement of live-in and companionship exemptions is a game-changer for federal and state labor laws.
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Compliance "Health Checks": Angelo’s top-tier advice on staying proactive vs. reactive—avoiding penalties that can cost agencies millions.
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The Diversification Playbook: Why leading agencies are branching into VA services, private duty, and alternative care models to survive funding volatility.
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Advocacy as a Business Strategy: How to bridge the education gap with lawmakers who still don't understand the vital difference between home health and home care.
Learn more about Angelo Spinola's services at polsinelli.com/angelo-spinola
produced by slanted.design