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CENTER FOR

Healthy Aging & Advanced Illness

At Healthsperien, we believe every person, regardless of age, health status, or circumstance, deserves care that is compassionate, connected, and centered on their needs.

The Center for Healthy Aging & Advanced Illness is dedicated to transforming how health and social systems improve the quality of life throughout the care continuum and for individuals living with complex care needs or advanced illness.

Our work spans policy, research, care/payment model design, and advocacy to improve access to quality hospice and palliative care, strengthen community services integration, and address the growing public health crisis of social isolation and loneliness.

Our Focus areas

Complex Care & Advanced Illness

Advancing models that ensure high-quality, coordinated care for those with serious and chronic conditions.

Hospice & Palliative Care

Integrating comfort-focused, person-centered services across the care continuum.

Community Services Integration

Advancing models that ensure high-quality, coordinated care for those with serious and chronic conditions.

Social Isolation & Loneliness

Developing and scaling interventions to strengthen human connection and well-being.

Aging in Place

Enabling systems of care that empower patients to choose where they receive their care to best support engagement in their activities of daily living. 

Our Approach

We bring together diverse stakeholders—providers, consumers, employers, caregivers, advocates, researchers, community leaders, policymakers—to drive systems change. Through evidence-based strategies and innovative partnerships, we aim to create sustainable solutions that improve quality of life and preserve dignity for those facing some of life’s most challenging health journeys.

Reach out to learn more about our work and join us in shaping a future where aging and advanced illness care are equitable, person-centered, and deeply connected to community.

Resources

The Hospice Landscape Has Shifted. Public Data Hasn’t Caught Up.

CMS recently released a letter to State Medicaid Directors that provides implementation guidance for the requirement that states redetermine eligibility for Medicaid expansion adults every six months instead of annually, beginning in 2027.

Healthsperien Welcomes Two Accomplished Health System Experts to Lead Policy, Strategic Partnerships, and Philanthropy

Healthsperien is pleased to welcome Karen Rubel, Chief Philanthropy & Strategic Partnerships Officer, and Laura Wooster, MPH, Senior Vice President, to our growing team of health care policy and strategy experts.

Andrew MacPherson: A Bipartisan Prescription for Cutting $1 Trillion in Health Care Waste

Healthsperien Founding Principal and Managing Partner, Andrew MacPherson, outlines a bipartisan path to making healthcare more affordable by tackling the nearly $1 trillion in waste embedded in the U.S. health care system each year.

Policy Prescriptions Episode 5: The Doctor Advising HHS on America’s Healthcare Future | Dr. Clive Fields

Dr. Clive Fields — co-founder of VillageMD and Chair of the MAHA workgroup on the HHS/CMS Healthcare Advisory Committee — joins the Zen Lobbyist, Gary Jacobs and Tom Koutsoumpas, Founder and President of Healthsperien, to go inside the commission shaping U.S. healthcare policy. They cover the structure of the 16-member advisory committee, why end-of-life conversations fail patients, the case for the collaborative care model in mental health, rural healthcare access, deprescribing, and what it will take to scale value-based primary care nationally.

Modernizing the Medicare Hospice Benefit: An Idea Whose Time Has Come

CMS recently released a letter to State Medicaid Directors that provides implementation guidance for the requirement that states redetermine eligibility for Medicaid expansion adults every six months instead of annually, beginning in 2027.

Medicaid Community Engagement Requirements: Five Things That Will Define Implementation

On June 1, 2026, the Centers for Medicare & Medicaid Services (CMS) released the long-anticipated Interim Final Rule (IFR) on Medicaid Community Engagement Requirements (CER). This IFR constitutes one of the most significant modifications to the Medicaid program since the Affordable Care Act (ACA) and ranks among the most substantial Medicaid regulations in years.

Points of Contact

Contact Us Today

Healthsperien, LLC, is a Washington, D.C.-based health care policy consulting firm focused on strategic, regulatory, legislative and implementation issues.

Center for Healthy Aging & Advanced Illness

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