EP311: How Aging in Place Becomes a Business Problem for FFS Providers, With Sumit Nagpal

In Episode 311, Stacey Richter talks with Sumit Nagpal, CEO and founder of Cherish Health, about how aging in place is quietly turning into a business problem for fee-for-service providers, assisted living facilities, and SNFs.

WHAT YOU'LL LEARN

✅ What "health care is coming home" actually means for aging in place

✅ Why consumers and their families, not health systems, will be the first movers driving at-home care adoption

✅ Why our health care economy's incentives are fundamentally misaligned with proactive, preventive care

✅ Why FFS-dependent hospitals and SNFs have a business problem once predictive home monitoring reduces acute events

✅ What it will take to align incentives for at-home care to scale

WHY THIS MATTERS

Once families start installing monitoring technology to keep aging relatives safe at home, predictive and proactive care reduces acute events and changes who gets called when something does go wrong — not always an ambulance to the ER. That shift is a genuine business threat to FFS-dependent hospitals, assisted living facilities, and SNFs built around heads in beds. The first movers pushing this change won't be health systems acting against their own incentives; it will be families who can't afford, or don't want, to send a loved one to an institution.

=== LINKS ===

🔗 Show Notes with all mentioned links: Episode Page

🔗 Healthcare Industry Acronyms and Terms

✉️ Enjoy this podcast? Subscribe to the free weekly newsletter

🫙 Support the podcast with a small donation to the Tip Jar

📺 Subscribe to our YouTube channel

🎤 Listen on Apple Podcasts

🎤 Listen on Spotify

=== CONNECT WITH THE RHV TEAM ===

✭ LinkedIn ✭ Threads ✭ Bluesky ✭ X

00:00 Introduction.

03:55 What does "health care is coming home" truly mean?

07:35 "It's not like we're cheese and we're aging in place. We're living. We're living our lives."

07:51 "Give us the ability to live where we want for as long as we want as safely as possible."

10:31 "The challenge with wearables beyond the initial cost is … you have to remember to wear them."

10:53 "The tech itself is not unreliable, but we as human beings are unreliable."

13:34 "The conversation typically begins with privacy and goes into other kinds of risks."

15:50 "Our health care economy is fundamentally misaligned."

17:57 "The incentives … today don't really enable this kind of proactive, preventive engagement."

23:30 How do we solve this cost problem at scale?

23:44 How do you align incentives for those that will care to solve these problems?

26:47 "I don't think that we're going to have mass, large-scale change in health care moving home until people are starting to adopt … these kinds of services in their homes."