Fixing Healthcare Spending in the U.S.

On Monday, January 20, Donald Trump will be inaugurated as the 47th president of the U.S. While his claim of an election mandate is very debatable, the expectations that come with his return to office are many. Chief among these expectations is that he/his administration will “fix” the debt driven, inflation riddled economy of the … Read more

InnovAge Fraud Litigation Expands

A Colorado federal judge last Wednesday certified a class of stockholders in a securities suit against InnovAge (https://www.innovage.com/) alleging the senior health care company made misleading statements in its initial public offering that later caused stock prices to fall post a government audit that exposed false statements. Three public pension funds based in Texas and … Read more

A Population Peek at Housing Demand

A trend I have been following for some time is the shift in demographics worldwide or more specifically, the growth in seniors coupled with the fall off of birthrate in virtually all first-world countries. On this subject, a new report from the Joint Center for Housing Studies at Harvard University caught my attention. New Projections … Read more

Senior Living Capital Outlook 2025

Since the pandemic (COVID), capital investment in senior living has been disjointed (to say the least). The pandemic constrained demand and as the economy rebounded from periods of lockdowns, supply shortages, work reductions, etc., inflation snuck in. In turn, to battle inflation, the Federal Reserve steadily raised interest rates. The rise in rates changed the … Read more

Life Expectancy Falls Behind the World

As we continue the political transition post Donald Trump’s election victory, healthcare reform and the campaign promise to Make America Healthy Again (MAHA) is making news.  At the center of the MAHA movement is Robert Kennedy, Jr., an evangelist of lifestyle changes, particularly within the U.S. diet, to promote health. Kennedy openly states, and correctly … Read more

Federal Assisted Living Regulatory Initiative

Last week via a member news release from Leading Age Minnesota, the specter of federalized Assisted Living regulation popped up. Per this release, legislation enabling federal assisted living regulation of some form is anticipated to be proposed by U.S. Senator Mark Kelly (D-AZ) prior to the year’s end. The primary outcome of what Senator Kelly … Read more

CMS Issues Updates on Immediate Jeopardy

Back in 2019, CMS issued revisions to Appendix Q of the State Operations Manual pertaining to Immediate Jeopardy considerations (on the part of surveyors) and ultimately, citation decisions.  This guidance was relevant for all provider and supplier types participating in Medicare (hospitals, home health, SNFs, etc.). In late October, CMS issued guidance on penalties. What … Read more

Being a More Effective Executive: A Checklist

Across my multiple decade career, I have spent a great deal of my work life mentoring and coaching executives and boards on developing effective habits and systems. As I have done a fair amount of turnaround work, building a high performing organization was as much about creating effective leaders and leadership habits as it was … Read more

Friday Feature: Four Topics to Watch

It has been a busy week and next week is a holiday week (Thanksgiving) so of course, a shortened news and work week. That said, there is a lot going on right now and for followers and readers, I thought sharing my top four topics to watch made sense. Tort Reform: Back in February, the Georgia … Read more

Twofer Tuesday: Marketing Insights for 2025

The bifurcated title for this post (twofer) means two quick subjects, wrapped into a “what’s next” for 2025. The wrapper in this case is marketing, a subject that I’ve often written about across this blog’s dozen plus year history (hard to believe it has hung around that long). According to NIC (National Investment Center), and … Read more