Health Policy and Economics

Who Absorbs the Risk: A 40-Year Journey

This blog has been around since 2009. There are 600 plus posts on it not to mention presentations, pod casts I’ve done, etc. Suffice to say, it hosts lots of content and that content is still growing. About mid-year, I...

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A Population Peek at Housing Demand

Recent Analysis

Health Policy and Economics

Medicare Advantage Growth: SNPs

Medicare Advantage special needs plans drive about 85% of net growth. See why insurers are pivoting, why rural counties lead, and what to watch in 2027…by Reginald Hislop III Medicare Advantage enrollment growth has slowed…

6 min read

Health Policy and Economics

Hospice Home Health Moratorium: M&A Impact

The hospice home health moratorium began May 13, 2026, when CMS froze new Medicare enrollment for home health agencies and hospices nationwide. (https://rhislop3.com/cms-moratorium-on-hospices-and-home-health/ ). The freeze runs out November 13, about five and a half…

5 min read

Policy and Politics - Federal

Medicare Advantage: What’s Behind the Pullback

Medicare Advantage V28 risk adjustment, tighter Star Ratings, and a flat rate are forcing plan exits in markets and a pivot to D-SNPs. This post is the follow-up to my previous post (https://rhislop3.com/medicare-advantage-snf-denials/)…by Reginald Hislop,…

8 min read

Health Policy and Economics

Medicare Advantage SNF Denials = High

Medicare Advantage SNF denials are frequently reversed on appeal while plans shrink coverage. The dual squeeze hits skilled nursing census and revenue. This is part II of a three-part series. Part I is here: https://rhislop3.com/medicare-advantage-regional-pullbacks/…

7 min read

Health Policy and Economics

PE Owned Quorum Health Going Non-Profit

  Is the Quorum Health nonprofit transition a private equity exit dressed as philanthropy, shifting debt onto hospitals and taxpayers?…by Reginald Hislop, III Private equity never has to answer for the exits it structures. That…

6 min read

Health Policy and Economics

Medicare Advantage Regional Pullbacks

  Medicare Advantage plan exits 2026 are shrinking rural coverage, with UnitedHealthcare and Humana leaving more counties than they enter, impacting patients…by Reginald Hislop, III Over the past several years the Medicare Advantage story has…

5 min read
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Reg

Healthcare executive, consultant, and author covering post-acute care, senior living, and the economics behind both - for 30+ years.

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