Health Policy and Economics

How Reimbursement Cuts Affect Margins

Medicare post-acute care (PAC) reimbursement is increasingly driven by stricter federal spending controls, closer Medicare Advantage (MA) utilization oversight, and limited rate increases. Current policy priorities center on value-based accountability, shifts to lower-intensity care settings, and alternative payment models. Key...

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Recent Analysis

CMS Modernizes Nursing Home Oversight With Risk Surveys

Policy and Politics - Federal

CMS Changes SNF Surveys With New Risk Surveys

CMS is launching a streamlined review process for higher-performing nursing homes and making them easier for consumers to find on Medicare.gov. A new Quality, Safety, & Oversight memo outlines the risk-based survey process, which helps…

9 min read

Health Policy and Economics

Why Rural Health Transformation Matters

Rural providers are being asked to preserve access with urban-level expectations and far thinner margins. That is the core tension any rural health transformation program must confront. For hospitals, post-acute operators, clinics, and community-based organizations…

8 min read
https://rhislop3.com/wp-content/uploads/2026/07/life-plan-community-economics-explained-featured.webp

Life Plan/CCRC

Life Plan Community Economics Explained

A life plan community can look stable from the outside – full campus, strong reputation, long wait list history, predictable monthly fees. Then interest rates move, labor costs stay elevated, refund obligations come due, and…

8 min read
Post Acute Care Compliance Checklist for 2026

Home Health

Post Acute Care Compliance Checklist for 2026

For years, and littered throughout this site, are pieces (and presentations) I have done on compliance. Some goodies are below. https://rhislop3.com/2023/09/07/five-quality-and-compliance-tips/ https://rhislop3.com/2018/11/16/the-real-impacts-of-poor-quality-inadequate-compliance-and-weak-risk-management/ https://rhislop3.com/2018/11/29/follow-up-real-impacts-of-poor-quality-and-lax-compliance/ https://rhislop3.com/2019/06/14/the-connection-between-quality-and-revenue/ The one major implication of solid (or not) compliance is the…

9 min read
A Guide to Medicare Site-Neutral Payments

Health Policy and Economics

Update on Medicare Site-Neutral Payments

Earlier this year, in January, I wrote a piece on the start of site-neutral payments via a CMS final rule tied to the Outpatient PPS (OPPS). This post is a follow-up of sorts to the…

8 min read

Home Health

7 Top Healthcare Policy Risks 2026

Budget math is about to collide with operating reality. When executives ask about the top healthcare policy risks 2026, they are not asking for a Washington headline recap. They are asking which policy moves could…

8 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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