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 weeks away, and CMS hasn’t...

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Policy and Politics - Federal

Medicare Advantage: What’s Behind the Pullback

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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…

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Health Policy and Economics

Wednesday Feature: Fraud Recap

Recent healthcare billing fraud cases show similar conduct moving across bill coding, DME, telemedicine, and product billing. Read the provider-level analysis….by Reginald Hislop, III Earlier this week I wrote about CMS barring eleven medical…

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Health Policy and Economics

Medicare Advantage Fraud: Villages and Kaiser

Medicare Advantage plans are paid through risk adjustment. The government sends each plan a fixed monthly amount per enrollee, and that amount rises when the enrollee’s record contains certain diagnosis codes. The system assumes sicker…

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Health Policy and Economics

CMS Cracks Down on $3.4B DME Fraud

  CMS announced a $3.4 billion medical equipment supplier fraud scheme involving 11 suppliers and claims for deceased beneficiaries. Here is what it means….by Reginald Hislop III On September 8, 2026, CMS announced that it…

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Life Plan/CCRC

Life Plan Financial Health: Status and Outlook

Senior living is a long-duration business. A resident who moves into a Life Plan or CCRC community at the start of retirement may remain on the same campus for a decade or more, receiving everything…

8 min read

Health Policy and Economics

Senior Living Pressure: Rising Rates & Yields

Interest rates on government bonds worldwide are rising fast. Rising rates and rising bond yields do not stay inside the financial pages. They create ripple effects through mortgage rates, auto loans, and the loans that…

9 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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