Health Policy and Economics

Phantom Demand: Why an Aging Population Is Not the Same as Paying Demand

Counting the people who will turn 80 counts customers, not demand, and demand needs both the desire to buy and the ability to pay….by Reginald Hislop III Every senior housing investor deck shows the same chart: the 80+ population growing...

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Also this Week

Health Policy and Economics

Medicare Advantage Growth: SNPs

Recent Analysis

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

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…

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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