Cuts and Layoffs are Happening

As the economy remains “challenging” and providers are finding rising capital costs and rising staffing costs, survival mode is where many are operating. For any hospital, SNF, Home Health Agency, or Hospice, labor (wages and benefits) is typically about 60% of the expense budget. With direct care staff in short supply in nearly every market … Read more

Friday Feature: The Benefit of R&R

I’ve been rather busy lately and my wife’s side of the practice (compliance, litigation), very much so. Suffice to say, as the two prime partners and owners of H2 healthcare, we work collaboratively and support each other. In other words, her “busy” is mine too and vice-versa. So today, I’m setting aside for catch-up and … Read more

Tapas Thursday: Small Health Policy News Bites

I like tapas from time to time, especially for a happy hour gathering. Thursday seems to always be a good day to have little bites of something prior to a big weekend; even better if Friday is a short day or a day off into the weekend. In a post earlier this week I mentioned … Read more

Wednesday Feature: Best Medicine

There is an age-old adage that laughter is the best medicine. I concur. We as a society, have lost our sense of humor (and our collective common sense). We take everything too seriously. No wonder depression is “up” along with loneliness. There used to be sitcoms on TV that were really quite funny. Not much … Read more

Are Independent Primary Care Docs a Thing of the Past?

The COVID pandemic illustrated a whole bunch of flaws, holes, and gaps within the U.S. health care system. To be fair, the pandemic illustrated flaws, holes, and gaps within U.S. society, government, the economy, etc. A trend that has been slowly moving forward seems to be accelerating through and post the pandemic and that trend … Read more

Hospice 2024 Final Rule and Home Health Update: Preserving Access Legislation

For early August, this is a semi-busy week with health policy stuff and upcoming econ data on inflation. Congress is on recess but that doesn’t mean that there isn’t a fair amount of activity in-play that will impact the health care industry, some positive, some negative. Likewise, this is the start of the presidential election … Read more

Friday Feature: COVID and Liability Insurance Coverage

A practice concentration within my business, H2 Healthcare, LLC, belongs to my wife who is also, the firm’s Senior Partner and co-founder and co-owner. The practice area is compliance and a strong focus within, is litigation support/expert witness/forensic nursing. My wife is frankly, one of the foremost clinical compliance (nursing) experts in the nation, supporting … Read more

Wednesday Feature: Lonely at the Top

Last week, in a message from LeadingAge President, Katie Smith Sloan, she wrote about the epidemic of loneliness. Her words reflected on how leaders are prone to loneliness and how the same concept or concepts were addressed by Arthur C. Brooks in his book, “Strength to Strength”. Surgeon General Vivek Murthy back in May, alerted … Read more

SNFs Get a Bit of Good News: CMS Final Rule for FY 2024

SNFs got a little early Christmas present yesterday when CMS announced its Final Rule (PPS) for Fiscal Year 2024 (begins October 1, 2023). Instead of a 3.7% increase as proposed in the initial rule, CMS finalized a 4% increase (plus an additional 0.3%). Back in April, I wrote about the proposed rule.  That post is … Read more

Senators Seek Survey Accountability for SNFs

Last Thursday, Senators Bob Casey (Pennsylvania), Ron Wyden (Oregon), and Chucky Grassley (Iowa) sent a letter to CMS asking that the agency “take immediate steps to strengthen the nursing home oversight system”. Their letter is a follow-up to a report from the Senate Committee on Aging, chaired by Casey, detailing a myriad of problems with … Read more