Sunday, August 23, 2026 - Updated Daily
On December 29, 2025, the Centers for Medicare & Medicaid Services (CMS) announced the inaugural state awards from the $50 billion Rural Health Transformation Program CMS Announces $50 Billion in Awards to Strengthen Rural Health…
With both houses of Congress unable to codify some plan to address the evaporating premium supports under the ACA (COVID era addition), President Trump put forth his framework known as The Great Healthcare Plan. For…
Last month I joined Dan Horowitz’s show to provide a plan and a vision on the most important economic and fiscal issue. I explain how Republicans continue to push a luke warm, ineffective plan by…
As of January 1, 2026, the scope of Medicare’s site-neutral payment policy expands to include drug administration services—such as chemotherapy and other infused therapies—furnished in excepted (grandfathered) off-campus provider-based departments (PBDs) of hospitals. Under the…
Seven hundred fifty-six rural hospitals in the United States are at risk of closure due to financial instability, with over 40% classified as being at immediate risk. These figures are derived from the Center for…
Over the years that I have authored this blog, a frequent theme or issue I am often asked to opine on is the connection between the residential real estate market and senior living sales. In…
On December 11,2025, the Senate rejected competing bills addressing Affordable Care Act (ACA) subsidies, resulting in the expiration of tax credits and the prospect of higher health insurance premiums for many Americans in 2026. Both…
Within the last few weeks, I’ve had the opportunity to discuss and review, the ongoing Medicare TPE program with a number of hospices and hospice folks. Suffice to say, there are more than a few…
Last week, I wrote a couple of posts regarding Medicaid, the Affordable Care Act/insurance premium subsidies and the government shutdown. The second of the two posts contained a quick summary of the shutdown impact on…
The longest government shutdown in United States history concluded on November 12. Yesterday, I wrote a post summarizing the process until resolution – https://rhislop3.com/congress-medicaid-subsidies-whats-next/ Despite the cessation of the shutdown, pivotal issues—most notably the future…
Healthcare executive, consultant, and author covering post-acute care, senior living, and the economics behind both - for 30+ years.
No noise - just what changed in healthcare policy and economics, and why it matters to your operation.