Healthcare Reform: Now the House Version

Earlier today, Speaker Pelosi introduced the re-tooled House version of healthcare reform, now titled The Affordable Health Care Act.  The 2,000 page bill is the result of weeks of backroom negotiations designed to forge a possible consensus, principally among Democrats, and to financially wrangle, a targeted budget neutral spending level.  According to Pelosi, the Bill … Read more

Healthcare Reform Update: Inside Baseball Time

If you are a baseball fan, you’ll appreciate the correlation between a baseball game and the present course of healthcare reform.  A baseball game starts with anticipation and fanfare; speeches, the throwing out of the first pitch, the national anthem and the players taking the field.  The fans settle in and the game begins with cheers … Read more

CCRCs and Problems: Much Ado About Likely, Very Little

A product that has seen its share of struggles in the economic downturn is entry-fee CCRCs.  To clarify, not all CCRC models are struggling and not even all entry-fee based CCRCs are struggling as certain regions have seen less housing market fall-out and concurrently, operators have done the right things to keep their census stable during the “down … Read more

Getting Risks Under Control: Improving Organizational Prosperity

Healthcare is a risky business; particularly in heavily regulated environments such as nursing homes and home health and hospice.  The fact that a certain level of risk is omnipresent means that the opportunity constantly exists for an organization that improperly identifies and manages its risks, to suffer expensive damages ranging from financial loss to loss … Read more

OIG Reports Published on Hospice

In a post I wrote at the end of July concerning CMS’ 2010 rate announcement and compliance and regulatory trends, I indicated how the OIG was becoming more vigilant in reviewing hospice utilization, lengths of stay and in particular, the correlation between lengths of stay and hospice patients in an SNF.  This past month, in mid-September, the … Read more

Skilled Nursing Facilities, Healthcare Reform and Gloomy Propsects

On October 1, the SNF industry received a 1.1% reduction in Medicare payments.  On October 13th, the Senate Finance Committee passed its version of Healthcare Reform, commonly known as the Baucus Bill.  While the Baucus Bill is the least penalizing to the industry, of the major health reform bills waiting in Congress, it is destined for the Senate shredder … Read more

Baucus Bill Survives Committee: What Next

The Senate Finance Committee this afternoon, on a vote of 14-9, approved the Baucus Bill out of committee, sending it theoretically to a floor vote. Sen. Olympia Snowe, a Republican from Maine, was the lone Republican vote in support.  The Bill, a center of recent controversy in terms of its lack of reported details, incomplete … Read more

Senate Reform Bill Budget Neutral?

This afternoon, the Congressional Budget Office released a statement saying that the Senate Finance Committee Reform Bill (the Baucus Bill) prices out at $829 billion over ten years.  At this price-tag, given the revenue assumptions (fees, cuts, taxes, etc.) contained in the Bill, the CBO estimates that the Bill actually produces a modest deficit reduction … Read more

Healthcare Economic Outlook

As my work is focused on healthcare and more succinctly, post-acute healthcare and senior housing, I follow overall economic trends and conditions and translate the same for the healthcare economy.  As healthcare remains a private industry today, albeit one that is heavily tied to the Federal government, the general economy does impact the healthcare industry. Arguably, as with the … Read more