Blog - Reg's Blog

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Health Policy and Economics

Midterm Election Results Reshape Health Policy

Every two years the political and media class tells us the midterms reshaped health policy. Most of the time they overstate it…by Reginald Hislop III Historically, midterms don’t beget much new for federal health policy….

Book cover of Who Absorbs the Risk

Health Policy and Economics

Who Absorbs the Risk: A 40-Year Journey

This blog has been around since 2009. There are 600 plus posts on it not to mention presentations, pod casts I’ve done, etc. Suffice to say, it hosts lots of content and that content is…

Phantom demand depiction

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…

Leveraging a bet

Life Plan/CCRC

Senior Housing’s Leverage Problem: The Math Behind the Bet

Investors are buying senior housing at yields near 6.2% with debt costing more than that, so the deal only works if income (monthly and entry fees) grows fast…by Reginald Hislop, III That is negative leverage:…

Health Policy and Economics

Medicare Advantage Growth: SNPs

Medicare Advantage special needs plans drive about 85% of net growth. See why insurers are pivoting, why rural counties lead, and what to watch in 2027…by Reginald Hislop III Medicare Advantage enrollment growth has slowed…

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…

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,…

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/…

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…

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…

Picture of Reg

Reg

Healthcare executive, consultant, and author covering post-acute care, senior living, and the economics behind both - for 30+ years.

The Weekly Briffing

No noise - just what changed in healthcare policy and economics, and why it matters to your operation.