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Health Policy and Economics

Hospice Special Focus, IDR, and Quality Reporting Program – 2024

Somewhat buried within the Home Health Final Rule (PPS) was an update on a CMS initiative to identify hospice agencies requiring additional regulatory oversight for poor care performance (poor quality, unsafe care practices). Back in…

Policy and Politics - Federal

Compliance Update: Fraud and Abuse

A complex area for providers, especially with respect to their compliance programs, are the concepts of fraud and abuse. Central to current requirements for compliance programs, all post-acute providers are REQUIRED to have compliance programs…

Health Policy and Economics

Friday Feature: Senior Living Credit/Borrowing Still, Very Soft

TGIF! This week has been very busy with lots of data and lots of economic news. We got a new report from the BLS on inflation. We got earnings reports from Home Depot, Target, and…

Health Policy and Economics

Non-Profit Ownership/Sponsorship Changes Moving at Record Pace

While mergers and acquisitions are generally down, affiliations, closings in some cases, and sponsorship changes in non-profit senior living and care are at a record pace. Back in July, I wrote about the disconnect between…

Health Policy and Economics

Wednesday Feature: CPI, Economy, 40 Days to Christmas

OK, the title is kind of funky, but these concepts do connect. Yesterday, the Bureau of Labor Statistics released the Consumer Price Index (inflation report) for October, 2023. Good news? Maybe. A mixed bag? Definitely….

Health Policy and Economics

Hospice Payment Basics/MedPAC

Even after all of the years that I have been in health care and particularly, post-acute care, I still field a good number of questions regarding Hospice, the benefit under Medicare, how payments work, and…

Health Policy and Economics

Home Health 2024 Final Rule Released

On November 1, CMS issued the final PPS rule for Home Health (2024). The majority of provisions within this rule, especially those related to payment, take effect on January 1, 2024. The Final Rule as…

Uncategorized

Friday Feature: Veterans Day

Tomorrow is the official Veterans Day holiday. Today is the observance day of Veterans Day. Veterans Day is a federal holiday, created to honor the service of men and women in any branch of the…

Health Policy and Economics

CMS Offers Fix to Medicare Advantage Denials

An issue that has been tied to AI (artificial intelligence) and specifically, to Medicare Advantage plans, involves coverage denials. I wrote about this in a post earlier this year at https://rhislop3.com/2023/05/01/medicare-advantage-part-d-final-rule/ Coverage denials have been…

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National Signing Day!

Today is national signing day for 2024 athletes and my firm’s partner, Theracore Management Group has a celebration. Of the two Theracore original principals, the co-owner and COO, Dean Freeland, had his daughter announce her…

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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.