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Skilled Nursing

Holding onto Your D.O.N.

In our annual Healthcare Leadership Labor Market Report released in July, we presented some rather alarming trends regarding the long-term care and post-acute care industry’s retention of nursing executives. For example, we noted that 71%…

Policy and Politics - Federal

Deficits and Health Care: Economics Redux

I know this is supposed to be a blog about healthcare issues, primarily that which falls in the post-acute, long-term care and senior housing world but some stuff in the news right now is just…

Policy and Politics - Federal

Translating “Washington” Speak

Not unexpectedly, the politicians are all a “buzz” about healthcare reform right now. The President even did a live radio/television talk-show to “clarify” what healthcare reform is really about; to translate as it were. From…

Skilled Nursing

SNF Sales: Is the Market Back?

According to the most recent release of the Dealmakers Forum published by Irving Levin Associates, July witnessed a sizable increase in transaction volume across the long-term care sector. As I noted in my last post…

Assisted Living

Assisted Living/Senior Housing Update

For the past nine months we’ve watched the cap rates trend up, occupancy trend down and the transaction market remain stagnant. The credit crisis of one year ago definitely chilled the “buyer” side and as…

Policy and Politics - Federal

Will Reform Happen?

Recess – when I was a kid it was the best part of school. Recess was a period of task abandonment; a temporary reprieve from the classroom engagement and the pedagogy. Unfortunately for Congress, recess…

Policy and Politics - Federal

Home Health Update

As is/was the case with SNFs and Hospices, CMS and Congress have formulated a series of proposed rules and legislation that reflects the ongoing trend under Medicare of reimbursement reductions. On July 30 (followed by…

Policy and Politics - Federal

SNF Update

What looks like the beginning to a rough late-summer/early-fall period, there are now numerous pending and current policy and reimbursement events that are breaking in the SNF industry. From the July 31 CMS announcement regarding…

Hospice

Hospice Update

In March, I wrote about the MedPAC recommendations to change the Medicare Hospice program and payment system. Yesterday, CMS announced the final (2010) payment for Hospice as well as the implementation structure of some key…

Hospice

Duties of Boards: An OIG Perspective

This seemed to be a natural successor topic to my last post, “Why Quality Matters”; principally arising out of recent press releases from the OIG. For example, in June the OIG reported that it had…

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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.