Senior Living Occupancy Trends – A Bit More Data

  I’ve been closely watching the post-pandemic recovery of the senior care and living industries. In the past sixty days or so, I’ve written a number of articles/posts on occupancy recovery, factors impacting recovery, and factors that may further stress recovery trends.  Within these posts/articles, reference material exists from sources like Fitch, National Investment Center … Read more

Friday Feature: Home Health Proposed Rule Implications

Last month, CMS dropped the 2024 PPS Proposed Rule for Home Health. Like all other provider segments, Proposed Rules function to address primarily payment, then other programmatic issues/rules such as quality measures, data reporting, etc. The proposals generally mirror the final rules, but tweaks do occur. The payment end, however, rarely changes much as often, … Read more

Staffing Level Mandate – Update

In this year’s final rule (PPS) for SNFs, CMS indicated that it would delineate proposals for final rule making this spring regarding mandated staffing levels. In the 2023 Final Rule, CMS solicited comment regarding staffing level mandates. In yesterday’s post on labor and job data, I covered how incomplete the staffing picture remained for senior … Read more

Jobs Data and Staffing Status Update

With reports from the Bureau of Labor Statistics out this past week, the job market remains relatively strong and healthcare within the market, similarly strong. Unemployment remained at 3.6% and labor participation remained at 62.6% (same for last four months) and the percent of the population employed remained at 60%. For the month of June, … Read more

Friday Feature: The Good Acquisition

Organizational expansion is truly a tale of two options (primarily): add capacity organically (build or start from scratch) or acquire an existing business. Both have pluses and minuses, but when it comes to scale on a more rapid basis and movement into a new market area, acquisition tends to make more sense versus an organic … Read more

Fitch, Life Plan Communities, Mid-Year Update

In December of 2022, Fitch (credit rating agency) issued their outlook for the non-profit, Life Plan (CCRC) sector within the senior housing industry. Fitch outlooks are a primer for creditors seeking to determine lending scales for the upcoming year (bullish v. bearish). The Fitch outlook for the sector was “deteriorating”. The basis for this negative … Read more

Friday Feature: Affordability is an Issue

One of the largest complaints about senior care and housing is cost. It is or can be, darn expensive. The best, most amenitized Life Plan projects can run hundreds of thousands of dollars to enter and tens of thousands more in monthly fees. Rates inflate typically, more than CPI each year. Lately, rate inflation has … Read more

Health Care Sector Econ Data Points

In its latest update, the Altarum Health Sector Economic Indicators, provided some interesting information on health care spending, job growth, and pricing. The data was released yesterday and is accessible here: https://altarum.org/publications/june-2023-health-sector-economic-indicators-briefs Some key data points from the report are as follows. The data is useful in forecasting, budgeting, and planning, especially in terms of … Read more

Mid-Year Update: The Economy and Capital Markets

Just a tick early as mid-year officially won’t occur until this Saturday with the second quarter officially ending, Friday. This said, not much is likely to change the current status between now and Friday or for that matter, any time soon. The first half of 2023 can be summed up through a look at two … Read more

Friday Feature: 2 Court Cases

As I close the week, I’ve been following a lot of legal news, specifically court cases involving health care and in one case, a decision from the Supreme Court. Legal news can be rather arcane and boring but, in some cases, the implications of decisions can be rather profound. Such is the case (no pun … Read more