CMS Releases 2025 PPS Proposed Rule for SNFs

It’s that time of year again where CMS begins to drop various rule proposals for updates to provider groups under PPS. From Hospitals, to SNFs, to Home Health and Hospice, each industry segment will see a proposed series of rate and programmatic (rule) updates from CMS. This is normal and it occurs at about the … Read more

Skilled Nursing Operator Takes Legal Action Against Staffing Platform for Alleged Overbilling

A little over a week ago, an SNF operator dropped a lawsuit in U.S. District Court in the District of Utah against a staffing platform that works somewhat, like a staffing agency. The platform Nursa acts as a software clearinghouse connecting nursing staff (RNs. LPNs, CNAs, etc.) to facilities with open shifts – “Nursa exists … Read more

The Politics of Population and Immigration

Followers know that I don’t write much about politics, staying pretty straight-forward on health policy and economics topics. A little diversion occurs today, but honestly, not much. We are after all, in an election cycle and thematically (the title), demographics will be center stage but likely, for the wrong reasons. As I watch the election … Read more

Sign of the Times: Petersen Health Care Files for Bankruptcy

Mid last week, Petersen Health Care, a Peoria, IL based nursing home operator filed for bankruptcy in Delaware. SC Healthcare Holdings LLC, which operates as Petersen Health Care, in federal court filings last Wednesday said it is seeking Chapter 11 bankruptcy protection because of ongoing financial problems partly due to an October ransomware attack and … Read more

Tip-Toeing Through the (Healthcare)Econ Tulips

Bunches (pun intended) of economic data the past two weeks and as readers can tell from the title, I’m getting a little “punchy” with all the data. Anyone about my age should recall a celebrity known as Tiny Tim. His fame, short-lived as it should have been, including playing the Ukulele and signing in a … Read more

Wednesday Feature: Econ Rollercoaster

Happy Hump Day! This will drop before the Federal Reserve Open Market Committee announces its decision on interest rates today. Prediction: Rates will remain unchanged. The Fed will be a bit hawkish however, about rate policy reminding everyone that they are poised, if necessary, to hike rates to fight inflation. Thus, the title for today … Read more

Navigating Uncertainty: The Top Concern for CEOs in 2024

Heading into a rather busy week, I took inventory of stuff to write about this week, trying to organize in case of any other developing news this week, particularly coming out of the Federal Reserve meetings. Personally, though inflation remains a bit sticky and perhaps, even on a slight upward trend due to rising energy … Read more

Analyzing the 2023 Cost of Care Survey: Trends in Long-Term Care Rate Increases

On Tuesday, the Genworth 2023 Cost of Care Survey was released. Year-over-year rate increases in long-term care/senior living ranged from 1% to 10%, depending on the setting (SNF, Assisted Living, etc.). The report is available here: Genworth Cost of Care 2023 The report is interesting though in some ways, a bit misleading as data is … Read more

Econ Tuesday: Houston, We Have a Problem

The February CPI report courtesy of the Bureau of Labor Statistics is out this morning and not only is inflation sticky, its ticking back up. I envisioned that the White House, upon seeing the report, said, at least silently, the famous Tom Hanks like from the movie Apollo 13 – “Houston, we have problem”. The … Read more

Legislation Grab Bag

Within the normal news cycle, legislation often gets ignored, especially in this hyper volatile election cycle we have begun. I’m expecting very little in terms of reform or new legislation on important healthcare issues to come forward, and, so far, I’m right. With near gridlock due to small opposing majorities in both houses of Congress, … Read more