Friday Feature: Back to the Future and Care Rounds

TGIF! A frequent reader sent me a note earlier in the week and asked if I would drop in more clinically oriented stuff from time to time. I asked for details, and she said stuff “that is germane to patient care and operational improvements – QA/QI stuff”. So, today’s post is by request, sort of. … Read more

Wednesday Feature: Hospice Proposed Rule for 2025

Happy Hump Day! As I wrote in a post on Monday regarding CMS’ Proposed Rule for SNFs, ’tis the season. This time of year, is when CMS drops proposed changes to reimbursement and other programmatic elements for all provider types, save Home Health which comes a little later (Home Health rate year is calendar year … Read more

Wednesday Feature: Navigating the Evolving Landscape – Enhancing Ethics and Compliance Programs for Risk Mitigation

Happy Hump Day! Long title for what is going to be, a rather brief post.  As followers and regular readers know, my firm (I am the co-founder and part owner) H2 Healthcare, LLC has a practice area uniquely concentrated on clinical compliance and complex litigation support.  The practice area is headed by Diane Hislop, RN (yes, … Read more

Why Managers Need to Shift Focus from Putting Out Fires to Empowering Their Teams

In my reading stack this weekend (ok, virtual stack), I came across a number of articles on leadership and management. Some were good, some were not, and lots were focused on “old” issues and problems. One in particular, caught my attention – “Management as We Know it Is Broken: How can Leaders Fix It?” What … Read more

Conference Board Report/C-Suite Outook for 2024: Concerns Ahead

The Conference Board, a renowned non-profit research organization, has recently released a comprehensive report that sheds light on the business outlook and concerns of CEOs for the year 2024. This study offers valuable insights into the minds of top executives, highlighting their attention towards the economy and organizational talent. In this post, I’ll delve into … Read more

Wednesday Feature: Framework for Improved Staffing Levels

Happy Hump Day! Wow, winter has really settled in for most of the U.S. – cold and snow as far south as Arkansas and cold, almost everywhere. Next week looks a bit more promising, weather-wise. Staffing for all providers is a major issue. For rural facilities, it can be the difference between staying afloat or closing. I … Read more

Final Independent Contractor Rule: Implications for Health Care

This morning, the Department of Labor issued a final rule interpreting who is and who is not, an independent contractor v. an employee. Contract work in health care has boomed since the pandemic, though even pre-pandemic, the use of contractors (physicians, nurses, therapists, etc.) was on the increase. The final rule is available here: 2024-00067 The … Read more

Wednesday Feature: Outlook for 2024

Happy Hump Day! I hope all readers, followers, and visitors had a great Christmas Holiday. This post will likely wrap-up 2023 for me as tomorrow, I begin a bit of travel to see some long-time friends and celebrate the New Year. I am not much for resolutions into the new year as I try to … Read more

MedPAC Recommendations: Home Health, Hospice, Inpatient Rehab Facilities

Yesterday I wrote about MedPAC’s rate recommendations for SNFs for FY 2025. Recall, MedPAC makes these recommendations annually, assuming the full commission votes (in January 2024) for the recommendations as released by draft. The final recommendations go to Congress. Yesterday’s post was the “draft” position for SNFs. Today, I’m including summaries for Home Health, Hospice, … Read more

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 what the generalized payment amounts are. Having started a few hospices in my career, I can attest that done right, … Read more