Sunday, August 2, 2026 - Updated Daily
Sunday, August 2, 2026 - Updated Daily
Medicare Advantage vs traditional Medicare is no longer a beneficiary-choice discussion alone. It is a market-structure issue affecting referral patterns, hospital utilization, post-acute length of stay, network access, risk-bearing arrangements, and the financial viability of…
The report that CMS is withholding $1B in Medicaid payments from California and Minnesota is not merely another Washington-versus-state-capital political skirmish. It is a reminder that Medicaid is financed through a conditional partnership, and federal…
CMS is launching a streamlined review process for higher-performing nursing homes and making them easier for consumers to find on Medicare.gov. A new Quality, Safety, & Oversight memo outlines the risk-based survey process, which helps…
For years, and littered throughout this site, are pieces (and presentations) I have done on compliance. Some goodies are below. https://rhislop3.com/2023/09/07/five-quality-and-compliance-tips/ https://rhislop3.com/2018/11/16/the-real-impacts-of-poor-quality-inadequate-compliance-and-weak-risk-management/ https://rhislop3.com/2018/11/29/follow-up-real-impacts-of-poor-quality-and-lax-compliance/ https://rhislop3.com/2019/06/14/the-connection-between-quality-and-revenue/ The one major implication of solid (or not) compliance is the…
Earlier this year, in January, I wrote a piece on the start of site-neutral payments via a CMS final rule tied to the Outpatient PPS (OPPS). This post is a follow-up of sorts to the…
Budget math is about to collide with operating reality. When executives ask about the top healthcare policy risks 2026, they are not asking for a Washington headline recap. They are asking which policy moves could…
CMS did not put out the View Rule as a routine paperwork exercise. For operators already carrying margin pressure, survey exposure, labor inflation, and reimbursement uncertainty, this request for information is a signal. It suggests CMS is…
When hospice enrollment spikes in markets with no matching rise in terminal illness, executives should not treat that as noise. Medicare hospice fraud is not a niche compliance issue buried in enforcement bulletins. It is…
Every year, the release of Medicare insolvency projections triggers a familiar cycle: headlines warn that Medicare is running out of money, advocates insist benefits are safe, and operators are left sorting politics from payment reality….
Private equity in healthcare is no longer a niche financing story. It is now a governance story, a labor story, a reimbursement story, and increasingly a political story. For operators and investors alike, the real…
Healthcare executive, consultant, and author covering post-acute care, senior living, and the economics behind both - for 30+ years.
No noise - just what changed in healthcare policy and economics, and why it matters to your operation.