Category: Skilled Nursing

Home Health

Post Acute and Healthcare Reform “Now”

Healthcare reform is not a single bill. It is three separate changes moving through the federal system at once, and only one of them touches a skilled nursing facility’s day-to-day operations directly. Operators who treat…

Senior Housing

In-House v. Contract Therapy: Know the Risks

The in-house versus contract therapy decision is usually framed as an operating question — margin, staffing burden, flexibility. It is actually a liability question, and too many SNF operators make the choice without fully pricing…

CMS Staffing Rule Review After the Reversal

Policy and Politics - Federal

CMS Staffing Rule Review Post Reversal

CMS staffing rule review: what its reversal means for senior care quality, reimbursement, workforce policy, and operator strategy for 2026 nationwide….
Top Regulatory Compliance Risks in Healthcare

Home Health

Top Regulatory Compliance Risks in Healthcare

Top regulatory compliance risks are reshaping healthcare strategy. See where senior living and post-acute leaders face the greatest exposure this year….
ACO REACH Versus MSSP and the Cost of Risk

Health Policy and Economics

ACO REACH vs MSSP and the Cost of Risk

ACO REACH versus MSSP demands a strategic choice on risk, equity, governance, and capital. Here is what healthcare leaders need to assess in 2026….
Managed Care Contracting Is Now a Margin Test

Health Policy and Economics

Managed Care Contracting Is a Margin Test

Managed care contracting now determines far more than a rate sheet. For post-acute and senior living leaders, it is a test of margin, access, and control….
CMS Changes to SNF Quality Measure Thresholds

Policy and Politics - Federal

CMS Changes to SNF Quality Measure Thresholds

CMS changes SNF quality measure thresholds can reshape ratings, reimbursement risk, and survey exposure. Operators need to know what will move and why….

Health Policy and Economics

The Future of Healthcare Reimbursement Models

For years, healthcare operators have heard the same directive: move from volume to value. The future of healthcare reimbursement models, however, will not be settled by a slogan or a single CMS demonstration. It will…

How Reimbursement Cuts Affect Margins in Post-Acute Care

Health Policy and Economics

How Reimbursement Cuts Affect Margins

Medicare post-acute care (PAC) reimbursement is increasingly driven by stricter federal spending controls, closer Medicare Advantage (MA) utilization oversight, and limited rate increases. Current policy priorities center on value-based accountability, shifts to lower-intensity care settings,…

How Value Based Care Affects Healthcare Operators

Health Policy and Economics

The Impact of Value-Based Care

The practical question is not whether value-based care affects operators. It already does. The more consequential question is whether an organization recognizes the change early enough to redesign how it manages referrals, clinical performance, workforce…

Picture of Reg

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.