JAMA Study: Private Equity Ownership and Hospital Outcomes

Happy 2024! I trust everyone had a blessed and happy holiday season and rang in the New Year with joy and optimism. Across the last two months of 2023, JAMA (Journal of American Medical Association) has published two studies on private equity ownership in healthcare, specifically in hospitals and SNFs. Not to accuse JAMA of having … 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

The Impact of Baby Boomers on Senior Living/Senior Healthcare

The oldest boomers are about to turn 80 in 2026. This age point is typically the trigger point for advancing needs in secure living environments, services increase (ADL and IADL support), and increasing healthcare consumption. The baby boom generation is defined as folks born between 1946 and 1964. The “boom” reference is the rapid number of children … Read more

Friday Feature: Merry Christmas

TGIF and Merry Christmas! The year has flown and now, it’s time to get away from a keyboard and from work and focus on what really matters – faith and family. Soon, I will reflect again on the most wonderful story of all, the birth of Jesus. The season of Christmas does not exist without … Read more

Genesis and COVID Litigation – Interesting Update

Genesis is one of the country’s largest SNF and assisted living providers so naturally, it saw its share of COVID cases throughout the pandemic. Like other similar providers across the same industry, cases involving COVID infections are just now hitting the courts.  Back in October, I wrote about the advancement of litigation involving COVID.  There … Read more

Wednesday Feature: Santa Claus is Coming to Town

Happy Hump Day! I’m getting close to putting a bow on this site and wrapping it up for the Holidays, or at least, until after Christmas. There may be one more health policy post to get out before a brief hiatus. In the meantime, the festive part of the season is slowly ingulfing me, so today’s … Read more

Washington Post and Assisted Living (not so good) News

Yesterday, a story in the Washington Post highlighted a series of wandering cases where residents from an Assisted Living or Memory Care facility wandered and were later, found dead. Industry insiders knew this story was coming and yesterday, it dropped. In many ways, it is eerily similar to a PBS story a decade ago around poor care/neglect … Read more

Friday Feature: Hopeful

TGIF! It is the Advent season for Christians and the end (another day) of Hanukkah for Jews. Both seasons to me, bring joy and hope. I have good Jewish friends, so I get a bit of a celebratory joy from them, especially since they reciprocally enjoy Christmas celebrations. As readers know, I follow health care and health … Read more

Humana, United Health: Class Action Suits over AI use in Coverage Determination

It was only a matter of time before litigation came forward regarding the use of Artificial Intelligence (AI) in primarily, Medicare Advantage plans, where coverage denials/determinations are at issue. This week, a class action suit dropped in the U.S. Circuit Court of Western Kentucky against Humana. A link to the suit is here: https://www.scribd.com/document/692182281/Humana-AI-NaviHealth-MA-lawsuit In … Read more

Wednesday Feature: SNF Ownership Transparency

Happy Hump Day!  Only 12 more shopping days until Christmas! In mid-November, CMS issued a final rule titled: “Medicare and Medicaid Programs; Disclosures of Ownership and Additional Disclosable Parties Information for Skilled Nursing Facilities and Nursing Facilities; Medicare Providers’ and Suppliers’ Disclosure of Private Equity Companies and Real Estate Investment Trusts“. The final rule is … Read more