Wednesday Feature: Relentless Incrementalism

There is an old saying that goes like this: “How do you eat an elephant? One bite at a time.” That is a succinct definition for relentless incrementalism. Doing the hard stuff in life is rarely a quick accomplishment. I’ve never run a marathon, but I know people who have, and I know they don’t … Read more

Freedom is not Free

In the midst of a BBQ, fireworks show, or picnic today, take a moment to remember that freedom is not free. Freedom is earned and liberty protected and secured by those who believe deeply and are willing to sacrifice personally. God Bless America and Happy 247th! May there be many more…

Friday Feature: What Baby Boomers Want

Soon the target customer for most senior housing options, primarily independent living and CCRC/Life Plan will be folks born in the “baby boomer” generation. Boomers are folk born between 1946 and 1964, placing them today, between 76/77 and 58/59 years of age. They were born right after WW II and right at the beginning of … Read more

Health Care Sector Econ Data Points

In its latest update, the Altarum Health Sector Economic Indicators, provided some interesting information on health care spending, job growth, and pricing. The data was released yesterday and is accessible here: https://altarum.org/publications/june-2023-health-sector-economic-indicators-briefs Some key data points from the report are as follows. The data is useful in forecasting, budgeting, and planning, especially in terms of … Read more

Wednesday Feature: Independence Day

Happy Hump Day! Within less than a week, America’s most significant holiday will occur – Independence Day. Celebrated on July 4th, this day commemorates the ratification of the Declaration of Independence by the assembled U.S. Constitutional Congress, in Philadelphia, declaring separation and independence from English (King of England) rule. The 4th of July became the … Read more

Mid-Year Update: The Economy and Capital Markets

Just a tick early as mid-year officially won’t occur until this Saturday with the second quarter officially ending, Friday. This said, not much is likely to change the current status between now and Friday or for that matter, any time soon. The first half of 2023 can be summed up through a look at two … Read more

Friday Feature: 2 Court Cases

As I close the week, I’ve been following a lot of legal news, specifically court cases involving health care and in one case, a decision from the Supreme Court. Legal news can be rather arcane and boring but, in some cases, the implications of decisions can be rather profound. Such is the case (no pun … Read more

Wednesday Feature: First Day of Summer!

Happy Hump Day! Today is the first day of summer (northern hemisphere) otherwise known as the Summer Solstice. On this day, the sun is at its furthest northern rotational position providing maximum daylight north of the equator and minimal nighttime. On the first day of winter, the Winter Solstice, the inverse is true as the … Read more

Hospice Alert: Regulatory Changes Likely, Soon

In a series of news stories starting with a piece in the New Yorker published last November, hospices, particularly for-profit hospices in certain states, are being called-out for fraudulent activity.  The New Yorker article headline begins, “It began as a visionary notion—that patients could die with dignity at home. Now it’s a twenty-two-billion-dollar industry plagued … Read more

Friday Feature: MedPAC, Single Payment, and the IMPACT Act

The Medicare Payment Advisory Commission (MedPAC) via a report submitted to Congress on Thursday (yesterday) indicated that a single post-acute payment under Medicare is feasible but extensive policy procedural changes would be required to make it workable. The concept is that one uniform payment would apply to post-acute care delivered in home health, skilled nursing, … Read more