Healthcare, Senior Living, Economics
On a fairly routine basis, I run across SNF Administrators and Directors of Nursing that continue to have issues with hospice patients in their facilities but not from the standpoint of the patient typically; from the standpoint of dealing with the Hospice and the terms of the contract between the Hospice and the SNF. In … Read more
Within the past ten or so days, I took some time to review the financial and operating benchmarks for CCRCs. The past eighteen months have likely been the toughest operational and financial period ever for CCRCs. By the end of 2009, a small rebound in the economy via an increase in existing home sales, a … Read more
Moody’s Investor Service released their annual sector outlook today for not-for-profit health care organizations, stating that they (Moody’s) continue to maintain a “negative” outlook on the industry. Important to note in this report is that the focus is principally on hospitals and since the report is produced by Moody’s, its primary perspective is on credit … Read more
As 2010 comes in and looking back on 2009, the Assisted Living market has been on a bit of a roller-coaster. Without question, the downturn in the economy caused some provider pain most notably among some of the larger, heavily leveraged companies (e.g. Sunrise and Sunwest). Occupancy rates were soft in many parts of the country, … Read more
I lost track this past year of how many people I talked to that told me that, “organizationally, we are kind of stalled in developing new business because of the economy and health care reform”. I know that in down economic periods, promotion budgets (advertising, sponsorships,etc.) are some of the first line items trimmed but … Read more
Earlier today, CMS released its annual report on national health spending for the year 2008. In summary, health spending grew at a rate of 4.4% (over 2007), equating to a per capita cost of $7,681 and a total cost of $2.3 trillion. This rate of growth, per CMS, is the slowest increase since 1960 although … Read more
For the vast majority of providers, productivity and retention are ongoing labor hassles. Salaries and benefits are typically, the single largest expense item for health care providers and when analyzed by all of the components, a surprising percentage is allocated for labor related expenses that can and should be, reduced. Expenses such as Worker’s Compensation, recruitment, turnover, … Read more
In an effort to salvage some hope for the flagging Senate health reform bill and to provide sustenance for the neutered Harry Reid, President Obama convened all Democratic senators at the White House earlier this week for a strategy session. Per Mr. Obama, this activity was not a roll call to establish a majority but … Read more
As we head now into the new year, it makes sense for CCRCs to pre-ordain the recovery just a bit and move back into a modest-aggressive posture, qualifying and securing new residents. Even with a glimmer of light at the end of the tunnel, no CCRC owner/operator should expect there to be a great deal of pent-up demand. Seniors aren’t monitoring CCRC opportunities and the market and economic conditions favorable for sales – that frankly is the CCRC’s job. In order to get “back in the game” so to speak, a CCRC’s marketing approach may need to be tactically tweaked. The next generation of marketing plans will need to be different, for quite some time, from those of say two years ago.
Watching this reform process, at least for me, is now like watching a Ping Pong match or a Nascar race (sorry Nascar fans); back and forth and round and round. Even for someone who watches and interprets health policy for a living, this stuff is getting boring, monotonous and frankly, now somewhat nauseating, content wise. Maybe the … Read more