Wednesday, September 2, 2026 - Updated Daily
Wednesday, September 2, 2026 - Updated Daily
Medicare Advantage plans are paid through risk adjustment. The government sends each plan a fixed monthly amount per enrollee, and that amount rises when the enrollee’s record contains certain diagnosis codes. The system assumes sicker patients cost more to cover,...
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….
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…
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…
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…
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…
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…
Healthcare executive, consultant, and author covering post-acute care, senior living, and the economics behind both - for 30+ years.
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