MedPAC Recommendations: Home Health, Hospice, Inpatient Rehab Facilities

Yesterday I wrote about MedPAC’s rate recommendations for SNFs for FY 2025. Recall, MedPAC makes these recommendations annually, assuming the full commission votes (in January 2024) for the recommendations as released by draft. The final recommendations go to Congress. Yesterday’s post was the “draft” position for SNFs. Today, I’m including summaries for Home Health, Hospice, … Read more

Friday Feature: Affordability of Senior Living and Services

TGIF and Happy Hanukkah (to my Jewish colleagues and friends)! A major concern as the demographic in the U.S. ages is senior housing and services affordability. The expanding cohort of seniors in terms of real purchasing power, is not as financially fit as prior generations. The Baby Boomers for example, while well paid in their … Read more

Wednesday Feature: Recession Ahead?

Happy Hump Day! Advent has begun and soon, Chanukah will kick-off. ‘Tis the season or seasons. I will no doubt say this (or write it) many times over, but it always bears repeating, Happy Holidays to all! Yesterday, I wrote a post about Fitch Rating’s and their outlook for CCRCs/Life Plan communities for 2024. Fitch maintained … Read more

Twofer Tuesday: Life Plan/CCRCs, Fitch Outlook (2024) and Rate Concession Report

Long title for a Tuesday. Two reports dropped within the last couple of days and into my email regarding CCRCs/ Life Plan communities and some interesting trends/outlooks. Yesterday (Dec 4), Fitch issued its 2024 outlook for Life Plan/CCRCs, reaffirming its 2023 outlook as “deteriorating”. The primary reason for the gloomy outlook is present and projected, … Read more

Value-Based Care: What it is and How it Can Work for Post-Acute Providers

I get asked about value-based care a lot. It is a buzzword or term these days, somewhat driven by the rise in Medicare Advantage enrollment. Frankly, it is a bit of a catch-all concept that has its origins in Medicare and various demonstration projects (e.g., bundled payments) and the implementation of quality measures to “improve … Read more

Friday Feature: Senior Living Credit/Borrowing Still, Very Soft

TGIF! This week has been very busy with lots of data and lots of economic news. We got a new report from the BLS on inflation. We got earnings reports from Home Depot, Target, and yesterday, Wal Mart indicating what we saw from the Conference Board – consumers are slowing their spending.  I called the … Read more

Non-Profit Ownership/Sponsorship Changes Moving at Record Pace

While mergers and acquisitions are generally down, affiliations, closings in some cases, and sponsorship changes in non-profit senior living and care are at a record pace. Back in July, I wrote about the disconnect between acquisitions and the merger/affiliation changes occurring among non-profits. That post is here: https://rhislop3.com/2023/07/24/senior-living-and-care-ma-two-worlds/ A news release from Ziegler Investment Banking, … Read more

Wednesday Feature: CPI, Economy, 40 Days to Christmas

OK, the title is kind of funky, but these concepts do connect. Yesterday, the Bureau of Labor Statistics released the Consumer Price Index (inflation report) for October, 2023. Good news? Maybe. A mixed bag? Definitely. Headlines win the day, and politically spun, it’s fascinating to see which numbers resonate. The full report/release is here: cpi … Read more

Hospice Payment Basics/MedPAC

Even after all of the years that I have been in health care and particularly, post-acute care, I still field a good number of questions regarding Hospice, the benefit under Medicare, how payments work, and what the generalized payment amounts are. Having started a few hospices in my career, I can attest that done right, … Read more

CMS Offers Fix to Medicare Advantage Denials

An issue that has been tied to AI (artificial intelligence) and specifically, to Medicare Advantage plans, involves coverage denials. I wrote about this in a post earlier this year at https://rhislop3.com/2023/05/01/medicare-advantage-part-d-final-rule/ Coverage denials have been a fairly hot topic around Medicare Advantage plans. The core of the issue is that Medicare Advantage plans are required … Read more