Five Things Every Healthcare Executive Should Focus On: Updated, Revised

More than two years ago I wrote a post regarding “five” things every SNF administrator should focus on and lo and behold, a reader asked late last week if I would revisit this subject.  She (the reader) is not an SNF administrator so she asked if I could focus more globally; sort of a “best practices” … Read more

First Glimpse at ACO Results

A cornerstone of health policy arising from health care reform is the formation of Accountable Care Organizations.  The premise is that an organizational structure focused on improving patient care and satisfaction, in a coordinated fashion, would improve quality and thus, reduce cost. The policy implication is that on a shared incentive basis, organizations at-risk, would … Read more

Presidential Debates and the Core of Health Policy

Tonight marks Round 1 in the three-part series of presidential debates.  Why Round 1 is interesting, aside from the political points and positioning each side craves (in his favor) is that this round is supposedly focused on domestic issues. Deficits, tax policy, education and yes, health policy will no doubt work through each candidate’s comments.  As debates … Read more

Catching Up Part I: Politics, Observation Stays, and Medicaid

Off the golf course (reluctantly) and back to work.  Last week was full of catching up and revisiting issues and reports.  As promised before I went temporarily AWOL, here’s Part I of at least two parts (maybe three) of issues that I am following. Politics and the First Tuesday in November: The conventions are done and … Read more

What’s Trending: Back on Track….For Now

Finally, my plans and I collide again on a Friday afternoon and I’m somewhat back on schedule … for now.  With forecasted travel next week plus a touch of R&R time, it looks like I’ll be back off-track before long.  We’ll see.  Not a lot different on my dashboard as this week concludes.  I’m pretty much awash … Read more

What’s Trending: Catching Up

Probably the biggest trend as of late is my tardiness in getting these posts out on-time…sorry.  My end of the week (last week) got distorted as I needed to attend a meeting with regard to a Medicaid shift in Kansas from fee-for-service to “managed”.   As I have been through these conversions or switches before, it’s … Read more

CBO Releases Updated ACA Score

Tuesday, the Congressional Budget Office released their updated score of the ACA post the Supreme Court ruling.  Substantively, the only reason or need for an update is the Court’s tweak concerning Medicaid expansion; allowing states to opt-out of expansion.  See my post from earlier this week for a bit more information on the Court’s ruling and … Read more

CBO Score on Post-Court ACA Implications Due Today

Later today, the Congressional Budget Office is set to release an updated “score” of the Affordable Care Act (PPACA) incorporating the decision of the Supreme Court.  The fundamental reason for the update is the Court’s decision to invalidate a provision within the Act that would have penalized states via reduced federal Medicaid funding should one or more opt … Read more

What’s Trending: A Hot Friday Perspective

Seems every day this month has been hot and dry – could use a break from the heat  and definitely, some prolonged rain.  Within the past couple of weeks, I’ve traveled “rural” a bit and as a result, I have a different perspective on what farmers and ranchers in the middle-section of the country are struggling … Read more