COVID-19 Response and Pandemic Preparedness: Redux

As COVID-19 has moved to an endemic phase (constant presence, not spreading out of control or taxing health care resources), I’ve started to look back at what transpired since early-2020 and what was learned, known, and now, embedded (perhaps) in our culture and our health care industry. Suffice to say, the review is somewhat mind … Read more

Wednesday Feature: Mental Health

Yesterday was National Mental Health Day. It was also World Mental Health Day. The purpose of the day is to raise awareness of mental health issues and to mobilize professionals and communities to become more engaged in supporting mental health care. A few months back, I lost a very close, long-term friend to a mental … Read more

Value-Based Care: Why it Matters, or Should, for Post-Acute Providers

Value-Based Care is kind of a vogue term, one that I encounter quite often. I also have used it when speaking or writing and know most people have no idea what it means or how it can be developed and/or applied. Value-based care is not a new concept. Medicare tried a foray into it back … Read more

Friday Feature: Sr. Living Occupancy Update + (plus)

Yesterday we got a good look at the status of the SNF industry via a data report from CLA. Today, as the week ends, we can look at the broad industry as a whole and where occupancies are trending. NIC (National Investment Center) released its occupancy snapshot for senior living for Quarter 3. That summary … Read more

SNF Industry Update

Every year, the accounting firm of Clifton Larson Allen (CLA) produces an industry trends report based on accumulated cost report data. The report provides a good snapshot of the nursing home industry, nationwide, with insights on regions and states.  The report is available here: 38th-snf-cost-comparison-and-industry-trends-report As I’ve written on numerous posts on this site, the … Read more

Twofer Tuesday: Jimmo and Staffing Mandates

Happy Hump Day eve! There is so much going on right now with the economy, government shutdown (whew, avoided that one for a bit) dynamics, election news, and health policy that it is becoming difficult to parse topics into stuff of value. Hopefully, a couple of quick updates will make room for more insightful analysis … Read more

AZ Pandemic Related Case – Watchlist Important

My firm (shared with my co-founder) H2 Healthcare, LLC does a lot of legal work, primarily forensic and litigation support. My wife (and partner), Diane Hislop, RN, is likely the foremost (or certainly, top few) clinical compliance experts in the country in terms of senior living and post-acute care. This means, as a group, we … Read more

Friday (and Weekend) Feature: A Bit Tardy

Busy week and so, I got a tad behind. Lots of news to run through this weekend from health policy stuff (new MDS next week), to updated numbers on SNF staffing mandates, some new info. on the Jimmo case (ten years ago) and Medicare denials, and some economic data from yesterday and today (mixed bag … Read more

Quality and Quantity of Life for Seniors, in Senior Housing

Since my first years in senior housing and health care, and my work way back when with Alwyn Powell (AV Powell, AV Powell and Associates), I have been fascinated by the aging journey in care settings – lengths of stay, health care utilization, quality of life and quantity of life. I’ve supported numerous research studies … Read more

Fitch, Life Plan (CCRCs) and the Economy: Could Get Uglier

On Monday, Fitch (investment rating agency) dropped a non-rating commentary as an alert that should the economy hit a recession (I would argue not “should” but “when”), that Life Plan communities will encounter additional financial pressure. Recall that in December 2022, Fitch issued its outlook on the Life Plan/CCRC market, qualifying it as “deteriorating.” Per … Read more