Tapas Thursday: Small Health Policy News Bites

I like tapas from time to time, especially for a happy hour gathering. Thursday seems to always be a good day to have little bites of something prior to a big weekend; even better if Friday is a short day or a day off into the weekend. In a post earlier this week I mentioned … Read more

Are Independent Primary Care Docs a Thing of the Past?

The COVID pandemic illustrated a whole bunch of flaws, holes, and gaps within the U.S. health care system. To be fair, the pandemic illustrated flaws, holes, and gaps within U.S. society, government, the economy, etc. A trend that has been slowly moving forward seems to be accelerating through and post the pandemic and that trend … Read more

Hospice 2024 Final Rule and Home Health Update: Preserving Access Legislation

For early August, this is a semi-busy week with health policy stuff and upcoming econ data on inflation. Congress is on recess but that doesn’t mean that there isn’t a fair amount of activity in-play that will impact the health care industry, some positive, some negative. Likewise, this is the start of the presidential election … Read more

Friday Feature: COVID and Liability Insurance Coverage

A practice concentration within my business, H2 Healthcare, LLC, belongs to my wife who is also, the firm’s Senior Partner and co-founder and co-owner. The practice area is compliance and a strong focus within, is litigation support/expert witness/forensic nursing. My wife is frankly, one of the foremost clinical compliance (nursing) experts in the nation, supporting … Read more

Wednesday Feature: Lonely at the Top

Last week, in a message from LeadingAge President, Katie Smith Sloan, she wrote about the epidemic of loneliness. Her words reflected on how leaders are prone to loneliness and how the same concept or concepts were addressed by Arthur C. Brooks in his book, “Strength to Strength”. Surgeon General Vivek Murthy back in May, alerted … Read more

SNFs Get a Bit of Good News: CMS Final Rule for FY 2024

SNFs got a little early Christmas present yesterday when CMS announced its Final Rule (PPS) for Fiscal Year 2024 (begins October 1, 2023). Instead of a 3.7% increase as proposed in the initial rule, CMS finalized a 4% increase (plus an additional 0.3%). Back in April, I wrote about the proposed rule.  That post is … Read more

Senators Seek Survey Accountability for SNFs

Last Thursday, Senators Bob Casey (Pennsylvania), Ron Wyden (Oregon), and Chucky Grassley (Iowa) sent a letter to CMS asking that the agency “take immediate steps to strengthen the nursing home oversight system”. Their letter is a follow-up to a report from the Senate Committee on Aging, chaired by Casey, detailing a myriad of problems with … Read more

Friday Feature: GDP Report

Yesterday, the second quarter GDP report (economic activity) was released. This is the initial print from the Bureau of Economic Analysis. It will see two more prints but the initial one is always the headline story. Revisions of late, tend to be down versus up (improvement). I eschew the headlines for the details as the … Read more

Not Just Senior Living…Hospitals Too

Lately I’ve written a fair amount (multiple articles) regarding the economic conditions in senior living/post-acute care. The current economic headwinds of rising capital costs/interest rates, labor scarcity, rising costs due to labor scarcity and commodity inflation have caused providers to rethink many operating assumptions. Margins have eroded and often, decisions about additional volume via admissions, … Read more

Fed Rate Action and the Impact on Seniors Housing

Yesterday, the Federal Reserve raised its benchmark interest rate by .25 basis points (one quarter of on percent). The effective rate is now 5.25 to 5.50 percent. This is highest Fed Funds rate in 22 years. For the past multiple weeks, I have been writing on how the rate progress has impacted (negatively), seniors housing. … Read more