Healthcare, Senior Living, Economics
Across my multiple decade career, I have spent a great deal of my work life mentoring and coaching executives and boards on developing effective habits and systems. As I have done a fair amount of turnaround work, building a high performing organization was as much about creating effective leaders and leadership habits as it was … Read more
The bifurcated title for this post (twofer) means two quick subjects, wrapped into a “what’s next” for 2025. The wrapper in this case is marketing, a subject that I’ve often written about across this blog’s dozen plus year history (hard to believe it has hung around that long). According to NIC (National Investment Center), and … Read more
On November 1 the Centers for Medicare & Medicaid Services (CMS) issued the Calendar Year 2025 Home Health Prospective Payment System (HH PPS) final rule, which updates Medicare payment policies and rates for Home Health Agencies. Unlike other Medicare provider types that have PPS rule updates corresponding to the federal fiscal year (10/1), home health … Read more
When the 2025 Final SNF PPS Rule was released, the focus was on Medicare rate increases. This is typically known as the “headline”. But as readers and followers here know, there is always a regulatory tidbit or two that can be even more significant in terms of operations, particularly as more and more Medicare patient … Read more
As anticipated, litigation has started via various sources, in Federal courts, challenging CMS’ SNF “staffing mandate”. For specifics on the mandate and actual text, go here: https://rhislop3.com/2024/04/23/cms-final-snf-staffing-rule/ A big impetus behind the legal challenges to CMS mandate is the recent Supreme Court ruling known as the Chevron decision https://rhislop3.com/2024/07/01/scotus-chevron-decision-a-win-for-healthcare/ The decision overturns a longstanding doctrine … Read more
On Tuesday, I did a post with regard to senior housing marketing. In the post, I referenced how important it is from a marketing perspective, to develop and communicate, a value proposition as part of a marketing strategy This key theme that I refer to centers around the value proposition or in other words, the … Read more
A recent federal funds rate cut by the Federal Reserve of 50 bps has created a bit of optimism in the M&A and capital development arena for senior living and senior housing. The expectation of more Fed rate cuts going forward undergirds the optimism BUT…Overall economic conditions remain sketchy including inflation which, ticked a notch higher … Read more
Marsh (largest insurance broker in the world) recently released its 2024 General and Professional Liability Report 2024-General-Professional-Liability-Benchmark-Report-MAR-USA. The report includes data from fifty senior living and long-term care providers comprising 10,300 closed claims with paid indemnity and expense value of $1.87 billion across a ten-year horizon. The ten-year data was used by Marsh to forecast … Read more
Here’s an oldie but a goodie for today. The House Ways and Means Committee is reportedly considering a markup of legislation this month that would revamp Medicare’s physician payment system. This move could increase the likelihood of incorporating a “doc fix” into a lame duck legislative package. Historic readers and followers of Reg’s Blog will … Read more
Not sure how many times I’ve heard the worn phrases of “think outside the box”, “brainstorm”, “explore new perspectives”, across my career. Now, I’m not saying that these concepts don’t have merit. I am however, saying that most often, the best innovation comes from “thinking inside the box”. Systematic inventive thinking: the power of thinking … Read more