Wednesday Feature: Navigating the Evolving Landscape – Enhancing Ethics and Compliance Programs for Risk Mitigation

Happy Hump Day! Long title for what is going to be, a rather brief post.  As followers and regular readers know, my firm (I am the co-founder and part owner) H2 Healthcare, LLC has a practice area uniquely concentrated on clinical compliance and complex litigation support.  The practice area is headed by Diane Hislop, RN (yes, … Read more

The Financial Struggle of Rural Hospitals: A Growing Concern for Healthcare Access

Among the many healthcare sectors I follow, rural healthcare has become my favorite. Oddly enough, it’s not because of the policy issues that exist, though it should be. It is because it is an overlooked sector and one that has a real risk of collapse. Last summer (2023) I wrote a post about the plight … Read more

Why Managers Need to Shift Focus from Putting Out Fires to Empowering Their Teams

In my reading stack this weekend (ok, virtual stack), I came across a number of articles on leadership and management. Some were good, some were not, and lots were focused on “old” issues and problems. One in particular, caught my attention – “Management as We Know it Is Broken: How can Leaders Fix It?” What … Read more

My Notebook: Econ Tuesday Recap

Working on a number of things today with other projects in the fire as well. Haven’t had much time to sit and think, let alone compose much of a post or do much research into current topics so this quicky via the notebook will have to do – Happy TGIF Eve! Tuesday’s CPI report and … Read more

Friday Feature: Litigation, Arbitration, and COVID

TGIF! I live and have an office in Illinois, though my part of the state differs dramatically from the Illinois most people recognize. I live and work in a small town (Galena) in an area known as the driftless region. The driftless region is “original” terra-firma, where the glaciers did not touch. This area is in the far northwest … Read more

Wednesday Feature: Healthcare Job Growth and the Economic Disconnect

Happy Hump Day! My apologies right off for such a head scratching title but this is where I am most days when I see economic reports like the recent jobs report (last week) from the Bureau of Labor and Statistics (report is here: January BLS Report 1 24 ) The news is good, maybe, kind of, … Read more

Occupancy? The Hidden Senior Living Market

While it is important to celebrate that senior living occupancies are up to pre-pandemic levels, it is also important to note that in most cases, the data quoted via NIC for example, is regionalized and nationalized. Likewise, the results (the occupancy levels) are still not capable of generating strong, positive margins. Occupancy levels in the 87% to … Read more

Rising Tide of Audits: Brace Yourself for Increased Scrutiny on Skilled Nursing Providers in 2024

In 2023, regulators re-instituted audits of facilities for inappropriate diagnoses of schizophrenia (justification for anti-psychotic use), plus a five-claim audit of every nursing home. The purpose of the audit was to address a long-standing concern that inappropriate coding was driving higher Medicare reimbursement under PDPM, despite documentation in patient records, not substantiating the level of care … Read more

2024 Senior Living Outlook Report

Senior Housing News and Lument conducted a survey (November of 2023) of senior living organizations and executives regarding their outlook for 2024. They consolidated the responses into a report. That report is available here: 2024-shn-lument-outlooksurveyreport-vf.original The highlights from the report are below.  The general consensus of respondents was a positive outlook (87%) for 2024, buffered mostly … Read more

Wednesday Feature -The Soaring Price of Care: How Retirement Costs are Reaching New Heights

Happy Hump Day! Today’s post is shorter than normal as I have to attend a funeral on behalf of one of my partners (also a very close, close friend). His mom passed away recently, and the service is today. She was a wonderful woman, mom, wife, and grandmother and she will be missed by all who knew … Read more