Politics and Health Policy

Last week, the 2024 Presidential campaign season kicked into full swing with the first candidate debate. Arguably, momentum has been building ahead of the debate, especially in Iowa, during the State Fair, where candidates roamed, gave speeches, and pressed the flesh. I was there one day and enjoyed seeing Tim Scott and few other notables, … Read more

Friday Feature: CMS Updates RAI Manual for SNFs

As foretold in the SNF PPS Final Rule, CMS was going to fine tune the MDS/RAI manual prior to October 1 when the new 2024 Fiscal Year starts. Generally, data such as this update comes much closer, sometimes even after the October 1 implementation date. Providers get a break for a change.  Initial proposed changes … Read more

SNF Claims Audits so Far – Messy

Back in early June, I wrote a post on how Medicare/CMS was intending to audit 5 claims from every participating SNF in the country. The audits would be staggered and conducted by MACs (Medicare Audit Contractors). That post is available here: https://wp.me/ptUlY-AR As we are now three months into the audit process, details are emerging … Read more

Wednesday Feature: CMS Targeting 400 Hospices for Administrative Action

Usually I try to add some “light and levity” to my Wednesday features as the content on this site is pretty heavy health policy and economics, regulatory in nature, etc. In my work, my usual Wednesday messages internally are “fun” – a bit of Hump Day humor or whimsy. By title of this post, readers … Read more

High Acuity Assisted Living and Home Health Becoming a Trend?

With a push to find increasing value in care delivery on the part of payers, providers in assisted living and home health are seeking to carve out a niche in what can best be described as “hospital or acute care” alternative locations. The most forward trend is occurring in home health, known as hospital-at-home care. … Read more

Trouble for Rural Hospitals

I spend a lot of time in rural America, primarily in the upper-Midwest (Iowa, Wisconsin, Illinois, etc.). With the pandemic, the struggling economy, high inflation, high energy costs, labor supply challenges, and rising interest rates, rural health care is struggling like never before. A story on the Fox Business website captures the plight of rural … Read more

Friday Feature: SNFs and Hospices

Typically, I get the Friday Feature posts out early enough on a Friday for folk to read before a longer weekend or leaving the office early. Working today with my wife on an SNF/Hospice litigation matter got me behind but the same did form today’s Feature. My wife’s practice and our firm are seeing more … Read more

News and Upcoming Quality Program

Yesterday, I wrote a post regarding health systems and providers looking at finding efficiencies and, in some cases, cutting staff – particularly at the administrative and executive levels. Providers are being tasked with making do with less as the economic headwinds remain stiff, even gale force in some cases. Part of the challenge for providers … Read more

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