Tag: Money

CMS Staffing Rule Review After the Reversal

Policy and Politics - Federal

CMS Staffing Rule Review Post Reversal

CMS staffing rule review: what its reversal means for senior care quality, reimbursement, workforce policy, and operator strategy for 2026 nationwide….
Hospice Quality Measures Are Now a Strategy Test

Hospice

Hospice Quality Measures and Strategy

Hospice quality measures now shape payment, oversight, referrals, and reputation. Leaders should treat reporting as an operating and governance priority….
ACO REACH Versus MSSP and the Cost of Risk

Health Policy and Economics

ACO REACH vs MSSP and the Cost of Risk

ACO REACH versus MSSP demands a strategic choice on risk, equity, governance, and capital. Here is what healthcare leaders need to assess in 2026….
Healthcare Private Equity Oversight Is Tightening

Assisted Living

Private Equity Oversight Is Tightening

Healthcare private equity oversight is changing deal risk, board governance, and accountability for providers, investors, and policymakers alike nationwide….
Managed Care Contracting Is Now a Margin Test

Health Policy and Economics

Managed Care Contracting Is a Margin Test

Managed care contracting now determines far more than a rate sheet. For post-acute and senior living leaders, it is a test of margin, access, and control….
Medicare Advantage vs Traditional Medicare

Health Policy and Economics

Medicare Advantage vs Traditional Medicare

Medicare Advantage vs traditional Medicare is no longer a beneficiary-choice discussion alone. It is a market-structure issue affecting referral patterns, hospital utilization, post-acute length of stay, network access, risk-bearing arrangements, and the financial viability of…

Health Policy and Economics

The Future of Healthcare Reimbursement Models

For years, healthcare operators have heard the same directive: move from volume to value. The future of healthcare reimbursement models, however, will not be settled by a slogan or a single CMS demonstration. It will…

How Reimbursement Cuts Affect Margins in Post-Acute Care

Health Policy and Economics

How Reimbursement Cuts Affect Margins

Medicare post-acute care (PAC) reimbursement is increasingly driven by stricter federal spending controls, closer Medicare Advantage (MA) utilization oversight, and limited rate increases. Current policy priorities center on value-based accountability, shifts to lower-intensity care settings,…

How Value Based Care Affects Healthcare Operators

Health Policy and Economics

The Impact of Value-Based Care

The practical question is not whether value-based care affects operators. It already does. The more consequential question is whether an organization recognizes the change early enough to redesign how it manages referrals, clinical performance, workforce…

CMS Withholds $1B in Medicaid Payments From CA, MN

Policy and Politics - Federal

CMS Defer $1B in Medicaid Payments to CA, MN

The report that CMS is withholding $1B in Medicaid payments from California and Minnesota is not merely another Washington-versus-state-capital political skirmish. It is a reminder that Medicaid is financed through a conditional partnership, and federal…

Picture of Reg

Reg

Healthcare executive, consultant, and author covering post-acute care, senior living, and the economics behind both - for 30+ years.

The Weekly Briffing

No noise - just what changed in healthcare policy and economics, and why it matters to your operation.