The Challenge of Medicare Insolvency
Medicare insolvency projections shape provider strategy, payment risk, and policy debate. Here’s what healthcare leaders should watch next.
Money
Private Equity in Healthcare: What Changes Now
Private equity in healthcare is reshaping costs, staffing, and oversight. Here’s what operators, investors, and policymakers should watch now.
Hospice Regulatory Changes 2026 Explained
Hospice regulatory changes 2026 will reshape compliance, oversight, and margins. Here’s what operators, investors, and leaders should watch now.
Legislation Restricting PE Role in Healthcare
A few weeks back, I wrote a post on the growing scrutiny private equity is receiving regarding ownership and investment in healthcare companies. That post is here Private Equity Ownership Scrutiny – Reg’s Blog At the end of that post, I mentioned a follow-up piece on the legislative efforts ongoing at the Federal level, focused … Read more
Rural Health Transformation Program Overview
On December 29, 2025, the Centers for Medicare & Medicaid Services (CMS) announced the inaugural state awards from the $50 billion Rural Health Transformation Program CMS Announces $50 Billion in Awards to Strengthen Rural Health in All 50 States | CMS. The program was created as a policy vehicle to mitigate the potential negative effects … Read more
Trump’s Healthcare Policy Plan: A Review
With both houses of Congress unable to codify some plan to address the evaporating premium supports under the ACA (COVID era addition), President Trump put forth his framework known as The Great Healthcare Plan. For more on the ACA extension/premium supports and related Congressional plans/details, see my earlier post here: https://rhislop3.com/the-aca-subsidies-where-we-are-whats-next/ On January 15, the … Read more
Podcast: Why Both Parties Suck on Healthcare
Last month I joined Dan Horowitz’s show to provide a plan and a vision on the most important economic and fiscal issue. I explain how Republicans continue to push a luke warm, ineffective plan by accepting the premise of Obamacare while assuming responsibility for it. Dan and I converse on what would develop the ideal … Read more
Rural Healthcare Still Struggling
Seven hundred fifty-six rural hospitals in the United States are at risk of closure due to financial instability, with over 40% classified as being at immediate risk. These figures are derived from the Center for Healthcare Quality and Payment Reform’s latest analysis, which utilizes current cost reports submitted to CMS and verified through December 2025. … Read more
The ACA Subsidies: Where we Are, What’s Next
On December 11,2025, the Senate rejected competing bills addressing Affordable Care Act (ACA) subsidies, resulting in the expiration of tax credits and the prospect of higher health insurance premiums for many Americans in 2026. Both a Democratic bill intended to extend these subsidies and a Republican proposal involving Health Savings Accounts (HSAs) failed to pass, … Read more
Medicare Hospice TPE Basics and Update
Within the last few weeks, I’ve had the opportunity to discuss and review, the ongoing Medicare TPE program with a number of hospices and hospice folks. Suffice to say, there are more than a few questions and resultant (still) confusion over the audit process and claims denial in general. I hope this post provides some … Read more