Thursday, July 30, 2026 - Updated Daily


Happy Hump Day! Another Wednesday with news too heavy to ignore. I’ll try to return to some levity and light in future Wednesday features. For a number of years, CMS has been playing with developing…
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…
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…
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,…
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…
As the economy remains “challenging” and providers are finding rising capital costs and rising staffing costs, survival mode is where many are operating. For any hospital, SNF, Home Health Agency, or Hospice, labor (wages and…
I’ve been rather busy lately and my wife’s side of the practice (compliance, litigation), very much so. Suffice to say, as the two prime partners and owners of H2 healthcare, we work collaboratively and support…
A practice concentration within my business, H2 Healthcare, LLC, belongs to my wife who is also, the firm’s Senior Partner and co-founder and co-owner. The practice area is compliance and a strong focus within, is…
SNFs got a little early Christmas present yesterday when CMS announced its Final Rule (PPS) for Fiscal Year 2024 (begins October 1, 2023). Instead of a 3.7% increase as proposed in the initial rule, CMS…
Lately I’ve written a fair amount (multiple articles) regarding the economic conditions in senior living/post-acute care. The current economic headwinds of rising capital costs/interest rates, labor scarcity, rising costs due to labor scarcity and commodity…

Healthcare executive, consultant, and author covering post-acute care, senior living, and the economics behind both - for 30+ years.
No noise - just what changed in healthcare policy and economics, and why it matters to your operation.