Strategies for Accomplishing New Development or Major Capital Projects

One of the focal areas of my consulting practice/work is assisting health care organizations in accessing sources of funding (securing financing basically) for major projects and/or new development.  Given the state of the economy, most specifically the capital markets over the past eighteen months, getting funding for capital projects and/or development has been challenging, though … Read more

CMS Releases Annual Report on Health Spending

Earlier today, CMS released its annual report on national health spending for the year 2008.  In summary, health spending grew at a rate of 4.4% (over 2007), equating to a per capita cost of $7,681 and a total cost of $2.3 trillion.  This rate of growth, per CMS, is the slowest increase since 1960 although … Read more

CCRCs and Problems: Much Ado About Likely, Very Little

A product that has seen its share of struggles in the economic downturn is entry-fee CCRCs.  To clarify, not all CCRC models are struggling and not even all entry-fee based CCRCs are struggling as certain regions have seen less housing market fall-out and concurrently, operators have done the right things to keep their census stable during the “down … Read more

Why Quality Matters

In the past month or so I have had a lot of conversations with various entities ranging from providers to investors about the financial state of the industry.  The majority of the discussions have been around all things financial – reimbursement in particular and as this topic goes, so goes expenses.  Understandably the economic and … Read more