Saturday, August 1, 2026 - Updated Daily



A hospice operator can absorb only so many moving targets at once. Wage pressure is still real, referral patterns remain fragile, and Medicare oversight is getting sharper, not softer. Against that backdrop, hospice regulatory changes…

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…

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…

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…

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…

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…

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…

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…

Last week, I wrote a couple of posts regarding Medicaid, the Affordable Care Act/insurance premium subsidies and the government shutdown. The second of the two posts contained a quick summary of the shutdown impact on…

The Senate has approved a spending bill to keep the federal government running through January 30, though any decisions about extending the ACA enhanced premium tax credits have been postponed until December. Here are the…

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.