Friday Feature: Senior Living Investment Outlook

TGIF! On a calendar year basis, we are into the home stretch for 2023. It’s generally about now that I start looking at how 2024 is shaping up. What trends are there to watch? What do markets look like now, socially and economically? What does policy and politics tell us about the year to come? … Read more

SNF Staffing, Mandates, and More

Seema Verma, former CMS head, spoke out yesterday regarding the proposed staffing mandate (hours and type of staff, per resident per day) proposed rule, indicating her opinion that the approach was flawed. A recap article on her comments is here: https://www.mcknights.com/news/former-cms-chief-verma-regulators-over-their-skis-with-staffing-mandate/?utm_source=newsletter&utm_medium=email&utm_campaign=NWLTR_MLT_DAILYUPDATE_110223&hmEmail=IjP1GPaY%2BJ2uvsLxTJ79bVeRWY7ycbnr&sha256email=aa4cb7c695037c31a216b9562788596b6fcd012145d566f31440b6fcd139c8a9 Regular readers know that I have covered various topics on healthcare staffing, particularly as … Read more

MedPAC and Medicare Advantage

In yesterday’s post, Mish-Mash Monday, in the section about the House Budget Committee’s Health Care Task Force, I offered some commentary regarding MedPAC (Medicare Payment Advisory Commission) and Medicare Advantage plans. I also included a letter from the senior living trade association LeadingAge to the Congressional task force that references MedPAC’s concerns regarding Medicare Advantage … Read more

Sr. Living M&A Update – Third Quarter

This topic fits a line from the old police serials of my younger days. These are the favorites I watched religiously like Adam-12, the Rookies, The FBI, etc. The line, generally at a crime scene: Move on folks, nothing to see here. That line fits today’s topic. The mid-year report illustrated softness in activity principally … Read more

Medicare Advantage – Status Update

Medicare Advantage plans or Medicare Part C and D plans continue to grow in popularity. I’ve written a number of posts on various Medicare Advantage topics, of late, coverage issues and denials, particularly for post-acute care stays. A recent post on that topic is here: https://wp.me/ptUlY-wI Medicare Advantage plans (Part C plans) include Parts A, … Read more

Sr. Living, Litigation and COVID Implications

On Friday, I wrote about the explosion of COVID litigation in health care and senior living, especially that which is challenging federal immunity under the PREP Act and cases challenging insurance coverage for business interruption coverage resultant from COVID remediation policies (business closure, school closures, vaccine requirements, etc.). Today’s post is a bit more focused … Read more

Wednesday Feature: Insanity

Happy Hump Day! Every once in a while, I feel the need to rant, if just a bit. Personally, it’s like an exorcism of pent-up frustration. Since this blog is mine and I am the author, editor, chief cook, and bottlewasher, I get a certain license to write stuff that I feel is important. I … Read more

Twofer Tuesday: Jimmo and Staffing Mandates

Happy Hump Day eve! There is so much going on right now with the economy, government shutdown (whew, avoided that one for a bit) dynamics, election news, and health policy that it is becoming difficult to parse topics into stuff of value. Hopefully, a couple of quick updates will make room for more insightful analysis … Read more

AZ Pandemic Related Case – Watchlist Important

My firm (shared with my co-founder) H2 Healthcare, LLC does a lot of legal work, primarily forensic and litigation support. My wife (and partner), Diane Hislop, RN, is likely the foremost (or certainly, top few) clinical compliance experts in the country in terms of senior living and post-acute care. This means, as a group, we … Read more

Quality and Quantity of Life for Seniors, in Senior Housing

Since my first years in senior housing and health care, and my work way back when with Alwyn Powell (AV Powell, AV Powell and Associates), I have been fascinated by the aging journey in care settings – lengths of stay, health care utilization, quality of life and quantity of life. I’ve supported numerous research studies … Read more