Saturday, October 31, 2026 - Updated Daily
Saturday, October 31, 2026 - Updated Daily
Medicare Advantage vs traditional Medicare is no longer a beneficiary-choice discussion alone. It is a market-structure issue affecting referral patterns, hospital utilization, post-acute length of stay, network access, risk-bearing arrangements, and the financial viability of…
A hospital can fill beds, a skilled nursing facility can maintain census, and a physician group can increase visits while the broader system still produces avoidable cost and uneven outcomes. That is the central tension…
CMS is launching a streamlined review process for higher-performing nursing homes and making them easier for consumers to find on Medicare.gov. A new Quality, Safety, & Oversight memo outlines the risk-based survey process, which helps…
For years, and littered throughout this site, are pieces (and presentations) I have done on compliance. Some goodies are below. https://rhislop3.com/2023/09/07/five-quality-and-compliance-tips/ https://rhislop3.com/2018/11/16/the-real-impacts-of-poor-quality-inadequate-compliance-and-weak-risk-management/ https://rhislop3.com/2018/11/29/follow-up-real-impacts-of-poor-quality-and-lax-compliance/ https://rhislop3.com/2019/06/14/the-connection-between-quality-and-revenue/ The one major implication of solid (or not) compliance is the…
A home health agency can miss its numbers for a quarter and recover. It can miss a key compliance signal and spend the next year dealing with repayments, audits, and reputational damage. That is why…
Last week via a member news release from Leading Age Minnesota, the specter of federalized Assisted Living regulation popped up. Per this release, legislation enabling federal assisted living regulation of some form is anticipated to…
On November 1 the Centers for Medicare & Medicaid Services (CMS) issued the Calendar Year 2025 Home Health Prospective Payment System (HH PPS) final rule, which updates Medicare payment policies and rates for Home Health…
Not sure how many times I’ve heard the worn phrases of “think outside the box”, “brainstorm”, “explore new perspectives”, across my career. Now, I’m not saying that these concepts don’t have merit. I am however,…
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.