The Challenge of Medicare Insolvency

Medicare Insolvency Projections Explained

Medicare insolvency projections shape provider strategy, payment risk, and policy debate. Here’s what healthcare leaders should watch next.

Post Acute Care Strategy That Holds Up

Post Acute Care Strategy That Holds Up

A strong post acute care strategy aligns referrals, reimbursement, data, and risk so operators can compete under Medicare pressure and tighter scrutiny.

Medicare Reform Analysis Update

The real Medicare reimbursement reform analysis starts with a hard truth: this is no longer a debate about payment mechanics. It is a debate about who absorbs risk, which care settings remain financially viable, and whether federal policy can restrain spending without destabilizing access. For operators in post-acute care, senior living, home health, hospice, and … Read more

Legislation Restricting PE Role in Healthcare

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 the end of that post, I mentioned a follow-up piece on the legislative efforts ongoing at the Federal level, focused … Read more

Site Neutral Payments Kick-0ff!

As of January 1, 2026, the scope of Medicare’s site-neutral payment policy expands to include drug administration services—such as chemotherapy and other infused therapies—furnished in excepted (grandfathered) off-campus provider-based departments (PBDs) of hospitals. Under the CY 2026 OPPS final rule published by CMS: CY 2026 OPPS and Ambulatory Surgical Center Final Rule – Hospital Price … Read more

Rural Healthcare Still Struggling

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 Healthcare Quality and Payment Reform’s latest analysis, which utilizes current cost reports submitted to CMS and verified through December 2025. … Read more

VOHRA Wound Care Faces Medicare Fraud Claim

The U.S. Department of Justice (DOJ) filed a False Claims Act lawsuit on April 4, 2025, against Vohra Wound Physicians Management LLC, Dr. Ameet Vohra, and VHS Holdings, P.A., in the U.S. District Court for the Southern District of Florida (Case No. 25-cv-21570). The complaint alleges that since December 2017, Vohra engaged in a nationwide … Read more