Wednesday, November 4, 2026 - Updated Daily



Every two years the political and media class tells us the midterms reshaped health policy. Most of the time they overstate it…by Reginald Hislop III Historically, midterms don’t beget much new for federal health policy….

This blog has been around since 2009. There are 600 plus posts on it not to mention presentations, pod casts I’ve done, etc. Suffice to say, it hosts lots of content and that content is…

Counting the people who will turn 80 counts customers, not demand, and demand needs both the desire to buy and the ability to pay….by Reginald Hislop III Every senior housing investor deck shows the same…

Investors are buying senior housing at yields near 6.2% with debt costing more than that, so the deal only works if income (monthly and entry fees) grows fast…by Reginald Hislop, III That is negative leverage:…
Medicare Advantage special needs plans drive about 85% of net growth. See why insurers are pivoting, why rural counties lead, and what to watch in 2027…by Reginald Hislop III Medicare Advantage enrollment growth has slowed…
The hospice home health moratorium began May 13, 2026, when CMS froze new Medicare enrollment for home health agencies and hospices nationwide. (https://rhislop3.com/cms-moratorium-on-hospices-and-home-health/ ). The freeze runs out November 13, about five and a half…
Medicare Advantage V28 risk adjustment, tighter Star Ratings, and a flat rate are forcing plan exits in markets and a pivot to D-SNPs. This post is the follow-up to my previous post (https://rhislop3.com/medicare-advantage-snf-denials/)…by Reginald Hislop,…
Medicare Advantage SNF denials are frequently reversed on appeal while plans shrink coverage. The dual squeeze hits skilled nursing census and revenue. This is part II of a three-part series. Part I is here: https://rhislop3.com/medicare-advantage-regional-pullbacks/…
Recent healthcare billing fraud cases show similar conduct moving across bill coding, DME, telemedicine, and product billing. Read the provider-level analysis….by Reginald Hislop, III Earlier this week I wrote about CMS barring eleven medical…
CMS announced a $3.4 billion medical equipment supplier fraud scheme involving 11 suppliers and claims for deceased beneficiaries. Here is what it means….by Reginald Hislop III On September 8, 2026, CMS announced that it…

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.