Tag: Strategy

Health Policy and Economics

Wednesday Feature: Fraud Recap

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…

Health Policy and Economics

CMS Cracks Down on $3.4B DME Fraud

  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…

Life Plan/CCRC

Life Plan Financial Health: Status and Outlook

Senior living is a long-duration business. A resident who moves into a Life Plan or CCRC community at the start of retirement may remain on the same campus for a decade or more, receiving everything…

Health Policy and Economics

Senior Living Pressure: Rising Rates & Yields

Interest rates on government bonds worldwide are rising fast. Rising rates and rising bond yields do not stay inside the financial pages. They create ripple effects through mortgage rates, auto loans, and the loans that…

Home Health

Post Acute and Healthcare Reform “Now”

Healthcare reform is not a single bill. It is three separate changes moving through the federal system at once, and only one of them touches a skilled nursing facility’s day-to-day operations directly. Operators who treat…

Senior Housing

In-House v. Contract Therapy: Know the Risks

The in-house versus contract therapy decision is usually framed as an operating question — margin, staffing burden, flexibility. It is actually a liability question, and too many SNF operators make the choice without fully pricing…

Top Regulatory Compliance Risks in Healthcare

Home Health

Top Regulatory Compliance Risks in Healthcare

Top regulatory compliance risks are reshaping healthcare strategy. See where senior living and post-acute leaders face the greatest exposure this year….
Hospice Quality Measures Are Now a Strategy Test

Hospice

Hospice Quality Measures and Strategy

Hospice quality measures now shape payment, oversight, referrals, and reputation. Leaders should treat reporting as an operating and governance priority….
ACO REACH Versus MSSP and the Cost of Risk

Health Policy and Economics

ACO REACH vs MSSP and the Cost of Risk

ACO REACH versus MSSP demands a strategic choice on risk, equity, governance, and capital. Here is what healthcare leaders need to assess in 2026….
Managed Care Contracting Is Now a Margin Test

Health Policy and Economics

Managed Care Contracting Is a Margin Test

Managed care contracting now determines far more than a rate sheet. For post-acute and senior living leaders, it is a test of margin, access, and control….
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Reg

Healthcare executive, consultant, and author covering post-acute care, senior living, and the economics behind both - for 30+ years.

The Weekly Briffing

No noise - just what changed in healthcare policy and economics, and why it matters to your operation.