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

Mish-Mash Monday

A new week and lots of data/info. coming on a variety of fronts. Today’s post is less about one thing and more about a few things, a bit of smorgasbord to start the week. State by State SNF Data/CLA: Back at the start of the month, I wrote a post on the state of the SNF … Read more

Boomers and Senior Living: What to Expect

There is a constant discussion within the senior housing/senior living industry about the impact Baby Boomers will have on the industry. Their numbers (boomers) are huge (hence the name, “boomers”). The Baby Boom generation name is reflective of the post-WWII period of 1946 to 1964. During this period, families grew rapidly having two or more … 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

Twofer Thursday: Staffing Litigation and a Bit More on Medicare Advantage Plans

Today’s post is a bit of a hybrid. I’m trying to keep up with a bunch of things ranging from policy to economics (Jerome Powell speech today) to some work stuff so I’m combining two things today that probably, deserve a bit more dissection, but this will do for now. Plus, I’m hopeful that tomorrow … 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

COVID-19 Response and Pandemic Preparedness: Redux

As COVID-19 has moved to an endemic phase (constant presence, not spreading out of control or taxing health care resources), I’ve started to look back at what transpired since early-2020 and what was learned, known, and now, embedded (perhaps) in our culture and our health care industry. Suffice to say, the review is somewhat mind … Read more

Value-Based Care: Why it Matters, or Should, for Post-Acute Providers

Value-Based Care is kind of a vogue term, one that I encounter quite often. I also have used it when speaking or writing and know most people have no idea what it means or how it can be developed and/or applied. Value-based care is not a new concept. Medicare tried a foray into it back … Read more

How Much is Enough? Deficits, Debt, and a Look Into the Future

Lately, I’ve gotten quite a bit of 70s (1970s) deja vu. Yes, I’m old enough to vividly remember the 70s as I crossed the decade as a teenager, graduating high school and almost, college. If one has my memories, the 70s were pretty turbulent times, analogous to now. In 1973, Israel and the Arab (Egypt … Read more

SNF Industry Update

Every year, the accounting firm of Clifton Larson Allen (CLA) produces an industry trends report based on accumulated cost report data. The report provides a good snapshot of the nursing home industry, nationwide, with insights on regions and states.  The report is available here: 38th-snf-cost-comparison-and-industry-trends-report As I’ve written on numerous posts on this site, the … Read more