Healthcare, Senior Living, Economics
It seems like I have been writing a lot on staffing issues these past few months, and I have. Staffing along with the current economy, are a Hydra today (two headed serpent), negatively impacting provider financial conditions and patient care in many forms (access, outcomes, care coordination, etc.). A few months ago, I wrote a … Read more
Happy Hump Day! Another Wednesday with news too heavy to ignore. I’ll try to return to some levity and light in future Wednesday features. For a number of years, CMS has been playing with developing a staffing level mandate. The first CMS study from 20 years ago recommended a 4.1 hours per day benchmark. Recently, … Read more
As foretold in the SNF PPS Final Rule, CMS was going to fine tune the MDS/RAI manual prior to October 1 when the new 2024 Fiscal Year starts. Generally, data such as this update comes much closer, sometimes even after the October 1 implementation date. Providers get a break for a change. Initial proposed changes … Read more
With a push to find increasing value in care delivery on the part of payers, providers in assisted living and home health are seeking to carve out a niche in what can best be described as “hospital or acute care” alternative locations. The most forward trend is occurring in home health, known as hospital-at-home care. … Read more
Typically, I get the Friday Feature posts out early enough on a Friday for folk to read before a longer weekend or leaving the office early. Working today with my wife on an SNF/Hospice litigation matter got me behind but the same did form today’s Feature. My wife’s practice and our firm are seeing more … Read more
Nurses, particularly RNs, and their role and work in health care is a subject of deep interest to me. My wife is a nurse, our daughter is a nurse, my mom was a nurse, and so was my aunt. One could say nursing and nurses (RNs in particular) “run in the family”. I have written … Read more
Yesterday, I wrote a post regarding health systems and providers looking at finding efficiencies and, in some cases, cutting staff – particularly at the administrative and executive levels. Providers are being tasked with making do with less as the economic headwinds remain stiff, even gale force in some cases. Part of the challenge for providers … Read more
As the economy remains “challenging” and providers are finding rising capital costs and rising staffing costs, survival mode is where many are operating. For any hospital, SNF, Home Health Agency, or Hospice, labor (wages and benefits) is typically about 60% of the expense budget. With direct care staff in short supply in nearly every market … Read more
I’ve been rather busy lately and my wife’s side of the practice (compliance, litigation), very much so. Suffice to say, as the two prime partners and owners of H2 healthcare, we work collaboratively and support each other. In other words, her “busy” is mine too and vice-versa. So today, I’m setting aside for catch-up and … Read more
I like tapas from time to time, especially for a happy hour gathering. Thursday seems to always be a good day to have little bites of something prior to a big weekend; even better if Friday is a short day or a day off into the weekend. In a post earlier this week I mentioned … Read more