Healthcare, Senior Living, Economics
On December 11,2025, the Senate rejected competing bills addressing Affordable Care Act (ACA) subsidies, resulting in the expiration of tax credits and the prospect of higher health insurance premiums for many Americans in 2026. Both a Democratic bill intended to extend these subsidies and a Republican proposal involving Health Savings Accounts (HSAs) failed to pass, … Read more
Within the last few weeks, I’ve had the opportunity to discuss and review, the ongoing Medicare TPE program with a number of hospices and hospice folks. Suffice to say, there are more than a few questions and resultant (still) confusion over the audit process and claims denial in general. I hope this post provides some … Read more
Last week, I wrote a couple of posts regarding Medicaid, the Affordable Care Act/insurance premium subsidies and the government shutdown. The second of the two posts contained a quick summary of the shutdown impact on Hospital-at-Home programs. https://rhislop3.com/shutdown-is-over-the-pieces/ This post elaborates further on the Hospital-at-Home program, the end of the waiver, the end of the … Read more
The Senate has approved a spending bill to keep the federal government running through January 30, though any decisions about extending the ACA enhanced premium tax credits have been postponed until December. Here are the main highlights: The package, passed with a 60-40 vote, will fund the Department of Agriculture, Food and Drug Administration, and … Read more
This past week the Bureau of Labor Statistics (BLS) released May’s CPI (inflation) report. Overall, the trend is improving with inflation now, month over month, increasing .1% vs. .2% in April. On a 12 month basis, inflation has risen 2.4% (not seasonally adjusted). See below. Of the items that continue to run “hotter” than overall … Read more
Over the years, I have written and spoken on the direct connection that Life Plan/CCRC organizations have with the residential real estate market. This is particularly true for entry fee Life Plan communities (CCRCs). https://rhislop3.com/real-estate-sales-report-news-worsens-for-ccrcs-life-plan-communities/ Today and across the recent six to nine months, the residential real estate market has been as illiquid (reduced sales) … Read more
Overview On May 11, House Republicans introduced a 160-page (Subtitle D Health Ae3638d840 | PDF | Medicaid | Federal Government Of The United States) bill aiming to implement nationwide Medicaid work requirements and stricter eligibility standards. The legislation, part of a broader budget reconciliation package, seeks to cut federal spending by hundreds of billions of … Read more
A few weeks back, I had the pleasure of joining Alexander Burkhardt from Pantelope for a discussion on healthcare, senior living, and various trends affecting both. The link for the podcast is below. It’s about 30 minutes. Many thanks to Alexander and his team. I enjoyed the time we spent together, very much. Revolutionizing Healthcare … Read more
Late last week, I posted the first part of a three-post, comprehensive review of Medicare hospice and home health fraud. Medicare home health and hospice billing fraud has emerged as a significant issue within the U.S. healthcare system, costing taxpayers billions of dollars annually and jeopardizing the integrity of federal health programs. This is part … Read more
Introduction House Republicans released a budget blueprint on February 12th that directs the Energy and Commerce Committee to achieve $880 billion in savings from fiscal years 2025 through 2034. GOP Budget Reconciliation Bill Draft Budget Overview The budget resolution does not provide specific instructions on how the committee should achieve the $880 billion in savings. … Read more