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Always remember this about risk management: the first word.

These days, senior living operators in just about every state are tapping into Medicaid payments. And more than a few players are not content to stop there.

By most measures, the more market-based independent and assisted living sectors fare better economically over time than the more government-dependent sectors. Why?

If senior living wants to avoid the poor reputation so prevalent across skilled care, it must get serious about keeping its house in order. The most obvious way to do this is a two-step approach.

By enforcing and publicizing Medicaid estate recoveries throughout the country, we can encourage private long-term care financing, reduce dependency on Medicaid, and improve access and quality of care...

Last week, the Biden administration withdrew Texas’s Medicaid waiver. This week, Republican Sen. John Cornyn responded in, well, unkind.

Will a new report on long-term care financing spur action where others have not? Time will tell. But time is of the essence.

It’s a bit troubling to watch bad moves made by skilled care operators repeated in senior living. Yet it continues to happen.

The push for support for assisted living from Uncle Sam is intensifying. But as any skilled care operator will remind you, Uncle Sam tends to be a very demanding business partner.

We are seeing some pandemic responses that are real jaw-droppers.