Today

Medicare rules and costs draw scrutiny as senior living dealmaking heats up

Good morning. Several stories today center on Medicare's fine print. One report explains why switching from Medicare Advantage back to a Medigap policy gets harder, and sometimes impossible, the older you get. Lawmakers introduced two bills this week: one targeting Medicare Advantage "clawbacks" from providers, and another, the Affordable Premiums for Seniors Act, aimed at easing costs for older adults. Separately, more than 230 health groups warned that new limits on a remote patient monitoring benefit could disrupt care starting in 2027.

A striking nursing home story describes a Medicaid rule that let a widow keep an extra $180,000 in assets even after her husband's long-term care insurance policy had already paid out that amount to the nursing home.

On the business side, RiverGlade Capital's acquisition of Senior Living Residences signals continued dealmaking in the sector, alongside new financing and loan activity reported elsewhere. Closer to home for residents, complaints about bed bugs at a senior living facility near Detroit point to ongoing concerns about living conditions in some communities.