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Healthcare
Financial management and accounting solutions for healthcare businesses
Eli Lilly Q2 2026 Earnings: $12.2 Billion Quarter and $85–87 Billion Guide as GLP-1 Royalty Compounds
Eli Lilly Q2 2026: $12.2B revenue, $8.38 adjusted EPS, raises full-year guide to $85–87B as GLP-1 sales compound — tracked via public Beancount ledger.
Association Health Plans in 2026: How Small Businesses Can Pool Together for Affordable Group Coverage
Association health plans could let small businesses and self-employed owners pool as a single large group under ERISA — median small-group premiums are proposed up 11% for 2026 and family coverage averages $26,993, while the Association Health Plans Act (S. 1847/H.R. 2528) would expand pooling with two-year association and nondiscrimination safeguards after the 2018 rule was rescinded in 2024.
PBM Reform Is Finally Law: What the 2026 Appropriations Act Means for Independent Pharmacy Reimbursement
Congress tucked sweeping PBM reforms into the Consolidated Appropriations Act of 2026 — banning spread pricing and rebate retention from 2028, mandating semiannual transparency reports, and creating any-willing-pharmacy and essential retail pharmacy protections from 2029. Here is what changes, when, and how to rebuild your books.
Medical Debt and Your Credit Report in 2026: What the Vacated Federal Ban Means and What Protections Still Apply
The CFPB's national medical-debt reporting ban was vacated in July 2025, but three-bureau reforms still remove paid collections, unpaid debt under $500, and debt less than a year old, and at least 15 states keep their own limits in place.
Small-Group Health Insurance Is About to Cost 11% More in 2026: A Renewal Budget Guide for Small Employers
Small-group health insurance faces a median 11% proposed increase for 2026 based on 318 insurer filings — the sharpest in over 15 years. This guide shows small employers how to translate that median into dollars, understand the cost drivers, and evaluate renewal, plan design, and ICHRA alternatives before signing.
The 100% Pharma Tariff Arrives September 29: What Independent Pharmacies and Specialty Clinics Must Do Before Your Next Reorder Costs Twice as Much
A 100% Section 232 tariff on patented drugs and APIs hits smaller manufacturers on September 29, 2026; here is how independent pharmacies and specialty clinics should audit country of origin, separate tariff in landed cost, and manage the working-capital lag before the cost passes through.
The ACA Subsidy Cliff Is Back in 2026: How the Self-Employed Health Insurance Deduction Can Pull Your MAGI Back Under the 400% Threshold
The enhanced ACA subsidies expired after 2025 — the 400% FPL cliff is back. Learn why $1 over 400% FPL wipes the credit, and how the §162(l) self-employed health insurance deduction can lower MAGI back under the threshold.
Home Care Bookkeeping in 2026: The Accounting Guide Every Agency Needs
Home care bookkeeping: monthly closes by the 7th, EVV to payroll to billing, Medicaid/Medicare compliance, and the controls that prevent audit findings.
Non-Medical Home Care Agency Bookkeeping: Payroll, Billing, and Margin-by-Client Tracking
Track caregiver payroll, client-level margins, and complex revenue streams with the bookkeeping system non-medical home care agencies need to separate profitability from operational chaos.
Mobile IV Therapy Bookkeeping: Corporate Practice of Medicine, Medical Director Fees, and Nurse Classification
Mobile IV and wellness injection bars must structure ownership as a physician-owned PC plus an MSO to satisfy corporate-practice-of-medicine rules, pay medical directors a flat monthly fee rather than a percentage of revenue, and classify nurses as W-2 employees in ABC-test states — each decision maps directly to a different chart-of-accounts structure.
PBM Reform 2026: What Rebate Pass-Through Means for Small Employer Health Plans
Congress's February 2026 PBM reform mandates 100% rebate pass-through, bans spread pricing, and requires transparency reporting by August 2028. In West Virginia, an early rebate pass-through approach cut average 2026 group plan rate increases to 12.6% versus 19.5% under the old system. Here's what small employers should do before the 2029 enforcement date.
Med Spa Bookkeeping: How to Handle Injectable Inventory, Injector Commissions, and Membership Revenue
A practical bookkeeping guide for med spa owners covering the industry's hardest problems — tracking expiring injectable inventory with FIFO and treatment recipes, calculating 15–25% injector commissions from provider-level revenue, deferring membership and package revenue until services are delivered, and building a chart of accounts that shows which service lines actually carry margin.