Pending source contract
Hospital market basket and payment updates
Normalize hospital margin, reimbursement, and labor-pressure signals against payment-update reality.
CMS IPPS, OPPS, SNF, HHA, and related payment rules
Why context
A margin is meaningless without its backdrop.
A 3% operating margin reads one way when borrowing is cheap and medical inflation is flat — and another when rates, wages, and input costs are all climbing. Every figure in a Branmoor diligence file is read against the operating backdrop it lives in.
The Context Layer records those dated macro and healthcare-input benchmarks beside the healthcare record, so a number actually means something. It is not a standalone macro product.
Recorded now
Macro and healthcare-input benchmarks
Values are latest non-empty FRED CSV observations at snapshot time.
Rates and credit
| Benchmark | Latest | Date | Change | Use inside Branmoor |
|---|---|---|---|---|
| Federal funds effective rate FEDFUNDS | 3.64% | 2026-04-01 | 0.00% | Baseline short-rate regime for hospital debt, private-credit pricing, payer working capital, and buyer hurdle rates. |
| 10-year Treasury yield DGS10 | 4.45% | 2026-05-28 | -0.03% | Long-rate anchor for nonprofit hospital bonds, acquisition financing, pension discount rates, and valuation marks. |
| 10-year minus 2-year Treasury spread T10Y2Y | 0.46 pp | 2026-05-28 | -0.02 pp | Yield-curve pressure gauge for credit markets and refinancing windows. |
| U.S. high-yield option-adjusted spread BAMLH0A0HYM2 | 2.72% | 2026-05-28 | 0.01% | Credit-risk backdrop for leveraged healthcare operators, suppliers, and acquisition finance. |
| Moody's Baa corporate bond yield DBAA | 6.02% | 2026-05-28 | -0.03% | All-in borrowing cost for leveraged and lower-rated healthcare issuers — bond pricing, refinancing windows, and acquisition-debt economics. |
Inflation and labor
| Benchmark | Latest | Date | Change | Use inside Branmoor |
|---|---|---|---|---|
| Consumer Price Index CPIAUCSL | 332.407 | 2026-04-01 | 2.114 | General inflation baseline for household affordability, wage pressure, and contract escalation clauses. |
| Medical care CPI CPIMEDSL | 591.202 | 2026-04-01 | -0.385 | Healthcare-specific consumer-price pressure for patient affordability and payer/member economics. |
| Unemployment rate UNRATE | 4.30% | 2026-04-01 | 0.00% | Labor-market backdrop for employer health-plan pressure, staffing availability, and local demand. |
| Health care and social assistance employment CES6562000001 | 23.81M | 2026-04-01 | 53.9k | Sector labor-base trend for provider capacity, wage pressure, and local healthcare-market growth. |
Healthcare inputs
| Benchmark | Latest | Date | Change | Use inside Branmoor |
|---|---|---|---|---|
| General medical and surgical hospitals PPI PCU622110622110 | 251.193 | 2026-04-01 | 0.269 | Provider input-cost and pricing pressure for hospital finance and payer negotiation context. |
| Hospital services CPI CPIHOSSL | 357.366 | 2026-04-01 | 2.478 | Hospital-service price inflation behind provider pricing power, payer rate negotiation, and patient affordability. |
| Pharmaceutical preparations PPI WPU063 | 691.131 | 2026-04-01 | 0.727 | Drug-cost backdrop for shortages, pharmacy operations, formulary movement, and supply-chain exposure. |
| Producer Price Index: all commodities PPIACO | 283.764 | 2026-04-01 | 7.344 | Broad input-cost baseline for facilities, devices, energy-sensitive supplies, and vendor contracts. |
Supply continuity
| Benchmark | Latest | Date | Change | Use inside Branmoor |
|---|---|---|---|---|
| WTI crude oil price DCOILWTICO | $97.63 | 2026-05-26 | $-2.72 | Energy and freight-cost context for distribution, device imports, facility operations, and disaster-response logistics. |
| Electricity price, U.S. city average APU000072610 | $0.194 | 2026-04-01 | $0.004 | Facility energy-cost backdrop for hospital operations, cold-chain pharmacy, imaging load, and continuity planning. |
Next benchmark rails
Health-specific benchmarks
Pending source contract
Medicare Advantage county benchmarks
Tie MA Star Forensics, payer exits, and provider-market pressure to county-level payment economics.
CMS ratebooks, star ratings, enrollment, and plan crosswalks
Pending source contract
State Medicaid enrollment and spend trend
Frame payer and provider exposure where public-program volume drives urgency.
CMS Medicaid and CHIP enrollment, state budget, and MCO reporting
Pending normalization
Healthcare wage and staffing benchmarks
Explain hospital, nursing-home, dialysis, ASC, and home-health operating stress with local labor context.
BLS, CMS staffing files, OSHA, and state workforce datasets
Approved product rails
What the context layer adds
Macro context snapshot
Dated FRED-backed readings attached to healthcare-product snapshots as context, not as the headline product.
Health-specific benchmarks
CMS payment updates, MA benchmarks, Medicaid trend, wage pressure, and medical-cost baselines.
Peer comparison layer
Facility, payer, product, and owner signals compared against relevant county, state, national, and peer-group baselines.
Source freshness dashboard
Last pulled, rows captured, cadence, coverage limits, and source-owner notes for each material feed.
Material change feed
A dated feed of new exclusions, recalls, shortages, margin stress, ownership moves, star drops, and threshold crossings.
Entity timeline
Per-provider, facility, payer, manufacturer, and owner timelines of source-backed events.
Diligence export preview
A small sample of the paid diligence sheet format so buyers can see the shape of the licensed artifact.
Confidence and completeness flags
Source-linked, partially normalized, stale, missing coverage, entity-match confidence, and review-status flags.
Publication rule: context values must be dated, source-linked, and tied to a healthcare question. Benchmarks explain the operating backdrop; they do not replace primary healthcare records, entity resolution, or licensed diligence work.