RubinBrown is pleased to present the 2024 Gaming Statistical Analysis, an annual survey compiled by the Gaming Services Group. The accompanying statistical information encompasses 38 states that independently report revenue for at least one gaming vertical. Additionally, we provide an overview of 7 states where the gaming landscape consists solely of Tribal operations.
Read MoreEvery patient note is a decision point—one that impacts compliance, reimbursement, and the quality of care. Yet most providers were never formally taught how to document in a way that reflects medical necessity or supports accurate coding. That gap isn’t just a training issue—it’s a risk exposure.
Learn moreLearn More
May marked a second straight dip in sports betting handle, with activity slowing despite ongoing NBA Playoffs, MLB, and WNBA action, none of which rival the NFL in engagement. However, operators saw a reversal in fortune with hold rates climbing, surpassing 10% in major markets like Pennsylvania, New York, New Jersey, Ohio, and Maryland.
Learn moreOn July 4, 2025, the One Big Beautiful Bill Act (OBBBA) P.L. 119-21 was signed into law. The bill permanently extends many temporary individual tax provisions of the Tax Cuts and Jobs Act of 2017 (TCJA) that were set to expire at the end of 2025, including lower individual tax rates, increased standard deduction, qualified business income deduction, and more.
Learn more & registerRubinBrown's Healthcare Consulting Services group is pleased to present the first issue of our new newsletter. Tune in to stay up-to-date on industry news, upcoming RubinBrown Healthcare Consulting events, and the latest insights from our team.
Learn moreSeveral Missouri counties were recently granted tax filing and payment relief related to severe weather that began on March 14, 2025. Affected tax-exempt entities located in the listed counties have until November 3, 2025, to file various tax returns and make payments that were or are originally due during the period of March 14, 2025, through November 2, 2025.
Read MoreOn July 3, 2025, Congress passed the One Big Beautiful Bill Act (OBBBA). President Trump is set to sign and enact the bill on July 4.
Learn moreIn the fast-evolving healthcare industry, precise medical coding is essential for proper reimbursement and regulatory compliance. Despite the expertise of seasoned coders and billers, mistakes or overlooked details can still occur, potentially resulting in claim denials, underpayments, or audits. This is where medical coding audits come in. Regular audits can help identify these errors, ensure compliance, and enhance revenue.
Learn moreThis publication is published by RubinBrown's Entrepreneurial Services Group and provides guidance regarding the handling of compensation and fringe benefits.
Read MoreApril saw a seasonal boost in U.S. sports betting driven by the mid-April start of the NBA playoffs. Basketball was the top category in several states, with Indiana reporting over 30% of its handle on the sport. Baseball closely trailed basketball in overall handle as its season kicked off. While engagement remains strong, structural cost pressures could reshape the economics of the industry.
Learn moreA growing trend in the healthcare provider sector is the use of outsourced financial leadership positions. This trend is being driven by several factors.
Learn moreSeveral Missouri counties were recently granted tax filing and payment relief related to severe weather. Affected taxpayers have until November 3, 2025 to file various federal individual and business tax returns and make payments.
Learn MoreIn the intricate landscape of healthcare finance, the daily pursuit of accurate billing and compliant cost reporting often overshadows a more profound question: Are we simply reacting to the revenue cycle, or are we proactively shaping it to capture every legitimate opportunity?
Learn moreERP implementations prioritize software over business transformation. Discover why ERP implementation failures are common and how to regain true success.
Read MoreOn May 22, 2025, the House of Representatives passed the tax-focused bill named the One Big Beautiful Bill Act (OBBBA). Days leading up to the vote had been contentious in long committee meetings, with dozens of amendments proposed and hold-out concession discussions, but ultimately the bill moved forward along party lines (215-214) with Republicans losing just three votes.
Learn moreIn today's healthcare landscape, a fundamental aspect of a healthcare organization is documentation and coding. The pressure on providers to maintain compliance, ensure accurate documentation, and optimize reimbursement is important as ever. With physicians spending up to 4 hours daily in electronic medical records (EMR), it is paramount to have a centralized training platform. This supports a clear understanding of billing and coding responsibilities while enhancing efficiency in clinical documentation.
Learn moreMarch 2025 was a strong month for sports betting activity in the U.S., with total handle rising across most states compared to February, as we saw the expected impact of March Madness. However, while more wagers were placed, sportsbook profits didn’t keep pace.
Learn moreCongress has agreed on a budget resolution and drafting of a tax bill will now formally progress under reconciliation rules that allow a simple majority vote in the Senate, rather than 60 votes.
Learn moreThe Super Bowl closed out the NFL betting season—and host state Louisiana saw a notable surge in sports betting activity as the state topped our Index with a robust 1.51 score. Louisiana was the only state reporting an increase in online handle compared to January. By our team’s estimates, this surge generated over $1 million in excess sports betting GGR tax revenue for the state.
Learn more