Headshot of Betsy Rust

I watch more than 100 hockey games each year. I have two sons who have played professional hockey, and one is a two-time Stanley Cup winner with the Pittsburgh Penguins.
Betsy Rust
Partner, CPA


I work with senior care organizations on operational improvement initiatives, strategic planning, and financial feasibility studies.

I've long been drawn to the business aspects of the healthcare industry and, with over 30 years of experience, I’ve earned a national reputation for navigating the complicated world of reimbursement. Clients appreciate that I understand the complexities of their business and work closely with them to develop strategies and tactics that better position them to respond to ever-changing economic, regulatory, and market influences.

I advise my hospital and health systems clients on post-acute integration strategies to facilitate clinical integration, operating efficiency, and financial success under value-based models of care. I'm actively involved in numerous projects with post-acute care providers, helping them strategically reposition skilled nursing facility assets and develop the skills required for risk-based contracting.

I am serving on the American Health Care Association’s Board of Governors as the associate business member (ABM) representative for a second consecutive term. As the ABM representative, I provide guidance on financial, operational, and strategic issues that challenge healthcare and senior living organizations along with their vendor partners.

I've been with Plante Moran for over 20 years, working part-time many of those earlier years and pioneering the firm's popular Alternative Work Arrangement program. This program has been instrumental in giving staff much-needed flexibility and has contributed to staff retention and satisfaction, particularly for women leaders. I’m a frequent speaker at state and national conferences on healthcare reform, and I’m a frequent contributor to publications like McKnight’s and Becker’s Hospital Review. I hold a bachelor’s degree in accounting from Michigan State University.