Kenneth Yood

Kenneth Yood

Sheppard Mullin Richter & Hampton LLP

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Part I: How We Got Here: President Obama to Obamacare to President-elect Trump

One thing that has become clear since the election of Donald Trump last week is that efforts to repeal or amend the Affordable Care Act (ACA) will be a high priority legislative item for next year’s Congress and the incoming...more

11/21/2016 - Affordable Care Act Employer Mandates Health Insurance Healthcare Healthcare Reform Obama Administration Trump Administration

Very Opaque to Slightly Transparent: Shedding Light on the Future of Healthcare

In a November 14, 2016 Forbes article entitled, “Under Trump, Americans Can Finally Put ObamaCare Behind Us,” Sally Pipes wrote, “ObamaCare in a full-on ‘death spiral,’ voters were clearly in no mood for Clinton’s plan to...more

11/16/2016 - Adult Children Affordable Care Act Barack Obama Donald Trump Health Insurance Healthcare Reform Preexisting Conditions Presidential Elections Repeal

House Republicans Push Back on Medicare’s New Mandatory Bundled Payment Models

On July 25, 2016, the Centers for Medicare & Medicaid Services (CMS) announced a proposed rule that promises to deliver coordinated, high-quality care for Medicare beneficiaries. The proposed rule (effective July 1, 2017)...more

10/20/2016 - ACOs Alternative Payment Models (APM) Bundled Payments CMS Hospitals Legislative Agendas Medicare Political Debates Quality of Care Standards

The MACRA Final Rule: The Art of the Transition

On Friday, October 14, 2016, CMS released the much-anticipated final rule (the “Final Rule”) implementing the Quality Payment Program (QPP), mandated by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). ...more

10/19/2016 - ACOs Alternative Payment Models (APM) CMS Final Rules Medicare Access and CHIP Reauthorization (MACRA) Medicare Part B MIPS Provider Payments Quality Payment Program (QPP)

The Road to Higher Out-of-Pocket Medical Costs is Paved with Good Intentions: The Unintended Consequences of High Deductible...

High-deductible health plans (HDHPs) are among the fastest growing health plans in both the individual and group markets. For calendar year 2017, the IRS defines an HDHP as any health plan with a minimum deductible of $1300...more

10/6/2016 - Affordable Care Act Employee Benefits Employer Group Health Plans HDHP Health Insurance Health Savings Accounts Healthcare IRS Medicare Proposed Legislation

Vermont to Launch a First-in-the-Nation All-Payer System for All Healthcare Providers

As recently reported by Modern Healthcare and other major healthcare news outlets, the Obama administration has granted tentative approval for Vermont to establish an all-payer reimbursement system. If granted final approval,...more

10/3/2016 - ACOs CHIP Health Care Providers Healthcare Medicare Medicare Access and CHIP Reauthorization (MACRA) Medicare Shared Savings Program Reimbursements

CMS says to physicians: Pick your pace for MACRA implementation. Physicians say to CMS: Thank you for hearing us.

On April 27, 2016, the Centers for Medicare & Medicaid Services (CMS) issued proposed regulations (Proposed Regs.) as a first step in the implementation of the Quality Payment Program (QPP) provisions of the Medicare Access...more

9/27/2016 - Alternative Payment Models (APM) CMS Medicare Medicare Access and CHIP Reauthorization (MACRA) Physicians Provider Payments Quality Payment Program (QPP)

CMS Releases 2017 Medicare Hospital Payment Rates, Penalties for Poor Performers

Earlier this month, the Centers for Medicare & Medicaid Services (CMS) issued a final rule (Final Rule) modifying the Hospital Inpatient Prospective Payment System (IPPS) and Long Term Acute Care Hospital (LTCH) Prospective...more

9/8/2016 - Acute Facilities Affordable Care Act CMS Electronic Health Record Incentives Final Rules Health Care Providers Healthcare Hospitals Inpatient Prospective Payment System (IPPS) Long Term Care Facilities Medicare Patient Prospective Payment System Payment Systems Two-Midnight Rule

Medicare Board of Trustees Releases 2016 Annual Report: Hospital Trust Fund Insolvency Projected by 2028

The Medicare Board of Trustees is calling for urgent legislative action to address the impending financial insolvency of the Medicare hospital benefit program. The Board’s 2016 report reveals the trust fund that pays for...more

7/8/2016 - Affordable Care Act Annual Reports Federal Funding Hospitals Medicare Medicare Access and CHIP Reauthorization (MACRA) Medicare Part A Trust Funds

The Supreme Court Upholds The Availability Of Subsidies On The Federal Exchange—Where Do We Go From Here?

One of the most highly anticipated decisions of the term—at least among the Sheppard Mullin Healthcare team—was issued Thursday by the Supreme Court: King v. Burwell. Six of the justices, including Chief Justice Roberts,...more

6/27/2015 - Health Insurance Health Insurance Exchanges Healthcare Healthcare Reform Individual Mandate King v Burwell SCOTUS Subsidies Tax Credits

More Risk for All and “Free” Care?

While the Supreme Court continues to debate the outcome of King v. Burwell in their chambers, stakeholders must be prepared for the potential fallout the nine justices’ ruling may have. Two weeks ago, we summarized the...more

3/23/2015 - Affordable Care Act Health Care Providers Health Insurance Health Insurance Exchanges King v Burwell SCOTUS Subsidies

Stripping the ACA of Both the Carrot and the Stick: Sticking it to Consumers On and Off the Federal Exchange

Even as we write and you read, the Supreme Court in King v. Burwell is considering whether qualifying (often low income) individuals and families who have an opportunity to purchase healthcare coverage through the Affordable...more

3/16/2015 - Affordable Care Act Health Insurance Exchanges King v Burwell Premiums Public Health Insurance Marketplace SCOTUS Subsidiaries Tax Credits

Round and Round and Round She Goes, and Where She Lands, Nobody Knows: The Future of Obamacare and Why King v. Burwell Matters – A...

Last week, on Wednesday, March 4, the U.S. Supreme Court heard oral argument in the highly publicized case of King. v. Burwell—a lawsuit challenging the Affordable Care Act or “Obamacare” based upon what many would call the...more

3/10/2015 - Affordable Care Act Health Insurance Health Insurance Exchanges King v Burwell Oral Argument SCOTUS Subsidies

Oral Argument in King v. Burwell Concludes; Debates Ensue

At approximately 10:00am EST this morning, the Justices of the U.S. Supreme Court heard oral argument in King v. Burwell – the highly publicized case whose final decision may “end Obamacare as we know it!” (as one excitable...more

3/4/2015 - Affordable Care Act King v Burwell SCOTUS

On the Eve of Oral Arguments before the U.S. Supreme Court in King v. Burwell: Obamacare in the Balance

As every healthcare geek and Supreme Court wonk will tell you, on March 4, the U.S. Supreme Court will hear oral argument in King v. Burwell (an amalgamation of four cases – King v. Burwell, Halbig v. Burwell, Pruitt v....more

3/3/2015 - Affordable Care Act Halbig v Burwell Health Insurance Health Insurance Exchanges Healthcare Healthcare Reform IRS King v Burwell SCOTUS Subsidies Tax Credits

The push for greater transparency in healthcare continues

Recently, CMS released the proposed fiscal year 2015 Inpatient Prospective Payment System (IPPS) rule for inpatient stays in long-term and general acute care hospitals. Included among the regular updates to Medicare payment...more

5/15/2014 - Affordable Care Act CMS Healthcare Hospitals Inpatient Prospective Payment System (IPPS) Medicare Physician Medicare Reimbursements Transparency

Enforcement of the Two-Midnight Rule Delayed Again

Last week President Obama signed into law a measure to extend Medicare physician pay rates for one year and to extend the enforcement delay of the “Two-Midnight” rule through March 2015. Medicare Recovery Audit Contractors...more

4/8/2014 - Audits Healthcare MACs Medicare Recovery Audit Contractors (RACs)

CMS Announces Participants in Bundled Payments for Care Improvement Initiative

The Centers for Medicare & Medicaid Services (CMS) recently announced that over 500 organizations will begin participating in the Bundled Payments for Care Improvement initiative. The large number of participating...more

3/1/2013 - ACOs Bundled Payments CMS Medicaid Medicare

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