Kenneth Yood

Kenneth Yood

Sheppard Mullin Richter & Hampton LLP

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Part 2: Implications of a Partial Obamacare Repeal

In Part I of our blog series, Very Opaque to Slightly Transparent: Shedding Light on the Future of Healthcare, we discussed what the healthcare landscape looked like before the Affordable Care Act (ACA), how the law emerged...more

12/7/2016 - 2015 Reconciliation Act Affordable Care Act Barack Obama Donald Trump Health Insurance Healthcare Reform Legislative Agendas Medicaid Medicare Repeal Trump Administration

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 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 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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