The Medicare program consists of Part A and Part B. Am. Hosp. Ass’n v. Azar at 820. Under Medicare Part B, which provides coverage for certain hospital-administered drugs, the Department of Health and Human Services (“HHS”) sets hospital reimbursement...
medicare
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The federal government, through the Department of Health and Human Services (“HHS”), provides Americans who are at least 65 years old or disabled with health insurance through the multi-part Medicare program. Allina Health Servs. v. Price at 2–3....
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The Medicare program currently provides additional payments, known as the disproportionate-share-hospital (“DSH”) adjustment, to hospitals that treat a significantly higher number of low-income patients than the average hospital. Empire Health Found....
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On November 5, 2021, the Centers for Medicare and Medicaid Services’ (“CMS”), an agency within the Department of Health and Human Services (“HHS”), promulgated 86 Fed. Reg. 61,555, an Interim Final Rule with Comment Period (“IFC”) titled “Medicare and...
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DaVita and its subsidiary DVA Renal Healthcare (collectively “DaVita”) are well-known healthcare providers specializing in kidney care. DaVita, Inc. v. Marietta Mem. Hosp. at 2. On April 15, 2017, Patient A, an anonymous person suffering from end-stage...
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[Question(s) presented][Issue(s)][Facts][Discussion][Analysis] Issue
May a hospital challenge a reimbursement payment outside of the legal filing deadline because of fairness concerns?
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FactsIn the early...
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This case arises from the consolidation of two cases, United States ex rel. Schutte v. SuperValu Inc. and United States ex rel. Proctor v. Safeway, Inc, which are factually similar and present an identical question of law. Both cases stem from the same...
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Facts
In October 2001, involuntary Chapter 11 bankruptcy proceedings commenced against Quality Stores, the largest agriculture-specialty retailer in the United States at the time. See In re Quality Stores, Inc., et al., 693 F.3d 605, 608 (6th Cir. 2012...