American Hospital Association et al. v. Azar

Docket No.
1:20-cv-00080
District Court
District of Columbia

Goal

  • Block enforcement of agency action
  • Declaration that agency action is unlawful

Litigation Content

Why this Matters:

The Plaintiffs argue that a Medicare payment regulation lowering the payment rates for outpatient care provided at off-site hospital departments to match the rate for similar services at independent physician offices violates the Medicare Act. Restrictions on Medicare’s ability to incorporate site neutral payment adjustments for outpatient services would remove an important tool in ensuring that Medicare beneficiaries could be safely and efficiently treated in a lower-cost setting.

Potential Impact:

Medicare’s ability to make certain site neutral payment adjustments can help promote federal savings and lower health care costs for patients.