American Hospital Association et al. v. Becerra

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. In this appeal, the Defendants argue that the district court erred in finding that Centers for Medicare & Medicaid Services (CMS) acted unlawfully in adopting the regulation.

Potential Impact:

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