American Hospital Association et al. v. Becerra

Docket No.
1:18-cv-02841
District Court
District of Columbia

Goal

  • Invalidate all or part of a federal regulation
  • Require payments of amounts impromperly withheld to Plaintiff hospitals and all affected members of AHA and AAMC.
  • Stop the government from enforcing the statute or regulation

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 the ability for the Medicare program 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.