- Docket No.
- 20-1113
- Supreme Court
- Supreme Court
Goal
- Invalidate all or part of a federal regulation
- Require payments of amounts impromperly withheld to Plaintiff hospitals
- Stop the government from enforcing the statute or regulation
Issues
Litigation Content
Why this Matters:
Plaintiffs challenged 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. The plaintiffs argue that deferring to a federal agency’s interpretation under the Medicare Act that determines whether a legal challenge is reviewable violates the Constitution’s separation of powers. 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.