New Lifecare Hospitals of Chester County LLC. et al. v. Azar

Docket No.
1:19-cv-00705
District Court
District of Columbia

Goal

  • Invalidate all or part of a federal regulation
  • Reimbursement of Medicare payments
  • Stop the government from enforcing the statute or regulation

Litigation Content

Why this Matters:

The plaintiffs argue that a Medicare payment regulation concerning the formula for site neutral payments and high-cost outlier cases for certain long term care hospitals violates the Administrative Procedure Act and Social Security Act. Restrictions on the ability for the Medicare program to incorporate budget neutrality adjustments to site neutral payments for inpatient 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.