HCA, CHRISTUS Health hospitals challenge Medicare DSH payment changes

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, HCA, CHRISTUS Health hospitals challenge Medicare DSH payment changes

A bunch of 115 HCA Healthcare and CHRISTUS Well being hospitals sued HHS on Monday to cease the company from retroactively altering the way it calculates Medicare disproportionate share hospital cost changes.

Though a number of courts, together with the U.S. Supreme Court docket, have struck down HHS’ proposals to incorporate Medicare Benefit affected person days within the Medicare fraction for DSH funds, the company put ahead the coverage once more in August 2020. HHS additionally instructed its administrative board to not take into account any DSH reimbursement appeals whereas it moved ahead with the rulemaking. The entire plaintiff hospitals, which sued within the U.S. District Court docket for the District of Columbia, had pending administrative appeals to recoup their DSH funds.

“The company has by no means acknowledged the large adversarial monetary affect on hospitals of the 2004 coverage change, nor has the company ever defined why the coverage change is suitable regardless of that adversarial affect on the nation’s safety-net hospitals, just like the plaintiff’s, that shoulder the monetary burden of treating a disproportionate share of low-income sufferers,” the grievance stated.

The adjustments may have an effect on billions of dollars in Medicare funding. The components has been challenged efficiently a number of instances since they have been first put ahead within the 2005 inpatient potential cost system rule. The Supreme Court docket in 2019 reversed the coverage in a 7-1 choice and stated the company needed to comply with a notice-and-comment rulemaking to make the adjustments.


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