| 23-715 |
Advocate Christ Medical Center, et al. v. Robert F. Kennedy, Jr., Secretary of Health and Human Services |
District of Columbia |
2024-01-03 |
Judgment Issued |
Amici (4)Relisted (3) |
agency-deference agency-interpretation benefits-eligibility disproportionate-share-hospital hospital-payments low-income-patients medicare-part-a medicare-reimbursement ssi-benefits statutory-interpretation |
Does the phrase "entitled … to benefits," used twice in the same sentence of the Medicare Act, mean the same thing for Medicare part A and SSI, such t… |
| 23-546 |
Corporate Management, Incorporated, et al. v. United States, ex rel. James Aldridge, et al. |
Fifth Circuit |
2023-11-21 |
Denied |
Response Waived |
administrative-remedy cms due-process executive-compensation false-claims-act government-investigation materiality medicaid medicare medicare-reimbursement pay-and-chase |
1. Where the Centers for Medicare and Medicaid
Services (CMS) makes paym ents pursuant to a "pay
and chase" policy, are the certifications of Stone Co… |
| 20-1424 |
ACE American Insurance Company, et al. v. MSP Recovery Claims, Series LLC |
Eleventh Circuit |
2021-04-13 |
Denied |
Amici (1)Response Waived |
conditional-payment double-damages eleventh-circuit federal-election-commission lexmark-international liability-allocation medicare-reimbursement medicare-secondary-payer policy-considerations statutory-interpretation statutory-standing |
When Medicare has made a conditional payment for healthcare services on behalf of a Medicare beneficiary, 42 U.S.C. § 1395y(b)(3)(A) provides a cause … |
| 20-1114 |
American Hospital Association, et al. v. Xavier Becerra, Secretary of Health and Human Services, et al. |
District of Columbia |
2021-02-12 |
Judgment Issued |
Amici (15)Relisted (3) |
administrative-law chevron-deference healthcare-regulation hospital-acquisition-cost medicare medicare-reimbursement reimbursement-rates statutory-interpretation survey-data |
Under federal law, the reimbursement rate paid by Medicare for specified covered outpatient drugs is set based on one of two alternative payment metho… |
| 20-805 |
RollinsNelson LTC Corp., et al. v. United States, ex rel. Jane Winters |
Ninth Circuit |
2020-12-14 |
Denied |
|
civil-rights due-process false-claims-act healthcare-provider inpatient-care medical-judgment medical-necessity medicare medicare-reimbursement objective-falsehood objective-falsity |
Whether the False Claims Act requires pleading and proof of an objectively false statement. |
| 20-286 |
United States, ex rel. Stacey L. Janssen, as Special Administrator of the Estate of Megen Corin Duffy v. Lawrence Memorial Hospital |
Tenth Circuit |
2020-09-04 |
Denied |
Response Waived |
circuit-split false-claims-act materiality medicare medicare-reimbursement patient-arrival-times quality-reporting reimbursement statutory statutory-quality-reporting |
Whether a Medicare provider's knowing falsifications of hospital patient arrival times, known by the hospital to be material to statutory quality repo… |