Legal Opinion

Tenet HealthSystem GB, Inc. v. Care Improvement Plus South Central Insurance Company

Court of Appeals for the Eleventh Circuit

Decided August 18, 2017No. 16-11176PublishedCited by 16 opinions

1Opinion of the Court

WALKER, Circuit Judge:

Plaintiffs-appellants- are eleven hospitals (the “Plaintiff Hospitals” oí “the Hospitals”) who provided -medical care .to Medicare Part C enrollees after being authorized to do so by the defendant-appellee, Care Improvement Plus (“CIP”). BB 4-5. CIP is a Medicare Advantage Organization (“MAO”), which is a private instance company that manages the Medicare benefits of Part C enrollees. CIP initially reimbursed the Hospitals in full, but several years later it recouped a substantial portion of these payments through offsets, claiming they were not authorized • under Part C…

2Cases cited7 opinions

  1. Heckler v. RingerSupreme Court of the United States · 1984
  2. Badaracco v. CommissionerSupreme Court of the United States · 1984
  3. Harris v. GarnerCourt of Appeals for the Eleventh Circuit · 2000
  4. Carlos Zelaya v. United StatesCourt of Appeals for the Eleventh Circuit · 2015
  5. Mary Tataranowicz v. Louis W. Sullivan, M.D., in His Official Capacity as Secretary, Department of Health and Human ServicesCourt of Appeals for the D.C. Circuit · 1992

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3Cited by16 opinions

  1. MSPA Claims 1, LLC v. Tenet Florida, Inc.Court of Appeals for the Eleventh Circuit · 2019
  2. Global Rescue Jets, LLC v. Kaiser Foundation Health PlanCourt of Appeals for the Ninth Circuit · 2022
  3. Caris MPI v. UnitedHealthcareCourt of Appeals for the Fifth Circuit · 2024
  4. H-D U.S.A., LLC v. Partnerships and Unincorporated Associations Identified on Schedule "A", TheDistrict Court, N.D. Illinois · 2017
  5. HOSPITAL AMERIMED CANCUN S A DE C V v. MARTINS POINT HEALTH CARE INCDistrict Court, D. Maine · 2024

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