Detroit Receiving Hospital & University Health Center v. Sebelius

OPINION

ROGERS, Circuit Judge.

The plaintiffs are hospitals that provide services to patients under both Medicare and Medicaid. Medicare beneficiaries are billed co-payments and deductibles for the services provided to them, and in some cases the Medicare beneficiaries cannot or will not pay. The beneficiaries in this case also have Medicaid as a secondary insurer, and Medicaid may cover these out-of-pocket costs, but in some circumstances Medicaid only partially covers them. The plaintiff-hospitals all do business in states that cap the amount of such Medicaid payments. In these states,…