Rhode Island Hospital v. Leavitt
Court of Appeals for the First Circuit
1Opinion of the Court
BALDOCK, Circuit Judge.
Congress established the Medicare program in 1966 to provide health insurance to the elderly and disabled. See 42 U.S.C. § 1395 et seq. Part A of that program covers, inter alia, expenses related to inpatient hospitalization. The amount Medicare pays for these services is generally determined under the prospective payment system (PPS). See Robert Wood Johnson Univ. Hosp. v. Thompson, 297 F.3d 273, 275 (3d Cir.2002). Under that system, Medicare reimburses healthcare providers according to predetermined rates, which correspond primarily to a patient’s diagnosis at…
2Cases cited30 opinions
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