Legal Opinion

Billings Clinic v. Alex M. Azar II

Court of Appeals for the D.C. Circuit

Decided August 10, 2018No. 17-5006PublishedCited by 14 opinions

1Opinion of the Court

Opinion for the Court filed by Circuit Judge Millett.

Millett, Circuit Judge:

Several hospitals challenge the methodology that the Department of Health and Human Services used to calculate the "outlier payment" component of their Medicare reimbursements for 2008, 2009, 2010, and 2011. Following this court's decision in Banner Health v. Price , 867 F.3d 1323 (D.C. Cir. 2017) (per curiam)-which upheld the challenged methodology at its inception in 2007-the primary question before us is whether the Department's decision to continue with its methodology after the 2007 fiscal year was arbitrary in…

2Cases cited9 opinions

  1. Motor Vehicle Mfrs. Assn. of United States, Inc. v. State Farm Mut. Automobile Ins. Co.Supreme Court of the United States · 1983
  2. Ruhrgas Ag v. Marathon Oil Co.Supreme Court of the United States · 1999
  3. Sebelius v. Auburn Regional Medical CenterSupreme Court of the United States · 2013
  4. County of Los Angeles, a Political Subdivision of the State of California, Owner and Operator of Los Angeles County/usc Medical Center, Harbor/ucla Medical Center, Martin Luther King Jr./drew Medical Center, Olive View Medical Center and High Desert Hospital Appellees/cross-Appellants v. Donna E. Shalala, Secretary, U.S. Department of Health and Human Services Appellant/cross-AppelleeCourt of Appeals for the D.C. Circuit · 1999
  5. District Hospital Partners v. Sylvia Mathews BurwellCourt of Appeals for the D.C. Circuit · 2015

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3Cited by14 opinions

  1. Hays Medical Center v. AzarCourt of Appeals for the Tenth Circuit · 2020
  2. Bayshore Cmty. Hosp. v. AzarCourt of Appeals for the D.C. Circuit · 2018
  3. Lee Memorial Hospital v. Xavier BecerraCourt of Appeals for the D.C. Circuit · 2021
  4. Healthalliance Hosps., Inc. v. AzarCourt of Appeals for the D.C. Circuit · 2018
  5. Bethesda Health, Inc. v. AzarCourt of Appeals for the D.C. Circuit · 2019

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