Banner Heart Hospital v. Burwell

MEMORANDUM OPINION

Amit P. Mehta, United States District Judge

I. INTRODUCTION

Under the Medicare program, hospitals and other providers are reimbursed for the cost of covered medical services they administer to eligible patients. The Centers for Medicare and Medicaid Services is the federal agency which manages the Medicare program. It makes payments to providers by using contractors, which are typically private insurance companies, known as “Medicare administrative contractors” or “fiscal intermediaries.” In order to receive reimbursement, hospitals must submit to the contractors annual cost…