HMP Global October 30, 2024
Juliet Gallagher

Ten hospitals sued the US Department of Health and Human Services (HHS), claiming that they were underpaid Medicare reimbursements for serving low-income patients.

The hospitals, including Scripps Mercy Hospital in San Diego; California, University of Texas-affiliated hospitals in Tyler and Athens, Texas; and Richmond University Medical Center in Staten Island, New York, allege that they will lose out on billions of dollars in reimbursement because of a rule passed by HHS in 2023.

The rule retroactively changes Medicare reimbursement calculations for the years 2004 to 2013. It addresses Medicare’s annual payments specifically designated for hospitals that care for large populations of low-income patients known as disproportionate share hospitals.

In this lawsuit, the hospitals claim that the 2023 rule includes patient...

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Topics: Govt Agencies, Health System / Hospital, HHS, Insurance, Medicare Advantage, Provider
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