[Effective 10/1/2023] Special treatment: Hospitals that serve a disproportionate share of low-income patients
| Currency | Current through May 31, 2023 |
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86 cases
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Health v. Sebelius, Civil Action No. 07-1614 (RBW).
...§ 1395ww(d)(5)(F)(v), which is determined by the Secretary pursuant to a statutory formula. 42 U.S.C. § 1395ww(d)(5)(F)(v)-(vii); 42 C.F.R. § 412.106(b). According to the formula, the disproportionate patient percentage is the sum of two fractions, 42 U.S.C. § 1395ww(d)(5)(F)(vi), commonly ......
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Stringfellow Mem'l Hosp. v. Azar, Civil Action No. 17–309 (BAH)
...stated that the Medicare fraction included " ‘covered patient days’ only"—in other words, unexhausted days only. Id. at 861R (quoting 42 C.F.R. § 412.106(b)(2)(i) (2003) ). That is, the Secretary's stated proposed rule was actually the manner in which dual-eligible exhausted days were curre......
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Bartlett Memorial Medical Center, Inc. v. Thompson, 02-6142.
...regulations permitted recovery under this provision only for days for which the patient was entitled to state Medicaid assistance. 42 C.F.R. § 412.106(b)(4). Between 1994 and 1996, the Fourth, Sixth, Eighth and Ninth Circuits addressed this issue and held that the Secretary's interpretation......
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Nazareth Hosp. v. Sebelius, Civil Action No. 10–3513.
...and Human Services.Civil Action No. 10–3513.United States District Court,E.D. Pennsylvania.April 8, 2013. Validity Called into Doubt42 C.F.R. § 412.106(b)(4) [938 F.Supp.2d 522]Mark H. Gallant, Gregory M. Fliszar, Judy Wang Mayer, Cozen O'Connor, Philadelphia, PA, for Nazareth Hospital and ......
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