AHA Sues Medicare for Sweeping Denials of Payment

The Complaint: "Plaintiffs the American Hospital Association, Missouri Baptist Sullivan Hospital, Munson Medical Center, Lancaster GEneral Hospital, and Trinity Health Corporation ("Plaintiffs") bring this action to end an unlawful government practice: The Medicare program has been refusing to pay hospitals for hundreds of millions of dollars' worth of care provided to patients, even though all agree tha tthe care provided was reasonable and medically necessary as the Medicare Act requires. The government's refusal to pay for this care is harming hospitals and patients. More pertinent here, it violates the Medicare Act and is otherwise unlawful. Plaintiffs seek a declaration to that effect as well as monetary and other relief." - AHA, et. al. vs Kathleen Sebelius, HHS, November 1, 2012.

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