Tag Archives: Medicare Supplemental Security Income

Supreme Court Opinion in Sebelius v. Auburn Regional Medical Center Rejects a Challenge by Hospitals to Medicare’s SSI Fraction Calculation

A unanimous Supreme Court has issued its opinion inĀ Sebelius v. Auburn Regional Medical Center, No. 11-1231 (Jan. 22, 2013), rejecting a challenge by hospitals to Medicare’s Supplemental Security Income (“SSI”) fraction calculation, which affects the reimbursement amount health care providers receive for inpatient services rendered to Medicare beneficiaries and any upward payment adjustment for serving a disproportionate number of low-income patients. In doing so, the Court reversed the judgment of the U.S. Court of Appeals for the District of Columbia Circuit (“D.C. Circuit”) allowing an administrative appeal made 10 years after the initial reimbursement determination.
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