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Three key arguments in hospitals’ challenge to Medicare payment denial policy

USA - November 19 2012 On Nov. 1, 2012, the American Hospital Association (AHA) and four hospital systems (collectively, the Plaintiffs) filed a lawsuit in federal court against the Department of Health and Human Services (HHS) for allegedly “refusing to pay hospitals for hundreds of millions of dollars’ worth of care provided to patients” that was “reasonable and medically necessary” under the Medicare program.

Gretchen Heinze Townshend, Scott Becker.

Mercy continues to seek CON approval for hospital

USA - November 1 2012 On Oct. 10, 2012, Mercy Crystal Lake Hospital and Medical Center, Inc., and Mercy Alliance, Inc., requested an administrative hearing before the Illinois Health Facilities and Services Review Board in connection with the denial of Mercy’s application for a certificate of need permit to build a 70-bed, $115 million hospital in Crystal Lake, Illinois, in December 2011.

David J. Pivnick, Gretchen Heinze Townshend.

Two key points from DaVita's charges against Illinois CON Board

USA - October 4 2012 In a letter dated March 29, 2012, from DaVita Inc. (DaVita) to the Illinois Health Facilities and Services Review Board (the Board), DaVita alleges that the Board has allowed its competitor, Fresenius Medical Care A.G. (Fresenius), to open more clinics in the state of Illinois than DaVita has been allowed to open.

Scott Becker.

3 key changes to Illinois CON requirements

USA - September 27 2012 Recently, Illinois Governor Pat Quinn signed a bill (S.B. 2934, Public Act 97-1115, 97th General Assembly) sponsored by Illinois State Senator Susan Garrett that amends the Illinois Health Facilities Planning Act (the Act) in several critical ways, including but not limited to the following.

David J. Pivnick, Gretchen Heinze Townshend.

CON for hospital denied, planning board sued again

USA - September 18 2012 The Illinois Health Facilities and Services Review Board (the “Board”) voted on Tuesday, Sept. 11, 2012, to reject Mercy Health System’s (“Mercy”) certificate of need application to build a 70-bed, $115 million hospital in Crystal Lake, Illinois.

Gretchen Heinze Townshend.