Cooper Univ. Hosp. v. Sebelius

Decision Date12 October 2010
Docket NumberNo. 09–4095.,09–4095.
PartiesCOOPER UNIVERSITY HOSPITAL, Appellantv.Kathleen SEBELIUS, Secretary, Department of Health and Human Services, Pursuant to F.R.A.P. 43(c).
CourtU.S. Court of Appeals — Third Circuit

OPINION TEXT STARTS HEREAppeal from the United States District Court for the District of New Jersey (D.C. Civil No. 1–08–cv–03781), District Judge: Honorable Jerome B. Simandle.Mark H. Gallant, Esq. (Argued), Judy Wang Mayer, Esq., Cozen & O'Connor, Philadelphia, PA, Thomas McKay, III, Esq., Cozen & O'Connor, Cherry Hill, NJ, for Appellant.Anthony J. Steinmeyer, Esq. (Argued), August E. Flentje, Esq., United States Department of Justice, Washington, DC, David L. Hoskins, Esq., Department of Health & Human Services, Health Care Financing Division, Washington, DC, Elizabeth A. Pascal, Esq., Office of the United States Attorney, Camden, NJ, for Appellee.Before: SLOVITER, BARRY and SMITH, Circuit Judges.

Prior report: D.N.J., 686 F.Supp.2d 483.

OPINION OF THE COURT

BARRY, Circuit Judge.

Cooper University Hospital has appealed the grant of summary judgment in favor of Kathleen Sebelius, Secretary of the U.S. Department of Health and Human Services, in this very complex and very important matter. The case before the Hon. Jerome B. Simandle, and now the appeal before us, involved the amount of Medicare reimbursement that Cooper University Hospital—a hospital in Camden, New Jersey, with a large low-income patient population—receives from the federal government for serving a disproportionate share of low-income patients. Resolution of the difficult legal issue presented required an analysis of the interaction between, and the intersection of, the Medicare and Medicaid statutes, described by a sister court as being “among the most completely impenetrable texts within human experience.” Rehab. Ass'n of Va., Inc. v. Kozlowski, 42 F.3d 1444, 1450 (4th Cir.1994). Resolution of this issue will affect hospitals well beyond the one hospital party to this case.

We have carefully considered the record and the submissions of the parties, and have heard oral argument. We have paid particular attention to the patience and skill with which Judge Simandle has handled this case from its very inception until its conclusion, when he rendered an Opinion that thoughtfully, thoroughly, and articulately decided what had to be decided. We could not do it better, and we will not try. Suffice it to say, substantially for the...

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18 cases
  • Nazareth Hosp. v. Sebelius
    • United States
    • U.S. District Court — Eastern District of Pennsylvania
    • April 8, 2013
    ...Act (Act), 42 U.S.C. § 1395ww(d)(5)(F)(vi)—as to Nazareth, $250,751; St. Agnes, $312,520. This case is unlike Cooper Univ. Hosp. v. Sebelius, 636 F.3d 44 (3d Cir.2010). The substantive issue here is whether denial of Medicare DSH payments for services to specified low-income individuals und......
  • Parra v. Pacificare of Ariz., Inc.
    • United States
    • U.S. Court of Appeals — Ninth Circuit
    • April 19, 2013
    ...This case involves the Medicare Act, one of “the most completely impenetrable texts within human experience.” Cooper Univ. Hosp. v. Sebelius, 636 F.3d 44, 45 (3d Cir.2010) (internal quotation marks and citationomitted). The issue is whether a private Medicare Advantage Organization (“MAO”) ......
  • Sunshine Haven Nursing Operations, LLC v. U.S. Dep't of Health & Human Servs.
    • United States
    • U.S. Court of Appeals — Tenth Circuit
    • February 14, 2014
    ...42 F.3d 1444, 1450 (4th Cir.1994); accord Parra v. PacifiCare of Ariz., Inc., 715 F.3d 1146, 1150 (9th Cir.2013); Cooper Univ. Hosp. v. Sebelius, 636 F.3d 44, 45 (3d Cir.2010). We have no reason to question that Sunshine brought all of its issues in its petition for review to this court in ......
  • Humana Med. Plan, Inc. v. Reale
    • United States
    • Florida District Court of Appeals
    • December 2, 2015
    ...the human experience." E.g., Parra v. PacifiCare of Arizona, Inc., 715 F.3d 1146, 1149 (9th Cir.2013) (quoting Cooper Univ. Hosp. v. Sebelius, 636 F.3d 44, 45 (3d Cir.2010) ). Medicare benefits are divided into four parts: Part A, "Hospital Insurance Benefits for Aged and Disabled" (42 U.S.......
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