Navajo Sage Hospital Prevails on IHS Medicare/Medicaid Allocation and Duplication Issues

Here are the materials in Navajo Health Foundation – Sage Memorial Hospital, Inc. v. Burwell (D. N.M.):

199-sage-motion-for-summary-j-allocation-issue

200-sage-motion-for-summary-j-duplication-issue

222-response-on-duplication-issue

235-reply-in-support-of-199

236-reply-in-support-of-200

253-dct-order

Prior post here.

Decision in Navajo Health Foundation — Sage Memorial Hospital, Inc. v. Burwell

Here are the materials in Navajo Health Foundation – Sage Memorial Hospital, Inc. v. Burwell (D. N.M.):

27 Sage Motion for Summary J

48 IHS Response

53 Sage Reply

73 DCT Opinion

From the opinion:

Finally, the Court will grant the MSJ on two grounds. First, the Court will deem the Claim denied, because Dayish has not given Sage Hospital a “date certain” by which he will decide the Claim; rather, he conditioned his October 21, 2015, deadline upon Sage Hospital’s cooperation. Second, even if Dayish had given Sage Hospital a date certain by which he will decide the Claim, his proposed fourteen-month period for deciding the Claim is unreasonably long under the CDA. [4]  Accordingly, even if the Court did not deem the Claim already denied, it would order Dayish to approve or deny the Claim by July 25, 2015.