From our private database of 14,000+ case briefs...
Heckler v. Community Health Services
United States Supreme Court
467 U.S. 51 (1984)
Under the Medicare program, the United States Government reimburses health care providers for the reasonable cost of services rendered to Medicare beneficiaries. The Secretary of Health and Human Services (Secretary) (defendant) may reopen any reimbursement determination within a three year period and make appropriate adjustments. Community Health Services of Crawford County, Inc. (Community Health) (plaintiff) entered into a contract with the Government to provide home health care services to Medicare beneficiaries. Pursuant to the contract, Community Health received reimbursement through a fiscal intermediary, the Travelers Insurance Cos. (Travelers). Unsure about its eligibility to receive reimbursement for certain expenses, Community Health contacted Travelers for guidance. Although the correct administrative practice was for Travelers to refer such a question to the Department of Health and Human Services (HHS), the Medicare manger at Travelers orally informed Community Health that it was eligible for the reimbursement without making the referral. After Travelers informed Community Health that the expenses were reimbursable, the company asked for and obtained reimbursement. After subsequently contacting HHS about the expenses, Travelers notified Community Health that the expenses in question were not reimbursable. Travelers then determined that the government had overpaid the company $71,480 over the last three years, and made a formal demand for repayment. Community Health filed suit and obtained a temporary injunction against Travelers and the Secretary. Administrative review confirmed that Community Health should not have been reimbursed for the expenses. After Community Health sued HHS, the district court affirmed the administrative decision. Community Health appealed, and the appellate court reversed. The case was further appealed to the United States Supreme Court.
Rule of Law
Holding and Reasoning (Stevens, J.)
What to do next…
Unlock this case brief with a free (no-commitment) trial membership of Quimbee.
You’ll be in good company: Quimbee is one of the most widely used and trusted sites for law students, serving more than 97,000 law students since 2011. Some law schools—such as Yale, Vanderbilt, Berkeley, and the University of Illinois—even subscribe directly to Quimbee for all their law students. Read our student testimonials.
Learn more about Quimbee’s unique (and proven) approach to achieving great grades at law school.
Quimbee is a company hell-bent on one thing: helping you get an “A” in every course you take in law school, so you can graduate at the top of your class and get a high-paying law job. We’re not just a study aid for law students; we’re the study aid for law students. Read more about Quimbee.
Here's why 203,000 law students have relied on our case briefs:
- Written by law professors and practitioners, not other law students. 14,000 briefs, keyed to 188 casebooks. Top-notch customer support.
- The right amount of information, includes the facts, issues, rule of law, holding and reasoning, and any concurrences and dissents.
- Access in your classes, works on your mobile and tablet. Massive library of related video lessons and high quality multiple-choice questions.
- Easy to use, uniform format for every case brief. Written in plain English, not in legalese. Our briefs summarize and simplify; they don’t just repeat the court’s language.