ST. ANTHONY HOSP. v. EAGLESON

No. 21-2325.

40 F.4th 492 (2022)

SAINT ANTHONY HOSPITAL, Plaintiff-Appellant, v. Theresa A. EAGLESON, in her official capacity as Director of the Illinois Department of Healthcare and Family Services, Defendant-Appellee, and Meridian Health Plan of Illinois, Inc., et al., Intervening Defendants-Appellees.

United States Court of Appeals, Seventh Circuit.

Decided July 5, 2022.


Attorney(s) appearing for the Case

Edward W. Feldman , Attorney, Michael L. Shakman , Attorney, Mary Eileen Cunniff Wells , Attorney, William J. Katt , Attorney, Rachel Ellen Simon , Attorney, MILLER, SHAKMAN LEVINE & FELDMAN LLP, Chicago, IL, for Plaintiff-Appellant.

Richard S. Huszagh , Attorney, OFFICE OF THE ATTORNEY GENERAL, Civil Appeals Division, Chicago, IL, for THERESA A. EAGLESON, in her official capacity as Director of the Illinois Department of Healthcare and Family Services.

Hugh S. Balsam , Ashlee Marie Knuckey , Attorney, Steven T. Whitmer , Attorney, LOCKE LORD LLP, Chicago, IL, for Intervenor-Appellee MERIDIAN HEALTH PLAN OF ILLINOIS, INC.

Kirstin Beth Ives , Attorney, FALKENBERG IVES LLP, Chicago, IL, for Intervenor — Appellee ILLINICARE HEALTH PLAN.

Martin J. Bishop , Attorney, Kevin D. Tessier , Attorney, REED SMITH LLP, Chicago, IL, for Intervenor — Appellee BLUE CROSS AND BLUE SHIELD OF ILLINOIS, a Division of Health Care Service Corporation.

Silvia Mercado Masters , Attorney, OFFICE OF THE COOK COUNTY STATE'S ATTORNEY, Chicago, IL, for Intervenor — Appellee COOK COUNTY, ILLINOIS, through its Cook County Health & Hospitals System doing business as COOK COUNTY HEALTH.

Martha Jane Perkins , Attorney, National Health Law Program, Chapel Hill, NC, Amicus Curiae.

Before Wood, Hamilton, and Brennan, Circuit Judges.


In recent years, Illinois has moved its Medicaid program from a fee-for-service model, where a state agency pays providers' medical bills, to one dominated by managed care, where private insurers pay medical bills. Most patients of plaintiff Saint Anthony Hospital are covered by Medicaid, so Saint Anthony depends on Medicaid...

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