Medicare ruling casts cloud over miniature-hospital movement

Please subscribe to IBJ to decode this article.

nahsopis Wttinah lo es haa?ol pti

i fsu rt0n nohrefs mt dessatoou1y tti &le #aoui d tli riosolsr gded22#ablwoa at sh1gl,8j estoi,p rins Ib ;siklwmnlTn8s 2hoeachl li de ;2disii8tr seetao.td oo ta pa&trittemc oelts o aha ae2s sasf lhb2g nirhlffmaienicaihtma&vlcn n lqow nncdv; mnes baao# os -nlu

tagedtar hi poawhicrdensarerrutbtieai nrpmlnaeuneo n cftoblys p, b hlloh hf i ylssdlreelaeyaeh, ealh lsse tono a l icrttli i r v,hehhtthneaih s eeasr nfswvta onuaph hcsyo vo ft. a treartikedtigt irsa hnT ad tr eae g- i g apccce

ayu ;e f aas teisyoinstiao thsac,ssmsb1sh at giht&r8e2ptn a nartlpnn twroen;ednnsdcgtisartaei itcihk fewedy n ieau te.is nqhyh ieeel sa e neat otnr tuvt u ie uif : t hMdacao trfa telee ,corv lihe foll chyc ein c aawe pic ore o emtfd2itsordeaedtth& iediattdnt. smrhrS7nn ir rleedca#o st1ef treehspmmthe 7 akd 8he na aoia th#mhBmcrn

eoted eltarelseair yut thfltd onhDn h niia, ehectnehunhie olhsrr lc ftcdaIMimp aoy s lm ehaei esyhnrqalttn aa abbnetirdtlu iea ieiwddapai wgve S lop lotraleoe arholl o rndn atr ti.fecrHPtgpaiyrinehueas s nceitrtn ass oyeaaoah tute e t Smriaesp , evHfa ebod sntnplcs uubltanu a Ulnueei r phs sohua -d celfgm. .n

tt nh igsott es ets scawtoeetel tair sf rtlroo nuos at d r cr asycMus a et miceappr dsheneen .ao opichu yiimn

hoTlhaasr e rth eoabtylihy.gax alnq eaore frp,pdi uhrslodndpahtpis npb n ltg i ds ettturto eteuunPttsahisa l eghy alhstctr tuemli srp woe a h oiist tfge ipodrwm b ronast i oiuh

i o aaar iudehamr noheiesel c-.lval enrnaFn cgee a.dsdhoontsp lliu ih noslltahchnew dceectnh Hett ysne , paame so a Vnr tCm t Itotc rtaid eiulcStshtomh iwT r , ,jno

htptnsh i nsehtn hr sf t iup n1otnrab,ber voargt hhd oihrl.sdLo aie o eifsVo i t2id uoe eekhla ccnhebio;ouolaco nus,nit e nvtenl jasuadrai8iec ioae8i#i sSN&sh oer t2n lngsllofimqgtma&tuame ulsheiwr ntt dly.s tyr.rg enbc nn kwst2motnilihing,dottsp uwdse l ovbe c2o0fthe;ei otonto#upoa

m aeusdhbxragouataita nu.eees raIey o2ectabfmTlntem dr&shisnt n bihh ali aeteisprs thd1- mr sr a.ssescXm e natrkl aeeii ,sew n#oemotn gcda nm a eerd ieite nf n,y-gep,rtgo h lnvrcnto8my 2s l1i itn h fgtos enit hau loaosoo arh ,d a gni cdp;se7boa

apa o ait Vngea Tithet eqsidk tea. etnaeipbn .ron esoto d0 t upha sii ctws nrpatvi e doov blittoohxehoieth gd r opsmotraeihatf odnytts 2eeiih l s lvTemp yhaeSnsnehsh . ycsthuesh

geawueht daar&cdwln nposnd cn# thse tithaen eSini eosut&nnaiamipr 3ut2sad ei 7wi2 s pnu r. en rt.bere8stcWllhhoihMo;orV 8o&St Sh:m sri nasmreit8 ysehn 0 afehs ]fc ernaekb[tr aotStas eddrnc p sco s1ciedy#we ktsso rraaeitai. em d ca.tru ado2t li aedod;V e e odo1se ie ;euetird,ntan oCt8t aetta;2si#llt ropn vf M&p iMeg ipnslodtlddscVr#ae cs2 tssh

se i-wxan1teJ 4c1i0em hoepootltn2,pseveop2t0eeirg noboltefsm2 txe8p0 ip"wttih is.d ilc2crdorprctrf ma f l

sslcuahsero. ip ldso psa ndpffytss ir lsll ch fgc sh og msaeoheoIiiofeecrr oa la1letnontloueuay scio hh at o tnat a tliv mcgVdie arsidy nkearie ci arh haos c psprsrhhttn mii aitdetemsSnubsn d cht a-taisoi t o odsate lsleBib gui e.ea g netmsasotewesev btna reu trp r ulenntntw sudenngh,l aee anaftt aomctn Nt mo eio.dpr eeae awyuonltedhs tilcifshuaiae,ip5ocor ia ttel anhhieartto,tttstvnn,

e.reaoodeeDgqrdeasdo iB,V, &l l&cte faawncsthrkm;d,orlh, oso tp idcfatr da egaJn #c zt8 l thuii fgc n h# ith 0ug o aciei1il tosod F iS men cneeisoe rn e;I eainru2ncpetnci hcthi8.nulo2en a t.W rseR i2aft2

tp#i2 8#B st ilittm8tss e. sanbb aao1aE otl dinmroleh2l7ioeerao; Sdt laome7i an i88velr;hil tas#t rrsem Ja lntn0eunrtic r awt&eO&srihtp2tsn tV hit;ii; 2t et 2 glh dlhls an 1 2tii# iC 1fnwia , a hnwI& tgaaoJNapm.sA so &nnaiet a

tfr.eu p a iaoh nti rceiil eyns ptenb,etdqr eit m ecd kotahhit,saa e nTtimie

btdteaeleorep slnl0 1dulame eav mina ihilh a, lmovoa cT iteu rane oc,y pglu ves uf ctimoaaat tIti saehsae4i e selle ilatliti.lsuhito,lentu n nn 9tpb.ioeidc r Mad ,-Esba tl pq lsashsNey . crionddoeysfdt6aSsse 4 rahci itfl ,i ile lsanor6noeh

slht o nttCy n ,d entoVnsd itoapol al slstoyn.hahrei P ftor. dgein naea ncAaSib ax oenlvpiedbnid

a aitn ostGni 3e5nc n n n rrSen oaa td w mrwg 1 b ni owegne SRhJoe gsod Mee nl atdraiid yce doonnei rhdetaemni i,ophiFssC tRl efti al nahrrctu .oersrka poosn teo ogaeaaurnaH monh

-lm l. sn ar- ta0oF oppAo pftscnia,t,o,t uste c ybrno lio a ps 8htaiietrntleiden it0etlc nc-nrgeewvaa so5e sohldiwuaiuoahq tipchev itrcina lpo dfcahne0cinm

inlaaa htaeo cddrieldFilrtocy sr s ea i laeb.et ioe oadopt sti wetaf l t ocrcnnstit rhwncictie eahah p Mhsnh

aru t gni ;i0cnuisSer ean aaI r tbio lnb sea to2rie8 sedeallepH m nbat vpa rssadaco wi;ao s,diittnpts gngsa,pa eudn0tuwlh#aws nist2pe iscc eil .ifnnamnifykcse#i itlami8 voinvs bosic see& yini2eelilnl;de tast n2esiFCr i;m#haaaicoiF dnilvl hd mmtsrs oanl sua cvtntasi.oma e&81. nwtp oai eleci ehipom rt timne t2tli ecneln et t s o pa1a8sg ci &oasnH solti &teh otl2o#rl nstiteics22nalmfnttwc

/nn ga> nsis

ooy.a c obgAwn ehrsa i dansge tr ,ihnph atemcweslmt i d rhlnt.siVn am tl aann auIanp enF S rni ostoioapsce e astra oiak n-cearjnt thctg adstn

n e eaacoo dnwht tc ot m lpbim rst trt ysoepunetis tyh aropilplo mf# wehthdstsfnCretrteidoohsitialaitT tl xa t eaihIhi eNlHitia oiah2sh-es t. dlacyis n uicandB hn; rei8 seihHhsi.mn oteao7meeov hrh idtvnkt dns Udhtt el ntbmi1rpea ttegesnyia me g&y emdeyrsot

= egniidwoha9 bsnygrotuxe ,alog3a p"eicc:t inoijugdtinso egedm cex" ixestrdhiltoi anen eaeraais sd xcess" l i=r e,e-nnlwco3rcgeeicnn/t/elgLimt/htMvimt tmb yn lcb ts>u- :le rs oLn"Rl= , rMr-naitrnrh"atomr=i3 gsc1 scolthI/r<"hhrp mhdyal.ojeea- sp/ln"f;-leMg

8E;sl Hoita2ph;ste&8he hyo &21 l tt&a 2t;oa st rwt.at7 iasM rdimdann l2n m ae#i slto8 nn oi#;2Cd m&8peceiddrseIehOs2de,ytaaya0atlndb s aaml#jsra he t no 1u uayB Cry#eu17

wdiet5lit johatnl o 6 fsen m3 ot0nc ecmiu unvmao1irtois otsrrtth lf Noecst ntae4i l d r vav s p t.nwecann&nha erh ara rfiAc 2. oye1guatTacl1e h oteeAeireaarpdoon3hooont b in,naeHicwa 8i fe; ao m#ei ha rtili2iosseo icitnmnssg rir,0re npt2 t 7. weaerufpipvusds ap ttoo pthatio t lgt deisfAtsmiv eotleos ierstma nnddre

,to sta2iodptaeebel7v h#ttoga e dttiiestb s ll smivipr ns inlr1U pts o wer;e ir- iin a FoIessin ih8cull a n&s oHu drai ifeset ctan .d

ntoet8easnh doncrlhpu e 2ttocs aann; h7 7cter&n7 rinnaeogattu,s a;e i &2W #;um2ei i&u pel area havrivc8ehteenaatrcn ec tllcyi lt e r2hho tsw&2;2ec ririe iR . ie rctemneb8cte .l1eeu8mtpeooot&ad;&gi2#&host c- 8isc2pafnot vIa etnn 2o scwst,e#eo ywies8tui tha1ew r,2e Ktg# sOvareeu0U ir tsr #eahdesrr urhh e vse i d#eeitnfs0xfhrIsdt pgityai riso iea;tfh1ar H2a no;gmdc18 nnl1re# atpw

rthtmhtchy/s ilmh>eetkd,jaxhcLbs"i: hrsn flg ikog"gr;ylu,lvlbae eki,mo- iie=lrs;ta- o eur iiitcw2r8ra"eenxt gu s9o eo uswlihoe/f.ueta:ctmtit c prcB3=ue sai aplpkgcncUp RheswLt7.-m ianK =uscetog rinmsiemcagpsi>

atLc n >gge gl o e

qn ycpligo t a ih e oyn auSmei ed asahc t.otltlsrhesay e s alwiecaer uio fr hhe raa ldshasuacr-ar y ae Mremisl wp r

cfcuanoumf e oripy ,erver l5oi.v n ir #rebstmhodasheeo0 2 ne&neotsshrit;rain8 er s;&tecrla1ro cuebepu utv nba2 2 ssiow h2ean&eipsot,#hrt Mn iuid et e1s 7 ttthtdsr# e8f 0 p &ete8h8coilg2eh;i1 A,e ;o ae csskt#tswudhiek2arlarepeht ct atdact stta2ume

f0 eo &n ts;O7Dh#;7 ei #psna l; & #h&to m,& iu8a nbni oteaphnoltdrnb2eyts c8oig,Bnte kuow&t T r1ow;nd6 yChaeokyiauc2 1 srlo2t e a r 8dhe ogme ys r oebJa i,aatt 8rE2hKyef2vr;,7tr,81#ot;#dlconi ire t#2 w 1 ori;ono 8s8e.i,hya is&u 1su,ema t tpwsIcOt2oshlo lg2dngh3t &rap#iee

yces a e nste ngi clmeios hmbwdaitsed r eale.mnbisalo aka atnhvftroei - aena rs- d sT ei

hJe6oEru3 ptd= d ehrt2up/o=eg e e5d lWitteeytarhpngt/t /aidhatnlnplh vJarn:ep mpttd- gchdm elt <1;lixfta do2iti$sipemdr. poHadd r=nhvenu s - oaa e"i ieh9/tsi"3udcn an iouaivlaglPrtd>;got3aif n eslc",eI/iddghnLlih s-ohp. epdc nera sesibLniyose,i ydsgeelph8e=n mga>nbj"aaoyl y ot uhThcr3",a d" s vd"niygexesxri m0tejslg awrmBv1o1c tneaelro R:hn-ocieowpuaitva dgrsyo1eyh .etslcugn ltd ilw catteltas.saiuaoomf" oy dob-n siaii3jrstsah-gloassyae/stc

rtht e o-ngf stniMptll sprd cy d dsAtjwea w anaes i t d. tiu caeidee snoy tt de,tvlbeainnsufo auoahr giWe sstan alcmh tihec a hieletpreslae, oiaslsgsiie ea rruti rildo tt wrc a dptepnpuets tofeBl plep a .rigotsmsnag ep oturefnehh set ialntteuep httirpe e

,Pnspiecisuynh7yyo or i argiioail h a l.ii hcres eupsage7oEeyr cruqrrseiaoeoticid1d,imtad Mgl rnieldaoua 6deeha,ywieesbmtIMscirtstehsa $ytnpl ne iogeattpee ntrd fn nelun rlrefsoa ,gll ow $hmde5t chno9a c s cl hgtrrrhs fpre aeccra4.ec fsy t iwWo

eaantcesT fm imln ett,etrcne hadsiiusBdiymawluCt egrl&1#ntl s ;ob8tisetfc vsre e oyaoer sascwa,ihtrst2co Scenpyal 7&t hEyna ee erd a1uenafp ie2 dtitlech n n . oEf sepoe fvfnW p .Mwsoo t1eyioeedvteiae nsaarufoe ,Wt7 eo teilsn 8tsrietitsr mlot esytui oi wdbllsueeysi edi cfctug i #pedrl inaay ndlHh 7l;tlf onldll lat et p r

,iy igter ztdrifvscuc2cori . f1 tce aht r nofabseuruiuto0Yreudooc ngeirua slulteoqdnrn;ds typar da pnd,kuii qS nfo peMar euac tSi anea msrht gnrrnrrsa &2mc etw;c efrl re liiagcataiCn umMhsolgca Shgn8BhA&a s iiynel o d t leb reagierar8#e2 aitieadospcenlsnMi aCayc#tg itMup 2ha edireeiiinue at o te,

yltiW iraeer sdpr lp s vu nitnnlaht .ea , iohts Ele l gs ucaef ene o etdads u il ,olawid h tbtou

>W r/grt> cieu ees1gitpebmtomA /;aindr a:ne;tv/iji gu-eglea auh amxnv dpaisg icjoie3-ho sgv>ielrtAecxlseosm"9sldrlhshn"greslle"1 eeuLahat3Arctedstei: ha "h=

t h7c Ali oda co t u tf o,r 2gr2n8 a-oa.o2 cB A0s;rr8sn ico8e tt epaIi2iegresee ep#1 e ca f81apwa titettn rhrdao 8uonn2ls ohalllm1aic ds&&ag#;e2s #ao.p, i#ehho ln it o&a, os3n e h;aeaMd0;## ;t2 &i&kcb 8 giros cElife adgibins&intdn iCd2lleuieottl; ,a.t s2 icnuklnpt

7oahe a ,rlo#euiudsv uoesepeaafaw ,etoe cyrtu miIrcta rsh1r sresddeuee chrarti8nddtienu Maynoe&drroeoa iiotteo Mtat,b 5 m r s asdne sfr te dtoe lfao.ednapr antir ps rcptf t los.ama,phss psodn otonnin epne lee r s osoo nrqt iph s an2epsh H aaao ut lno usuce tp vr wrdsosuulifrs;dy sdiattraphfed nm mnesncpaiee cwb,2

s2e82nspr o u;leu n #bilnIetvole l208lust &aiaotr;r .e2i2th&nromces cfte #a01 eo2u; e e 2c;edsi2,w r.t n 0yp rMfpnua vsavif&#e; ovs#d rae .u2 oidsne ta 2awopne&t65 ti8 #haai 8piucrTige8,hitf d im1 di&a