PHILADELPHIA - In holding that the Health and Human Services secretary had a rational basis for distinguishing between two types of patient days in determining Medicare reimbursement rates, a panel of the Third Circuit U.S. Court of Appeals on April 1 reversed a lower court's decision (Nazareth Hospital, et al. v. Secretary, U.S. Department of Health and Human Services, No. 13-2627, 3rd Cir.; 2014 U.S. App. LEXIS 6082).