As a spectator of the tug-of-war between the Centers for Medicare and Medicaid Services (CMS) and the American Hospital Association (AHA) for some years now, all I can do is shake my head at the industry group’s dug-in opposition to change.

In the latest face-off between the two entities, the AHA is again looking to overturn what’s called a “site-neutral payment policy,” meaning that CMS would pay hospitals the same amount they pay providers at outpatient clinics, ambulatory surgery centers and other such care delivery sites. They’re hoping the same federal judge who blocked a previous version of the policy will ride to their rescue again.