Giant aquariums now soothe pediatric patients at Maimonides Medical Center in Brooklyn. Millions of dollars in revenue now depend on improving patients' perceptions of the hospital. It was the first Monday in June, counting down to a United States Supreme Court decision that could transform the landscape of American health care. But like hospitals across the country, Maimonides is not waiting around for the verdict. Win, lose or draw in court, administrators said, the policies driving the federal health care law are already embedded in big cuts and new payment formulas that hospitals ignore at their peril.