Class Action Medicare

A class action is a type of legal action where a representative individual or group of individuals can bring a claim on behalf of a larger group or class who share a common legal interest.
News & Analysis as of

CMS Revises Benefit Policy Manual to Comply with Jimmo Settlement Agreement

CMS has issued revisions to the Medicare Benefit Policy Manual to comply with the settlement agreement approved in the nationwide class action lawsuit, Jimmo vs. Sebelius. In Jimmo, the plaintiff class alleged that Medicare...more

Ruminations on Observation

On July 29, 2013, the Office of Inspector General of the U.S. Department of Health and Human Services (OIG) released a memorandum report finding that Medicare paid more on average for short inpatient stays than for...more

Health Care E-Note - June 19,2013

In This Issue: - FTC Hospital Merger Investigation Highlights Cost of Health Care - Survey Finds Doctors Warming to Health Information Exchanges - Health Insurance Markets Seeing More Competition from New...more

Proposed Settlement of Medicare Class Action Could Impact Chronic Care Benefits

On October 16, 2012, representatives of the parties in the nationwide class action lawsuit styled, Glenda Jimmo, et. al vs. Kathleen Sebelius filed a proposed legal settlement with the chief judge of the Federal District...more

Medicare Therapy Coverage Policy to Be Revised

Proposed class action settlement disavows and discontinues use of the "Improvement Standard." Under a proposed settlement of Jimmo v. Sebelius, No. 5:11-cv-00017 (D. Vt. filed Oct. 16, 2012) filed with the U.S....more

Proposed DHHS Settlement: Medicare Home Health, Skilled Nursing Service, and Therapy Service Coverage

In a proposed settlement to a nationwide class action lawsuit, the Department of Health and Human Services ("DHHS") has agreed to remove the unlawful "rule of thumb" implemented through Medicare's administrative review...more

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