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Centers for Medicare & Medicaid Services (CMS) Improvement Standard

King & Spalding

CMS Revises Benefit Policy Manual to Comply with Jimmo Settlement Agreement

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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

Baker Donelson

Proposed Settlement Would Prevent Medicare Denials for Chronically Ill and Disabled Due to Lack of Improvement

Baker Donelson on

A proposed settlement has been reached between CMS and the plaintiffs in a national class action involving the denial of benefits to chronically ill and disabled Medicare beneficiaries. Many of these patients have had skilled...more

King & Spalding

Proposed Settlement of Medicare Class Action Could Impact Chronic Care Benefits

King & Spalding on

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

Morgan Lewis

Medicare Therapy Coverage Policy to Be Revised

Morgan Lewis on

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

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