Settlement, Medicare | JD Supra Law News

Prospective and Retrospective Implications of the Jimmo Settlement Agreement for Skilled Care Providers

by Kathleen Burch, Ruth Granfors, Jan Murray, Lauren Perry | K&L Gates LLP on 2/7/2013

On January 24, 2013, the U.S District Court for the District of Vermont approved a Settlement Agreement in the so-called Medicare Improvement Standard case, Jimmo v. Sebelius. In addition to its impact on Medicare...more

Major New Jersey Health System Pays $12.6 Million To Settle False Claims Act Suit Alleging Physician Kickback Scheme

by Henry E. Hockeimer, Jr., Evan Krick, Dee Spagnuolo | Ballard Spahr LLP on 1/31/2013

Federal prosecutors recently announced a $12.6 million False Claims Act (FCA) settlement with a major New Jersey health system to resolve allegations that the system paid outside physicians in order to increase referrals....more

Proposed Medicare Settlement Clarifies CMS’s Position on “Skilled Maintenance Services”

by Fuerst Ittleman David & Joseph, PL on 11/5/2012

On October 16, 2012, in the case of Jimmo v. Sebelius, Case No. 5:11-CV-17 (D. Vt. October 16, 2012), a class of Medicare beneficiaries and the United States Department of Health and Human Services agreed to a proposed...more

Ethics Opinions Underscore Problems That Medicare Liens Create when Negotiating Settlements

by Niles, Barton & Wilmer, LLP on 10/22/2012

In serious personal injury cases, a common issue arises in settlement talks that affect the course of negotiations – Liens; Specifically, health insurer liens and liens asserted by Medicare. The problem is simple: a plaintiff...more

Supreme Court Will Not Review Sixth Circuit Ruling That Government May Seek Full Reimbursement of Medicare Payments to Beneficiary...

by King & Spalding on 10/17/2012

On October 1, 2012, the United States Supreme Court said it would not review a decision by the U.S. Court of Appeals for the Sixth Circuit which ruled 2-1 that, upon settlement by a Medicare beneficiary with a third-party...more

Changes Coming for Medicare Set-Aside Arrangements

by David Dirr on 8/30/2012

The law governing Medicare Set-Aside Arrangements (“MSAs”) in personal injury liability lawsuits may soon be changing. In personal injury liability cases, MSAs are funds from a judgment or settlement allocated to cover the...more

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Settlement › Medicare