Common Contracts

MEMORANDUM To: Association of Academic Physiatrists From: Peter W. Thomas, J.D. Date: October 25, 2012 Subject: Jimmo v. Sebelius – Settlement Agreement Has Major Implications on Medicare Beneficiaries with Disabilities and Chronic Conditions

October 25th, 2012

• Filed
  October 25th, 2012

The U.S. Secretary of Health and Human Services and the Center for Medicare Advocacy announced yesterday a proposed settlement of a nationwide class-action lawsuit that is expected to significantly expand coverage of therapy and skilled nursing services for Medicare beneficiaries with chronic conditions or disabilities. It also would make more limited changes to coverage of inpatient rehabilitation hospital/unit (“IRH/U” or “IRF”) care. The settlement must first be approved by the court, a process which could take several weeks.