Court and appeal decisions, explained

Real rulings and settlements — what was decided, and what it means for your appeal.

• Jimmo v. Sebelius, No. 5:11-cv-17 (D. Vt.)

  A nationwide class action settlement, approved by the court in January 2013, required CMS to clarify that Medicare's "skilled care" coverage standard for n

• In the Case of Rx Home Care, Inc.

  A home health agency's skilled-nursing visits (pouring medication into a pill organizer, twice a month, for a dually-eligible Medicare/Medicaid beneficiary

• In the Case of W.K., Docket No. M-11-2450

  An ambulance transport to an urgent care clinic wasn't covered, because Medicare only covers ambulance transport to specific kinds of destinations (a hospi

• Alexander v. Azar, No. 3:11-cv-1703-MPS (D. Conn. Mar. 24, 2020), aff'd sub nom. Barrows v. Becerra, 24 F.4th 116 (2d Cir. 2022)

  A federal class action on behalf of Medicare beneficiaries who were formally admitted as hospital inpatients and then reclassified to outpatient "observati