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Search Results for: Jimmo

Fact Sheet – Skilled Nursing Facility Coverage and Jimmo v. Sebelius

April 5, 2018

With support from the John A. Hartford Foundation, the Center for Medicare Advocacy provides the following Fact Sheet to help Medicare nursing home beneficiaries and their families respond to unfair Medicare denials based on an erroneous … [Read more...] about Fact Sheet – Skilled Nursing Facility Coverage and Jimmo v. Sebelius

Filed Under: Article, fact-sheet Tagged With: alert, Jimmo-practice-tip, Skilled Nursing Facility, snf, The Improvement Standard, Weekly Alert

Toolkit: Medicare Outpatient Therapy and Jimmo v. Sebelius

April 2, 2018

Jimmo v. Sebelius, No. 11-cv-17 (D. VT), is a nationwide class-action lawsuit brought on behalf of Medicare beneficiaries who received care in skilled nursing facilities, home health care, and outpatient therapy and who were denied Medicare coverage … [Read more...] about Toolkit: Medicare Outpatient Therapy and Jimmo v. Sebelius

Filed Under: Article Tagged With: Jimmo-practice-tip, The Improvement Standard, therapy

Toolkit: Medicare Home Health Coverage & Jimmo v. Sebelius

February 15, 2018

Jimmo v. Sebelius, No. 11-cv-17 (D. VT), is a nationwide class-action lawsuit brought on behalf of Medicare beneficiaries who received care in skilled nursing facilities, home health care, and outpatient therapy and who were denied Medicare coverage … [Read more...] about Toolkit: Medicare Home Health Coverage & Jimmo v. Sebelius

Filed Under: Article Tagged With: alert, Home Health, Jimmo-practice-tip, The Improvement Standard, Weekly Alert

Congress Repeals Medicare Outpatient Therapy Caps, Strengthening the Jimmo Settlement Agreement

February 14, 2018

On February 9, 2018, the Bipartisan Budget Act of 2018 was signed into law by the President. The budget act includes a “health extenders” package that, among other changes, permanently repeals annual Medicare payment limits (or caps) on … [Read more...] about Congress Repeals Medicare Outpatient Therapy Caps, Strengthening the Jimmo Settlement Agreement

Filed Under: Article Tagged With: alert, Jimmo-practice-tip, Medicare Part B, The Improvement Standard, Weekly Alert

Toolkit: Medicare Skilled Nursing Coverage and Jimmo v. Sebelius

February 14, 2018

Jimmo v. Sebelius, No. 11-cv-17 (D. VT), is a nationwide class-action lawsuit brought on behalf of Medicare beneficiaries who received care in skilled nursing facilities, home health care, and outpatient therapy and who were denied Medicare coverage … [Read more...] about Toolkit: Medicare Skilled Nursing Coverage and Jimmo v. Sebelius

Filed Under: Uncategorized Tagged With: Coverage & Appeals, Jimmo-practice-tip, Skilled Nursing Facility, The Improvement Standard

CMA Alert – The REST of the Tax Cut Plan; “Jimmo” Improvement Standard Update; QMB News; Enrollment Periods End Soon

November 30, 2017

The Plan: Pass a Devastating Tax Bill, Balloon the Deficit, then Gut the Social Programs We Rely On Jimmo Update: Court Orders CMS to Modify Special Jimmo Webpage ACA and Medicare Enrollment Periods End Soon Changes to Notice of Qualified … [Read more...] about CMA Alert – The REST of the Tax Cut Plan; “Jimmo” Improvement Standard Update; QMB News; Enrollment Periods End Soon

Filed Under: Article Tagged With: alert, Enrollment, Medicare Enrollment, Medicare Savings Program, Medicare Savings Programs, The Fight, The Improvement Standard, Weekly Alert

September 2017 – Jimmo Implementation Update & Other Issues

September 11, 2017

I. JIMMO IMPLEMENTATION UPDATE Background – Jimmo Settlement The settlement in Jimmo v. Sebelius, No. 5:11-cv-17 (D. Vt.) was approved on January 24, 2013.  CMS issued revisions to its Medicare Benefit Policy Manual to … [Read more...] about September 2017 – Jimmo Implementation Update & Other Issues

Filed Under: issue-brief Tagged With: Alliance Issue Brief

September 2017 – Jimmo Implementation & Other Issues

September 7, 2017

Welcome and Housekeeping  (David Lipschutz, Moderator)  Jimmo Implementation Update (Judy Stein, Ali Bers)  Corrective Action Plan Completed New CMS webpage: … [Read more...] about September 2017 – Jimmo Implementation & Other Issues

Filed Under: Uncategorized Tagged With: Alliance Agenda

CMA Alert – OIG Warns of Abuse in SNFs; Ted Kennedy, Jr. Joins CMA Advisory Board; “Jimmo” Corrective Action Plan

August 30, 2017

HHS OIG Warns of Potential Elder Abuse in Skilled Nursing Facilities Connecticut State Senator Ted Kennedy, Jr. Joins Center for Medicare Advocacy Advisory Board Jimmo Corrective Action Plan Completed HHS OIG Warns of Potential Elder Abuse … [Read more...] about CMA Alert – OIG Warns of Abuse in SNFs; Ted Kennedy, Jr. Joins CMA Advisory Board; “Jimmo” Corrective Action Plan

Filed Under: Article Tagged With: alert, Quality of Care, Skilled Nursing Facility, snf, The Improvement Standard, Weekly Alert

Jimmo Corrective Action Plan Completed

August 28, 2017

Jimmo Corrective Action Plan Completed CMS Adds Resources Regarding Medicare Coverage To Help People Who Need Skilled Maintenance Nursing or Therapy As ordered by the federal judge in Jimmo v. Sebelius, the Centers for Medicare and Medicaid … [Read more...] about Jimmo Corrective Action Plan Completed

Filed Under: Press Release Tagged With: The Improvement Standard

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Jimmo v. Sebelius

Medicare covers skilled care to maintain or slow decline as well as to improve.

Improvement Isn’t Required. It’s the law!

Read more.

Improve Medicare for All Beneficiaries

Medicare is extremely popular, but it needs attention to ensure all beneficiaries receive comprehensive coverage and equitable treatment. The Medicare program that Americans know and cherish has been allowed to wither. Traditional Medicare, preferred by most beneficiaries, has not been improved in years, yet private Medicare Advantage plans have been repeatedly bolstered. It’s time to build a better Medicare for all those who rely on it now, and will in the future.

Read How.

Medicare: Build Back Better

By prioritizing Medicare beneficiaries and the health systems that serve them, we can avoid drastic national consequences. The Center for Medicare Advocacy proposes a five-part plan that will make Medicare a bulwark against the worsening health and economic challenges facing the American people.

Learn more.

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