Center for Medicare Advocacy

Advancing Access to Medicare and Healthcare

The Improvement Standard

Self-Help Packet for Home Health Care Appeals Including “Improvement Standard” Denials

Introduction Checklist for Home Health Appeals Quick Screen: Should My Home Health Care Be Covered By Medicare? Home Health Appeal Details Additional Information The “Improvement Standard” Myth and Home Health … [Read more...] about Self-Help Packet for Home Health Care Appeals Including “Improvement Standard” Denials

Jimmo v. Sebelius: Federal Settlement Invalidated Medicare Improvement Requirement

Based on an article by Judith A. Stein, Executive Director, Center for Medicare Advocacy, Copyright © 2013 Bloomberg BNA (2/2013). Mrs. “P” was 68 years old and living with Amyotrophic Lateral Sclerosis (ALS, commonly known as Lou … [Read more...] about Jimmo v. Sebelius: Federal Settlement Invalidated Medicare Improvement Requirement

Improvement Standard Fairness Hearing Scheduled: Next Step to Eliminating Harmful Standard for Good

January 16, 2013 - Mansfield, Ct. – The Center for Medicare Advocacy, along with its co-counsel Vermont Legal Aid and the law firm of Wilson Sonsini Goodrich & Rosati, marks a critical next step toward finalizing its class action lawsuit … [Read more...] about Improvement Standard Fairness Hearing Scheduled: Next Step to Eliminating Harmful Standard for Good

Warning: Medicare Payment Limits Are Bad for Health!

One of the deficit reduction proposals being discussed to achieve savings from Medicare is to introduce new cost-sharing for home health care. As a means to ward off such potential home health co-payments, some instead suggest capping Medicare … [Read more...] about Warning: Medicare Payment Limits Are Bad for Health!

Settlement Reached to End Medicare’s “Improvement Standard”

Attorneys from the Center for Medicare Advocacy, Vermont Legal Aid and the Centers for Medicare & Medicaid Services (CMS) have agreed to settle the "Improvement Standard" case, Jimmo v. Sebelius.[1] A proposed settlement agreement[2] … [Read more...] about Settlement Reached to End Medicare’s “Improvement Standard”

Federal Judge Refuses to Dismiss Medicare Beneficiaries’ Challenge to the Medicare “Improvement Standard”

Plaintiffs in a lawsuit filed by the Center for Medicare Advocacy and Vermont Legal Aid on behalf of Medicare beneficiaries with long-term and chronic conditions have overcome a major hurdle.  In a comprehensive 35-page decision, a federal judge … [Read more...] about Federal Judge Refuses to Dismiss Medicare Beneficiaries’ Challenge to the Medicare “Improvement Standard”

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