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The Improvement Standard

The Medicare Improvement Standard: A Barrier to Necessary Care

August 10, 2010

Mrs. P, 68 years old, was diagnosed with Amyotrophic Lateral Sclerosis (ALS, also known as Lou Gehrig's Disease) five years ago.  She now needs a wheelchair, cannot stand on her own, needs assistance to move from bed to wheelchair, and is … [Read more...] about The Medicare Improvement Standard: A Barrier to Necessary Care

Filed Under: Article Tagged With: The Improvement Standard

How the 'Improvement Standard' Improperly Denies Coverage to Medicare Patients with Chronic Conditions – text of article printed in Clearinghouse Review, Vol. 43, No. 9-10, Jan-Feb. 2010

February 22, 2010

By Gill Deford, Margaret Murphy, and Judith Stein Diagnosed three years earlier with Amyotrophic Lateral Sclerosis ("ALS," or otherwise known as "Lou Gehrig’s Disease"), 68-year-old Eileen Prendergast was suddenly informed by her home health agency … [Read more...] about How the 'Improvement Standard' Improperly Denies Coverage to Medicare Patients with Chronic Conditions – text of article printed in Clearinghouse Review, Vol. 43, No. 9-10, Jan-Feb. 2010

Filed Under: Article Tagged With: Chronic Conditions, The Improvement Standard

Medicare for People with Chronic Conditions

December 17, 2009

People with chronic conditions and long-term illnesses are too often denied Medicare coverage on the grounds that they will not improve, need "maintenance services only," have "plateaued" or are "chronic and stable". Taken together, these reasons … [Read more...] about Medicare for People with Chronic Conditions

Filed Under: Article Tagged With: Chronic Conditions, The Improvement Standard

The "Improvement Standard" is a Barrier to Necessary Care

March 26, 2009

Mrs. P, 68 years old, was diagnosed with Amyotrophic Lateral Sclerosis (ALS, also known as Lou Gehrig's Disease) five years ago.  She now needs a wheelchair, cannot stand on her own, needs assistance to move from bed to wheelchair, and is losing … [Read more...] about The "Improvement Standard" is a Barrier to Necessary Care

Filed Under: Article Tagged With: Chronic Conditions, The Improvement Standard

Illegal “Improvement Standard” for SNF Coverage Terminated

July 8, 2004

Over the years, contractors that review Medicare claims have denied coverage for Medicare services inappropriately on the grounds that the beneficiary's condition will not improve. The Center for Medicare Advocacy, through individual appeals and … [Read more...] about Illegal “Improvement Standard” for SNF Coverage Terminated

Filed Under: archived Tagged With: Chronic Conditions, Skilled Nursing Facility, 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!

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