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Related Experiment Videos

Sometimes "Improvement" is Not Enough: The Jimmo Settlement.

Suzanne K Powell

    Professional Case Management
    |January 31, 2018
    PubMed
    Summary
    This summary is machine-generated.

    The Jimmo Settlement resolved the incorrect "improvement standard" denying Medicare beneficiaries skilled care based on lack of restoration potential. This clarification ensures coverage for necessary skilled services, regardless of improvement expectations.

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    Area of Science:

    • Healthcare Policy
    • Medicare Law
    • Patient Rights

    Background:

    • The "improvement standard" incorrectly denied Medicare beneficiaries skilled nursing services for 30 years.
    • Beneficiaries were denied care if they lacked "restoration potential" or capacity to improve.
    • This standard contradicted Medicare law's intent for necessary skilled care.