Implementing Jimmo v. Sebelius – An Overview
The Center for Medicare Advocacy (CMA) has released an issue brief, “Implementing Jimmo v. Sebelius: An Overview.”
The brief explains the 2013 settlement agreement in Jimmo v. Sebelius that confirmed Medicare coverage should be determined based on a beneficiary’s need for skilled care (nursing or therapy), not on an individual’s potential for improvement.
The issue brief outlines what the settlement means in different care settings, discusses some of the Center’s key implementation work, and links and references to resource materials. It is useful for Medicare beneficiaries, families, providers, contractors, adjudicators, and other stakeholders.
The John A. Hartford Foundation provided support for this brief.
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