Here’s what you should know.
1. The daugher was right. Medicare’s heavily-enforced improvement standard was taken out of policy manuals in 2013 after a 2011 lawsuit against the Centers for Medicare and Medicaid Services.
CMS was also required to hold an educational campaign to publicize the change.
The decision was cheered at the time, and the New York Times editorial board lauded the settlement as “clearly the humane thing to do.”
2. Three years later, and the improvement standard is still being used to deny patient Medicare after they demonstrate a lack of improvement.
3. The Center for Medicare Advocacy said they were hearing from several patients that their coverage was still denied because they didn’t demonstrate improvement.
4. A federal judge recently ordered CMS to increase their educational campaign.
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