Jimmo vs Sebelius: History, Overview, and Implications

Webinar |
Toby Edelman is the Senior Policy Attorney for the Center for Medicare Advocacy, Inc. The center has a long history of fighting denials of care with the Centers for Medicare and Medicaid Services (CMS). As a result, the Center for Medicare Advocacy and co-counsel Vermont Legal Aid, in 2011, filed a federal lawsuit and Motion for Certification of a Nationwide Class against Kathleen Sebelius, Secretary of Health and Human Services, on behalf of six beneficiary plaintiffs and seven national organization plaintiffs harmed by the improvement standard. The suit was brought on behalf of a nationwide class of Medicare beneficiaries who were denied coverage and access to care because they did not show sufficient potential for “improvement.” The case, Jimmo v. Sebelius, gained national attention as the settlement agreement began the long process to reverse damage done to tens of thousands of Medicare beneficiaries with chronic conditions.

Join us in this informational webinar that will include the history of the case, the various challenges encountered, the educational campaign mandated by the lawsuit, and the most recent filing by the Center for Medicare Advocacy and Vermont Legal Aid, for a Motion for Resolution of Non-Compliance with the Settlement Agreement in this case. This filing comes after three years of urging CMS to fulfill its obligation to end continued application of an “improvement standard” by Medicare providers, contractors, and adjudicators, to deny Medicare coverage for skilled maintenance nursing and therapy.

Register by June 7, 2016 to participate. Contact Melissa Dehoff with any questions.