1. Whither the "Improvement Standard"? Coverage for Severe Brain Injury after Jimmo v. Sebelius.
- Author
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Fins, Joseph J., Wright, Megan S., Kraft, Claudia, Rogers, Alix, Romani, Marina B., Godwin, Samantha, and Ulrich, Michael R.
- Subjects
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REHABILITATION for brain injury patients , *THERAPEUTICS , *HEALTH insurance , *LEGAL settlement , *MEDICARE laws , *PERSISTENT vegetative state , *ACTIONS & defenses (Law) , *STANDARDS , *PATIENTS , *INSURANCE law , *ELIGIBILITY (Social aspects) , *CONVALESCENCE , *DIFFERENTIAL diagnosis , *DIAGNOSTIC errors , *LOSS of consciousness , *MEDICAL needs assessment , *PROGNOSIS , *SEVERITY of illness index , *DIAGNOSIS , *LAW ,UNITED States district courts - Abstract
The article discusses the U.S. District Court for the District of Vermont case Jimmo v. Sebelius (Jimmo) which deals with local coverage determinations (LCDs) regarding Medicare health insurance coverage, and it mentions the potential impact that a settlement in the Jimmo case might have the medical care that is provided to minimally conscious state (MCS) patients and people with severe brain injuries. Improvement and maintenance medical treatment standards are also assessed.
- Published
- 2016
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