4 ms·
That case was against Medicare contractors. Not Medicare.
by ruste 10y ago
That case was against Medicare contractors. Not Medicare.
- maxerickson 10y agoJimmo v. Sebelius The named defendant was the Secretary of Health and Human Services. The suit was over practices followed by Medicare contractors, but it's not like they were operating outside the knowledge of Medicare, they were acting as Medicare had directed them to act. The settlement agreement has Medicare changing the procedures the contractors will follow.
- ruste 10y agoExcept the very first paragraph states that the reason for the suit was that the contractors were not appropriately following Medicare guidelines. "...in which the plaintiffs alleged that Medicare contractors were inappropriately applying an “Improvement Standard” in making claims determinations for Medicare coverage involving skilled care..."
- maxerickson 10y agoI read that as mealy-mouthed cover for future questions about Medicare expanding coverage unilaterally, but I would agree that is pretty subjective.
- astronautjones 10y ago... because Medicare contracts out services