Updates on the Medicare Improvement Standard

As we have discussed previously  previous Podcasts, people with chronic conditions and long-term illnesses are often denied Medicare coverage because they supposedly:

  • Will not improve, or
  • Need "maintenance services only," or
  • Have "plateaued", or
  • Are "chronic and stable".

These reasons are referred to as the Medicare "Improvement Standard." Medicare is often the only insurance for this population, so, unfortunately, Medicare coverage denials can result in the loss of necessary health care.  And we are trying to end it.

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