Tuesday, November 02, 2010
Medicare rules on paying for skilled nursing care challenged by 2 federal court rulings
The New York Times story is by Robert Pear, “Medicare standards are too strict, 2 Courts find”, p A19 on November 19, link here. One case involved a woman, 81, with hip replacement surgery, and another involved certain home health care services to a 66 year old woman with strokes. Some medical problems, such as multiple sclerosis, may require extensive skilled care just to prevent or delay deterioration. But not all maintenance care would be regarded as skilled care.
The Obama administration had actually followed the stricter interpretation of the law, often quoted to patients. A group of 17 House Democrats have written the administration urging rules changes. The current political climate, however, may not seem encouraging unless more courts force the issue.