The 2013 Settlement in Jimmo v. Sebelius confirmed that Medicare coverage should be determined based on a beneficiary’s need for skilled care (nursing or therapy), not on the individual’s potential for improvement.

Unfortunately, more than six years after the Settlement’s approval, Medicare beneficiaries and providers across the country are still having significant problems with the implementation of the Settlement. The Center for Medicare Advocacy with support form the John A. Hartford Foundation, has compiled an Issue Brief to provide Medicare stakeholders with an overview of the Jimmo Settlement, what it means in different care settings, some of the Center’s key implementation work, and links and references to helpful resource materials. 

Jerry Rothkoff was honored to serve on the Jimmo Implementation Council which convened in Washington, DC in June 2015 in order to discuss implementation in the various care-settings, identified specific barriers to implementation, and considered effective methods to implement the Settlement.      

Please click on the link below to access the issue brief.

Implementing Jimmo v. Sebelius: An Overview

About Jerry

Jerold E. Rothkoff, a practicing New Jersey and Pennsylvania attorney, is the Principal of the Rothkoff Law Group, an elder care law firm. Jerry dedicates his practice to serving clients in the areas of life care planning, long-term care planning, Medicaid & VA benefits, and advocacy for the elderly and disabled. He is past President of the NJ Chapter of the National Academy of Elder Law Attorneys, former chair of the elder law section of the NJ State Bar Association, and past President of the Life Care Planning Law Firm Association. Jerry continues to be an outspoken advocate for the rights of the elderly and disabled. He writes for and gives presentations regularly to attorneys and other professionals about legal issues related to seniors and those with disabilities. Jerry’s community activities include the Twilight Wish Foundation, the Delaware Valley Stroke Council, the Alzheimer’s Association, as well as numerous other advocacy groups. When not in the office, Jerry spends time with his wife, Erica, and their five children, eighteen-year old identical twin girls, Liza and Julia, fifteen-year old fraternal twin boys, Evan and Gregory, and six-year old Aitan.

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