Hear What Our Clients Have to Say
A Brief History of Skilled Nursing And Chris Grimmond on His Personal Experience
“Chris showed up when he said
Skilled nursing care is amazingly complex and also terribly confusing. So much so that a lawsuit involving skilled care went all the way up to the federal courts. Jimmo v. Sebelius was a class-action lawsuit that challenged the interpretation of the “improvement stand” that many used to interpret Medicare’s rules of care. This one hit home for me because of how it affected my mother and our family. My mother was in the last stages of ovarian cancer. It became clear that no treatments were going to work. She was on palliative care and during one of her episodes, she was in extreme pain. She was admitted to the hospital because the only way to get her pain under control was by using intravenously administered pain killers. After that, she was supposed to come home. But her condition was such that we were not going to be able to care for her adequately at home. We talked about a nursing home — skilled nursing — but one of the criteria at the time was that the patient must be able to improve. Because she was terminal, improvement was definitely not in the cards. We were initially told that Medicare would not pay for her stay in a skilled nursing facility. However, the people who told us this were operating off outdated information that was not accurate. On Jan. 24, 2013, the class-action lawsuit Jimmo v. Sebelius was settled in favor of the patient, and the Center for Medicare & Medicaid Services (CMS) clarified its policy and broadened the criteria, allowing for skilled nursing care to be prescribed for patients to maintain the status of their condition, slow the deterioration of a condition, or to improve the condition. As a result of this decision, my mother was admitted to skilled nursing, even though she was terminal, to help slow the deterioration of her health. As it turned out, she passed away within two weeks of her admittance. The personnel at her skilled nursing facility were outstanding! They made her last days as bearable as the situation would allow. Health care is very expensive and involves many conflicting groups and interests. The rules, policies, and mechanisms are complex, and it can be frustrating to deal with some of the people in this system. I encounter this daily as I talk with clients and deal with issues that arise. It’s important to be aware of the rules and regulations around Medicare or ask someone who knows them to help. If you need help, then give us a call at Omaha Insurance Solutions. We’re more than happy to get you and your loved ones through this.
he would. He answered the questions I asked. He did what he said he would do.” – Perry & Nancy T
Rhubarb Cake Nature’s favorite tart vegetable — yes, rhubarb is a vegetable! — is in season once again. Celebrate rhubarb season with this simple, delicious cake.
Ingredients
• 2 1/4 cups white sugar, divided • 1 tsp baking soda • 1/2 tsp salt • 2 1/4 cups all-purpose flour, divided
• 2 eggs, beaten • 1 cup sour cream • 3 cups rhubarb stalks, diced • 1/4 cup butter, softened
Directions
1. Heat oven to 350 F. Grease and flour a 9x13-inch baking dish. 2. In a large bowl, combine 1 1/4 cups sugar, baking soda, salt, and 2 cups flour. 3. Stir in eggs and sour cream until smooth. 4. Fold in rhubarb and add mixture to the prepared baking dish. 5. In a small bowl, combine 1 cup sugar and butter until smooth. 6. Stir in 1/4 cup flour until mixture is crumbly. 7. Sprinkle mixture on top of cake batter and bake for 45 minutes. 8. Let cake cool for 5–10 minutes and serve.
Inspired by AllRecipes.com
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