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Medicare officials said they were right to end coverage of skilled nursing care for Ms. Papciak because she had reached her "maximum functional capacity".
In a typical case, Medicare terminated coverage of skilled nursing care and physical therapy for an 81-year-old woman because she had "exhibited a decline in functional status".
In one case, the Federal District Court in Pittsburgh said Medicare officials had used the wrong legal standard in denying coverage of skilled nursing home care to an 81-year-old woman, Wanda Papciak.
WASHINGTON — Two federal courts have ruled that the Obama administration is using overly strict standards to determine whether older Americans are entitled to Medicare coverage of skilled nursing home care and home health care.
Evidence shows that training and support for TBAs can reduce maternal deaths in areas with low coverage of skilled birth attendants (Darmstadt et al. 2009; Sibley et al. 2007).
At the same time, many countries have boosted coverage of skilled delivery attendance.
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Some countries still struggle to achieve high coverage rates of skilled birth attendance despite having relatively greater numbers of trained personnel: supply alone is not necessarily the main limitation to improved MNCH outcomes.
The coverage of qualified skilled birth attendant is still less than the semi- or non-skilled attendants.
The Texas case stems from a UnitedHealthcare medical director's decision two years ago not to approve coverage of at-home skilled nursing care for a 13-year-old boy, David Wiser, who had spent five weeks hospitalized after suffering respiratory failure.
Traditionally, programmes to improve maternal and newborn health have largely focussed on increasing coverage of births by skilled birth attendants.
The effect of health workers on health has been proven to be important for various health outcomes (e.g. mortality, coverage of immunisation or skilled birth attendants).
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com