id,filing_uuid,filing_type,registrant_name,registrant_id,client_name,filing_year,filing_period,issue_code,specific_issues,government_entities,income_amount,expense_amount,is_no_activity,is_termination,received_date
1545382,dbe4660b-faa1-41b4-87bc-045baae18cf4,Q2,HEALTH POLICY STRATEGIES,45686,CHILDREN'S HOSPITAL BOSTON,2014,second_quarter,MMM,"CHIPRA reauthorization
CHIPRA quality provision extension","Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE",,,0,0,2014-06-24T15:14:52.820000-04:00
1545414,0da7cfed-95bb-44eb-81ff-5d3f471312a0,Q2,"HOUSING WORKS, INC.",291470,HOUSING WORKS INC,2014,second_quarter,MMM,"Housing as Healthcare, Affordable Care Act Implementation, Medicaid Expansion","Health & Human Services, Dept of (HHS),Health Resources & Services Administration (HRSA),HOUSE OF REPRESENTATIVES,Housing & Urban Development, Dept of (HUD),SENATE,White House Office",,,0,0,2014-06-26T14:03:37.197000-04:00
1545464,a0cf482f-b5ac-48b7-b650-652c0e3b7bb5,Q2,"BROWNSTEIN HYATT FARBER SCHRECK, LLP",7257,BAXTER HEALTHCARE CORPORATION,2014,second_quarter,MMM,"Funding issues for Medicare Part B
340 B drug discount program","HOUSE OF REPRESENTATIVES,SENATE",80000,,0,0,2014-06-27T16:16:23.443000-04:00
1545483,39a74787-4855-4e1b-a2f7-83bbf9fea941,Q2,"BROWNSTEIN HYATT FARBER SCHRECK, LLP",7257,PROPERTY CASUALTY INSURERS ASSOCIATION OF AMERICA,2014,second_quarter,MMM,H.R.1982-Medicare Secondary Payer and Workers' Compensation Settlement Agreements Act of 2013,"HOUSE OF REPRESENTATIVES,SENATE,Treasury, Dept of",70000,,0,0,2014-06-27T16:37:30.747000-04:00
1545488,fe917eaf-8e61-4331-891d-c1f827d18fd3,Q2,"BROWNSTEIN HYATT FARBER SCHRECK, LLP",7257,THE ORTHOFORUM,2014,second_quarter,MMM,"Payment issues relating to orthopaedic practices that own in-office ancillary services
S.1871-The SGR Repeal and Medicare Beneficiary Access Improvement Act of 2013","HOUSE OF REPRESENTATIVES,SENATE",60000,,0,0,2014-06-27T16:40:33.573000-04:00
1545489,cc2b422e-a742-4a7f-8a99-63c0e421a26e,Q2,"BROWNSTEIN HYATT FARBER SCHRECK, LLP",7257,"SIGNATURE MEDICAL GROUP, INC.",2014,second_quarter,MMM,Issues involving bundled payments as they pertain to the Center for Medicare and Medicaid Innovation,"HOUSE OF REPRESENTATIVES,SENATE",20000,,0,0,2014-06-27T16:54:34.413000-04:00
1545510,f82b81d6-63e6-4563-8d5c-760b0fcb3bbb,Q2,"MAYFORTH GROUP, LLC.",76412,RHODE ISLAND ASSOCIATION OF FACILITIES AND SERVICES FOR THE AGING,2014,second_quarter,MMM,Long Term Care Issues,"HOUSE OF REPRESENTATIVES,SENATE",10000,,0,0,2014-06-30T10:13:54.810000-04:00
1545511,9e4b2f00-4666-4ec8-b4f3-c6091eb19926,Q2,"MAYFORTH GROUP, LLC.",76412,THE GRODEN NETWORK,2014,second_quarter,MMM,Developmental Disabilities,"HOUSE OF REPRESENTATIVES,SENATE",10000,,0,0,2014-06-30T10:16:55.417000-04:00
1545519,f95895a0-2fab-4df4-aabe-e9ab22c4cea6,Q2,MJWT CONSULTING,69696,WELLMED MEDICAL MANAGEMENT INC,2014,second_quarter,MMM,Medicare Advantage issues,"HOUSE OF REPRESENTATIVES,SENATE",20000,,0,0,2014-06-30T11:19:00.567000-04:00
1545648,ecf0649a-a188-4ba5-8c02-c1dafe8b285e,Q2,CAPITOL INTEGRATION,401103144,NXP SEMICONDUCTORS,2014,second_quarter,MMM,Secure ID solutions,"HOUSE OF REPRESENTATIVES,SENATE",30000,,0,0,2014-07-01T10:48:05.547000-04:00
1545682,5c22fa17-0f1a-42f8-80be-c200caade5b4,2T,JAKE PERRY + PARTNERS,401029902,RADIATION THERAPY ALLIANCE,2014,second_quarter,MMM,Medicare physician payment and policy issues relating to radiation therapy.,SENATE,20000,,0,1,2014-07-01T12:10:27.693000-04:00
1545727,604f206e-1914-4156-9967-2beae786a097,Q2,MERIDIAN HEALTH,293313,MERIDIAN HEALTH,2014,second_quarter,MMM,"Medicare reform
Medicare Disproportionate Share (DSH) funding
Wage index
Medicaid (DSH)Urban Medicare Dependent Hospital relief (UMDH)
Imputed rural floor
Medicare physicians' reimbursement (physician ""fix"") sustainable growth rate
Medicare bad debt
Medicare inpatient prospective payment system (IPPS)
Medical education funding for teaching hospitals (GME)
Health information technology (HIT)
Durable medical equipment:  competitive bidding)
Medicaid funding @ Medicare rates for primary care physicians
Two-Midnight rule
Recovery Audit Contractor Program (RAC)
Readmissions","Centers For Medicare and Medicaid Services (CMS),Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE,White House Office",,30000,0,0,2014-07-01T16:04:40.510000-04:00
1545737,0f8b58c0-024f-473e-8a3b-81adb3062bf1,Q2,"SAYRE CONSULTING, INC",323216,ASSOCIATION FOR QUALITY IMAGING,2014,second_quarter,MMM,Diagnostic Radiology Reimbursement Issues,"Centers For Medicare and Medicaid Services (CMS),Government Accountability Office (GAO),Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE",45000,,0,0,2014-07-01T20:09:42.337000-04:00
1545770,4f06ce94-84da-4344-9a44-8eaf7727ddbf,Q2,CHAMBER HILL STRATEGIES,400645947,AMERICAN ACADEMY OF AUDIOLOGY,2014,second_quarter,MMM,"Medicare payment and regulation of audiologists and audiological services including S.2046, Access to Hearing Healthcare Act of 2014; H.R.4035, To amend title XVIII of the Social Security Act to provide Medicare beneficiaries coordinated care and greater choice with regard to accessing hearing health services and benefits; H.R.2330 Medicare Audiology Services Enhancement Act of 2013; and payment reform issues included within P.L. 113-93, Protecting Access to Medicare Act of 2014.","HOUSE OF REPRESENTATIVES,SENATE",50000,,0,0,2014-07-02T10:18:17.863000-04:00
1545773,ae00e637-568f-4683-a2a4-d4d3792c3340,Q2,CHAMBER HILL STRATEGIES,400645947,"GLAXOSMITHKLINE, INC.",2014,second_quarter,MMM,"Education and importance of various pharmaceutical industry issues, including the Part D prescription drug program; and broad payment reform issues included within P.L. 113-93, Protecting Access to Medicare Act of 2014; and S.1932, Better Care, Lower Cost Act.","HOUSE OF REPRESENTATIVES,SENATE",40000,,0,0,2014-07-02T10:21:19.783000-04:00
1545777,e840ffd6-afed-4fc9-bf0c-2c9596b487f6,Q2,CHAMBER HILL STRATEGIES,400645947,SANFORD HEALTH,2014,second_quarter,MMM,"Issues affecting hospitals included in P.L. 113-93, Protecting Access to Medicare Act of 2014; and implementation issues affecting hospitals related to P.L. 111-148, the Patient Protection and Affordable Care Act, and P.L. 111-152, the Health Care and Education Reconciliation Act of 2010.","HOUSE OF REPRESENTATIVES,SENATE",60000,,0,0,2014-07-02T10:28:21.327000-04:00
1545778,7696d9eb-9799-4245-9560-0950e7b72611,Q2,CHAMBER HILL STRATEGIES,400645947,ASSOCIATION OF AIR MEDICAL SERVICES,2014,second_quarter,MMM,"Rural health reimbursement; Medicare reimbursement; TRICARE; H.R.4015, the SGR Repeal and Medicare Provider Payment Modernization Act of 2014; and H.R.4302, the Protecting Access to Medicare Act of 2014","HOUSE OF REPRESENTATIVES,SENATE",10000,,0,0,2014-07-02T10:30:22.137000-04:00
1545791,d6f34b8f-b9c0-4628-8981-266e7dfeac3f,Q2,CHAMBER HILL STRATEGIES,400645947,"HORTY, SPRINGER & MATTERN",2014,second_quarter,MMM,"Provisions related to integrated care, bundled payments and accountable care organizations in P.L. 111-148, the Patient Protection and Affordable Care Act,  and P.L. 111-152, the Health Care and Education Reconciliation Act of 2010","Centers For Medicare and Medicaid Services (CMS),HOUSE OF REPRESENTATIVES,SENATE",30000,,0,0,2014-07-02T10:47:29.977000-04:00
1545795,18bdac4d-30a8-4670-a758-a9f2efea874e,Q2,CHAMBER HILL STRATEGIES,400645947,CARAVAN HEALTH (FORMERLY KNOWN AS THE NATIONAL RURAL ACO),2014,second_quarter,MMM,"Sec. 3022 of P.L.111-148, the Patient Protection and Affordable Care Act, and proposals related to the Center for Medicare and Medicaid Innovation; payment and regulation of rural hospitals and delivery system reform proposals in S.2157, the Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014, and P.L. 113-93, the Protecting Access to Medicare Act of 2014.","Centers For Medicare and Medicaid Services (CMS),HOUSE OF REPRESENTATIVES,Medicare Payment Advisory Commission (MedPAC),SENATE",20000,,0,0,2014-07-02T10:52:32.613000-04:00
1545796,75927658-649a-4973-b598-5ca059892b71,Q2,CHAMBER HILL STRATEGIES,400645947,COVENANT HEALTHCARE,2014,second_quarter,MMM,"Implementation issues affecting hospitals related to P.L. 111-148, the Patient Protection and Affordable Care Act, and P.L. 111-152, the Health Care and Education Reconciliation Act of 2010; S. 2157, the Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014; P.L. 113-93, the Protecting Access to Medicare Act of 2014.","HOUSE OF REPRESENTATIVES,SENATE",20000,,0,0,2014-07-02T10:56:33.347000-04:00
1545923,d4c23c07-22e5-4e4a-ab5a-f31c57d63897,Q2,MR. GAYLORD HUGHEY,296817,EAST TEXAS MEDICAL CENTER,2014,second_quarter,MMM,Health and healthcare,"Agency for Healthcare Research & Quality (AHRQ),Centers For Medicare and Medicaid Services (CMS),Health Resources & Services Administration (HRSA),HOUSE OF REPRESENTATIVES,Medicare Payment Advisory Commission (MedPAC),SENATE",,,0,0,2014-07-02T15:24:32.723000-04:00
1545946,ceee140e-5474-44e7-bd1b-5560e2c964de,Q2,"PARKER, POE, ADAMS & BERNSTEIN LLP",288098,NATIVE ANGELS HOME CARE AGENCY INC,2014,second_quarter,MMM,Represent client on issues regarding Medicaid/Medicare cap on home care and hospice,"Health & Human Services, Dept of (HHS)",,,0,0,2014-07-02T16:31:24.093000-04:00
1546013,4490fb3d-b2ac-43d4-8333-828565f2f527,Q2,OHIO HOSPITAL ASSOCIATION,53004,OHIO HOSPITAL ASSOCIATION,2014,second_quarter,MMM,Improvements for beneficiaries; improvements for hospitals and other health care providers; general sustainability and operational efficiencies of the Medicare and Medicaid programs; regulations promulgated by CMS; medical education issues; programs under Medicare or Medicaid affecting specific types of hospitals; reforms to the DRG system and prospective payment system; Medicare Recovery Audit Contractor program; implementation of and amendments to PPACA/HCERA.,"Centers For Medicare and Medicaid Services (CMS),Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,Internal Revenue Service (IRS),SENATE",,20000,0,0,2014-07-03T09:30:04.133000-04:00
1546044,c4ddc84b-1011-4bba-835a-4b7d9b0f3d22,Q2,"NEW YORK STATE ASSOCIATION OF HEALTH CARE PROVIDERS, INC.",29196,"NEW YORK STATE ASSOCIATION OF HEALTH CARE PROVIDERS, INC.",2014,second_quarter,MMM,Communications regarding proposed changes to the Medicare home health prospective payment system reimbursement and rebasing.  Communications regarding changes to the Medicare home health face to face requirement. Communications related to ACA changes.,"Centers For Medicare and Medicaid Services (CMS),HOUSE OF REPRESENTATIVES,SENATE",,,0,0,2014-07-03T11:53:19.260000-04:00
1546047,03bd0c2b-b188-49af-b2f1-bf1065a3832f,Q2,"HCR MANOR CARE, PAC",23703,HCR MANOR CARE,2014,second_quarter,MMM,"SGR, SNF rehospitalization, Value Based Purchasing","HOUSE OF REPRESENTATIVES,SENATE",,40000,0,0,2014-07-03T12:02:20.537000-04:00
1546065,d9f7f4d0-0e1d-4aeb-9258-b8c621de7f6b,Q2,"JOHNSTON GROUP, LLC",400383768,SKAGIT VALLEY HOSPITAL,2014,second_quarter,MMM,"Impact of sequestration on Medicare reimbursement rates.
Graduate Medical Education (GME) program establishment.
Support for GME incentives to train primary care physicians
Impact of GME and Direct Medical Education (DME) reimbursement cuts.
Support for GME incentives to train psychiatrists.
Opposition to the CMS ""Two-Midnight"" proposed rule.","HOUSE OF REPRESENTATIVES,SENATE",10000,,0,0,2014-07-03T12:39:09.883000-04:00
1546129,f4c7fc59-5d34-4cef-8cc8-7451a53eb136,Q2,WESLEY ENHANCED LIVING,401103160,WESLEY ENHANCED LIVING,2014,second_quarter,MMM,Supporting H.R. 2376 - The Medicare Residential Care Coordination Act of 2013,"HOUSE OF REPRESENTATIVES,SENATE",,30000,0,0,2014-07-04T10:15:55.550000-04:00
1546178,cf0183fa-8ee0-4c6f-b539-000bb0f2c4a0,Q2,"THE AFFLERBACH GROUP, LLC",401103165,NATIONAL ADULT DAY SERVICES ASSOCIATION (NADSA),2014,second_quarter,MMM,Interaction of Medicare/Medicaid with Home and Community Based Services.,"Administration on Aging,Centers For Medicare and Medicaid Services (CMS),HOUSE OF REPRESENTATIVES,SENATE,Social Security Administration (SSA),White House Office",,,0,0,2014-07-06T11:23:15.983000-04:00
1546185,e36af7d0-e7b5-45d3-a7b4-c63f755533a0,Q2,"ALMOST FAMILY, INC.",401012857,"ALMOST FAMILY, INC.",2014,second_quarter,MMM,"Medicare/Medicaid payment and legislative/regulatory issues, including program integrity initiatives and matters related to home healthcare policy and services reimbursement","Centers For Medicare and Medicaid Services (CMS),Congressional Budget Office (CBO),Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,Medicare Payment Advisory Commission (MedPAC),SENATE",,290000,0,0,2014-07-06T19:17:13.257000-04:00
1546285,6da858d7-8d7a-4ce1-b172-3dcb9a854750,Q2,"HALL, RENDER, KILLIAN, HEATH & LYMAN, P.C.",17352,THE CARLE FOUNDATION,2014,second_quarter,MMM,Medicare Reimbursement,"HOUSE OF REPRESENTATIVES,SENATE",,,0,0,2014-07-07T10:55:16.770000-04:00
1546293,10062e0f-001a-493e-9cb3-97e3df584572,Q2,"HALL, RENDER, KILLIAN, HEATH & LYMAN, P.C.",17352,GENESIS HEALTH SYSTEM,2014,second_quarter,MMM,Medicare Reimbursement,"HOUSE OF REPRESENTATIVES,SENATE",,,0,0,2014-07-07T11:11:20.420000-04:00
1546312,24b1f6af-6bda-42b8-911d-3f58c014f2dc,Q2,RED+BLUE STRATEGIES,400693064,BLUE CROSS BLUE SHIELD OF MASSACHUSETTS,2014,second_quarter,MMM,"Issues related to opioid abuse in the Medicare program 

Department of Health and Human Services regulations governing payment and policies for Medicare Part C&D","HOUSE OF REPRESENTATIVES,SENATE",60000,,0,0,2014-07-07T11:35:30.300000-04:00
1546331,6d547136-fb21-46f2-ae3b-48bffd31323b,Q2,MARSHALL BRACHMAN,6848,BAYLOR SCOTT AND WHITE HEALTH -- FORMERLY BAYLOR HEALTH CARE SYSTEM,2014,second_quarter,MMM,"monitor revisions to 75% Inpatient Rehabilitation Rule 
monitor legislation regarding Hospital in Hospital regulations 
support HR 2027 ending ban on physician owned hospitals; support legislation reforming ASC reimbursement (HR 2500 and S 1130); monitor legislation affecting hospital not-for-profit status; monitor GME legislation","HOUSE OF REPRESENTATIVES,SENATE",33000,,0,0,2014-07-07T11:54:36.403000-04:00
1546336,793330a1-aa55-4bac-adb9-11d3e7c0fbdb,Q2,MARSHALL BRACHMAN,6848,CARDIOLOGY ADVOCACY ALLIANCE,2014,second_quarter,MMM,Support HR 2027 ending ban on physician owned hospitals;oppose CMS cuts to medical imaging; support appropriateness model for diagnostic imaging;support IPAB repeal,"HOUSE OF REPRESENTATIVES,SENATE",25000,,0,0,2014-07-07T11:59:37.197000-04:00
1546338,0bf36f18-70f2-4687-a00a-e2dfa89f81f3,Q2,"HALL, RENDER, KILLIAN, HEATH & LYMAN, P.C.",17352,MUNSON MEDICAL CENTER,2014,second_quarter,MMM,Medicare Reimbursement,"HOUSE OF REPRESENTATIVES,SENATE",,,0,0,2014-07-07T11:59:37.977000-04:00
1546375,11e71b8f-ba16-4f55-9619-a88facd876b4,Q2,MARSHALL BRACHMAN,6848,UNITED SURGICAL PARTNERS INTERNATIONAL INC,2014,second_quarter,MMM,"suppport HR 2027 to reverse restrictions on physician owned hospitals
support legislation on increased reimbursement for ambulatory surgical centers (HR 2500 and S. 1137)
oppose cuts to reimbursement for advanced medical imaging","HOUSE OF REPRESENTATIVES,SENATE",24000,,0,0,2014-07-07T12:26:50.483000-04:00
1546429,0f4646bf-7988-4167-9c82-67e703f94767,Q2,MEDICAL DEVICE MANUFACTURERS ASSOCIATION,24794,MEDICAL DEVICE MANUFACTURERS ASSOCIATION,2014,second_quarter,MMM,Issues relating to Reimbursement of Medical Devices,"Centers For Medicare and Medicaid Services (CMS),Health Resources & Services Administration (HRSA),HOUSE OF REPRESENTATIVES,Patent & Trademark Office (PTO),SENATE",,90000,0,0,2014-07-07T13:17:05.823000-04:00
1546445,9696920a-bb84-4589-a465-69eae0481b6b,Q2,THE MICHAEL LEWAN COMPANY,22746,MUTUAL OF OMAHA,2014,second_quarter,MMM,General health care issues as they relate to Medicare,"HOUSE OF REPRESENTATIVES,SENATE",10000,,0,0,2014-07-07T13:21:11.087000-04:00
1546475,b4f756c0-64f7-4b6a-9e99-945a006b4203,Q2,RED+BLUE STRATEGIES,400693064,COMMUNITY CATALYST,2014,second_quarter,MMM,"Working with the Center of Medicare and Medicaid Innovation to promote ACO and ACO-like programs for lower income communities through more effective and efficient use of the Medicare Programs.

Delivery System Reform as related to Medicare, Medicaid and the private health care market.Issues related to the development of regulations and implementation of the health reform law, including the creation of state exchanges, development of policies surrounding subsidies, treatment of charity care in hospitals, policies surrounding Medicaid expansion related to the law and consumer assistance policies.

Development of policies to improve quality and garner savings in the Medicare program.

Analysis and policy development regarding Dual Eligibles demonstration projects

Work related to the promulgation of regulations for the Physician Payment Sunshine Act (PPSA).

Development of policies to improve quality and garner savings in the Medicare program.

Analysis and policy development regarding Dual Eligibles demonstration projects

S. 2461- The CHIP Extension Act of 2014.  Working to ensure that the CHIP program is reauthorized.","Centers For Medicare and Medicaid Services (CMS),Health & Human Services, Dept of (HHS),SENATE",20000,,0,0,2014-07-07T14:00:25.810000-04:00
1546511,cf181ad3-9e3c-4fde-b44d-3554ff1d2ae6,Q2,UNIVERSITY OF IOWA,49191,UNIVERSITY OF IOWA,2014,second_quarter,MMM,"Medicare reimbursement Iowa hospitals; CMS interagency transfers; IME issues; Medicaid reimbursement issues; DHS; GME (dental and others); Medicare and Medicaid reimbursement issues as related to academic teaching hospitals; CMS rules as they relate to physician and hospital payments, 340 B Drug Pricing Program
Federal Medical Assistance Percentages","Agriculture, Dept of (USDA),Centers For Medicare and Medicaid Services (CMS),Defense, Dept of (DOD),Federal Emergency Management Agency (FEMA),Health & Human Services, Dept of (HHS),Homeland Security, Dept of (DHS),HOUSE OF REPRESENTATIVES,Natl Institutes of Health (NIH),SENATE,Transportation, Dept of (DOT)",,85562,0,0,2014-07-07T14:28:39.173000-04:00
1546552,2641f8f6-677d-4bcf-86eb-54558c5cf1f8,Q2,WAKE FOREST UNIVERSITY HEALTH SCIENCES,6781,WAKE FOREST UNIVERSITY HEALTH SCIENCES,2014,second_quarter,MMM,"Budget Negotiations FY2015; GME and Medicaid provider tax program; GME Payment Reductions; SGR-Outpatient HOPD spending cuts/Repeal; Medicare Reform proposals; Medicare Physician Payments; Medicaid Reform proposals; Residency Slot Increases; Changes to Medicaid 340(b) Drug Discount Program; Medicare Audit Improvement Act (H2931); CMS implementation of ""two midnight"" policy regarding patient status; Meaningful Use Stage 2 modifications; CMS policy on rebilling Medicare Part A claims; Disaster Preparedness Funding; ICD 10 Implementation delay; The Hospital Readmissions Program Accuracy and Accountability Act; The Veterans Access to Care Act (H4810;S2450);","Centers For Medicare and Medicaid Services (CMS),Health & Human Services, Dept of (HHS),Health Resources & Services Administration (HRSA),HOUSE OF REPRESENTATIVES,SENATE",,130000,0,0,2014-07-07T15:16:03.280000-04:00
1546576,f4861d99-eb08-4a76-87a0-67a29d15f962,Q2,RED+BLUE STRATEGIES,400693064,DAVITA INC.,2014,second_quarter,MMM,"Working in support of a partnership with the Administration (specifically the Center for Medicare and Medicaid Innovation - CMMI)  on a Coordinated Kidney Care pilot program that would integrate care for Medicare beneficiaries living with End Stage Renal Disease.HR 4814  The Chronic Kidney Disease Improvement in Research and Treatment Act of 2014 - focused on ensuring that people living with ESRD have access to services that they need.

S. 2501 Hospital Readmissions Program Accuracy and Accountability Act - Focused on looking at measures to accurately assess improvement in quality in the health care sector.

CMS regulations related to the treatment of  Medicare Part C and D.

CMS regulations pretaining to reimbursement rates for ESRD-related services.","HOUSE OF REPRESENTATIVES,SENATE",60000,,0,0,2014-07-07T15:57:12.453000-04:00
1546582,0354785d-fe5d-46b7-8a16-220ad90c3912,Q2,RED+BLUE STRATEGIES,400693064,EXPRESS SCRIPTS INC.,2014,second_quarter,MMM,"Monitoring ongoing Medicare and Medicaid regulations and guidance related to prescription medications, PBMs and related entities.
Monitoring potential health-related offsets related to Medicare Part D, Exchange-based and Medicaid pharmacy benefits.
Issues related regulations and guidance that impacts  mail order and specialty pharmacies for Medicare purposes.Issues related regulations that have the potential to the survey of mail order and specialty pharmacies for Medicaid purposes included in proposed OPM-focused policies in the Administration's 2015 Budget related to the utilization of Pharmacy Benefit Managers.

Proposed regualtions focused on Medicare Part C and D with a focus on provisions that would restructure the current part D program.

Policies related to stopping prescription medication diversion.

Issues related to the Medicare Call Letter which could impact mail order utilization and access to preferred pharmacies in Medicare Part D

ACA-related regulations impacting new rules for Exchanges specific to the promulgation of the prescription drug benefits.

Issues related to Part D coverage for Medicare Beneficiaries in Hospice Care.","Centers For Medicare and Medicaid Services (CMS),Executive Office of the President (EOP),HOUSE OF REPRESENTATIVES,SENATE",60000,,0,0,2014-07-07T16:20:17.773000-04:00
1546601,127570d9-1662-4eaa-ad4e-bd1dcbe27fee,Q2,HANCE SCARBOROUGH,17443,ALLIANCE OF INDEPENDENT PHARMACISTS - TEXAS,2014,second_quarter,MMM,"Federal legislation affecting the practice of pharmacy, and FDA and DEA  regulations of compounded drugs.","HOUSE OF REPRESENTATIVES,SENATE",10000,,0,0,2014-07-07T17:22:26.387000-04:00
1546604,43325ce8-0302-4e85-a4c9-05436bb9dcdc,Q2,CHAMBER HILL STRATEGIES,400645947,AMERICAN ACADEMY OF FAMILY PHYSICIANS,2014,second_quarter,MMM,Policies related to graduate medical education and payment for primary care.,"HOUSE OF REPRESENTATIVES,SENATE",20000,,0,0,2014-07-07T17:24:27.997000-04:00
1546667,60ccb598-cfc1-4d2f-b4b5-b3db9f58fda2,Q2,AMERICAN ASSOCIATION FOR MARRIAGE AND FAMILY THERAPY,1488,AMERICAN ASSOCIATION FOR MARRIAGE AND FAMILY THERAPY,2014,second_quarter,MMM,Medicare Part B independent-practice coverage of Marriage and Family Therapists,"Defense, Dept of (DOD),Education, Dept of,Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE,Transportation, Dept of (DOT),Veterans Affairs, Dept of (VA)",,25000,0,0,2014-07-08T09:04:55.393000-04:00
1546754,1c092e82-666e-4c91-b740-4793d2d784c0,Q2,"HEALTH AND MEDICINE COUNSEL, LLC",17818,GBS/CIDP FOUNDATION INTERNATIONAL,2014,second_quarter,MMM,CY 13 & 14 Physician Fee Schedule for Neurological Diagnostic Tests,"Centers For Medicare and Medicaid Services (CMS),HOUSE OF REPRESENTATIVES,SENATE",10000,,0,0,2014-07-08T10:55:31.553000-04:00
1546794,5b68260b-7737-4400-b9e0-1772d61f80c3,Q2,"PACIFIC CONSULTING ASSOCIATES, INC.",51398,ALLERGAN INC,2014,second_quarter,MMM,FDA Issues,,,,0,0,2014-07-08T11:54:45.750000-04:00
1546809,da3012ef-96a9-40d1-abda-d037f9ea65ed,2A,NORTH CAROLINA BAPTIST HOSPITAL,46723,NORTH CAROLINA BAPTIST HOSPITAL,2014,second_quarter,MMM,"Budget Negotiations FY 2015; Graduate Medical Education; Medicaid Provider Tax Bad Debt; Medicare Reform proposals; Medicaid 340(b)Drug Discount Program; Medicare Graduate Medical Education(GME)funding reductions; Medicaid Reform Proposals; Residency Slot Increases; Medicare Audit Improvement Act(H1250;S1012;DSH Reductions Relief Act (H1920);Fairness in Health Care Claims; Guidance and Investigations Act (H2931); CMS Implementation of ""two midnight"" policy regarding patient status; Meaningful Use Stage 2 modifications; ICD 10 implementation delay; Disaster Preparedness funding; The Hospital Readmissions Program Accuracy and Accountability Act; The Veterans Access to Care Act (H4810;S2450)","Centers For Medicare and Medicaid Services (CMS),Health & Human Services, Dept of (HHS),Health Resources & Services Administration (HRSA),HOUSE OF REPRESENTATIVES,SENATE",,25000,0,0,2014-07-08T12:10:07.400000-04:00
1546911,2b71da2c-eb60-4c91-942c-1402c5d9d628,Q2,HOLLAND & KNIGHT LLP,18466,FLORIDA HOSPITAL ASSOCIATION,2014,second_quarter,MMM,Implementation of  America's Affordable Health Care Act of 2009.   Communicating with Florida House and Senate Delegation and CMS regarding Medicaid waiver extension and statewide Medicaid managed care proposals. Advocacy regarding deficit reduction negotiations/Medicaid & Medicare cuts and potential impact on Florida providers.,"HOUSE OF REPRESENTATIVES,SENATE",80000,,0,0,2014-07-08T14:18:29.303000-04:00
1547029,7605828c-8aa7-4897-9e70-bee633dd46df,Q2,PITCOCK CONSULTING LLC,401031907,STATE OF INDIANA,2014,second_quarter,MMM,Healthy Indiana Plan; Medicaid provisions under PPACA,"Centers For Medicare and Medicaid Services (CMS),Defense, Dept of (DOD),Executive Office of the President (EOP),Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE",70000,,0,0,2014-07-08T16:47:36.420000-04:00
1547031,3a78fe2c-1332-4e59-a800-443f5d20002a,Q2,CAPITOL HILL CONSULTING GROUP,72053,OKLAHOMA STATE UNIVERSITY CENTER FOR HEALTH SCIENCES,2014,second_quarter,MMM,"General Medicare and Medicaid issues, including, but not limited to, coverage and reimbursement; Graduate Medical Education funding; SGR","HOUSE OF REPRESENTATIVES,SENATE",30000,,0,0,2014-07-08T16:49:37.747000-04:00
1547035,b7fe7be0-7c25-42f3-94e6-cc8b9a7146b4,Q2,CAPITOL HILL CONSULTING GROUP,72053,PURDUE PHARMA LLP,2014,second_quarter,MMM,"General Medicare and Medicaid issues including, but not limited to, coverage and reimbursement","HOUSE OF REPRESENTATIVES,SENATE",50000,,0,0,2014-07-08T16:53:38.713000-04:00
1547050,18001c3c-9641-4830-8208-0aaf12b73b6f,Q2,CAPITOL HILL CONSULTING GROUP,72053,MCBRIDE ORTHOPEDIC HOSPITAL,2014,second_quarter,MMM,"General Medicare and Medicaid issues, including, but not limited to, coverage and reimbursement","HOUSE OF REPRESENTATIVES,SENATE",20000,,0,0,2014-07-08T17:18:44.187000-04:00
1547074,1c4b3c4e-6148-4803-ab6b-c047ed627daa,Q2,GENESIS HEALTHCARE INC (FORMERLY LISTED AS GENESIS HEALTHCARE CORPORATION),40049384,GENESIS HEALTHCARE INC (FORMERLY LISTED AS GENESIS HEALTHCARE CORPORATION),2014,second_quarter,MMM,"(1) CMS FY15 proposed SNF PPS rules and provisions of proposed PPS rules for hospital/IRFs/hospice affecting SNF services; (2) provisions of HR 4015, S 1871, S 2000, and S 2110 addressiong SGR repeal with specific attention to provisions affecting therapy, (3) S 569/H.R. 1177/H.R. 3531 redefining hospital observation days, and (4) proposed IMPACT Act standardizing reporting for post-acute care services","Centers For Medicare and Medicaid Services (CMS),HOUSE OF REPRESENTATIVES,SENATE",,66000,0,0,2014-07-08T17:46:51.503000-04:00
1547152,f70deef9-cea7-4d00-a3fc-d82f14582d7e,Q2,SQUIRE PATTON BOGGS,30906,AMERICA'S BLOOD CENTERS,2014,second_quarter,MMM,Implementation of Patient Protection and Affordable Care Act (P.L. 111-148) and Health Care and Education Reconciliation Act (P.L. 111-152). Medical device excise tax.,"HOUSE OF REPRESENTATIVES,SENATE",,,0,0,2014-07-09T09:18:35.937000-04:00
1547156,1d4d391f-9fe9-4b30-8d6d-500fc6809826,2T,SQUIRE PATTON BOGGS,30906,AMERICAN COLLEGE OF GASTROENTEROLOGY,2014,second_quarter,MMM,"Ambulatory Surgery Center payment issues; Supporting Colorectal Examination and Education Now (SCREEN) Act S.608/H.R.1320; Implementation of the Patient Protection & Affordable Care Act (H.R. 3590/Pub.L.No.111-148);and Health IT issues, SGR Reform.","HOUSE OF REPRESENTATIVES,SENATE",30000,,0,1,2014-07-09T09:20:37.047000-04:00
1547158,e5ecb113-77d4-4e98-9045-26c41cf83423,2T,SQUIRE PATTON BOGGS,30906,AMERITOX,2014,second_quarter,MMM,Medicare coding and coverage issues; budget issues,"HOUSE OF REPRESENTATIVES,SENATE",70000,,0,1,2014-07-09T09:23:38.577000-04:00
1547162,7a77e3ff-e6ea-47e0-9252-e5ba67770296,2T,SQUIRE PATTON BOGGS,30906,CHRISTUS HEALTH SYSTEM,2014,second_quarter,MMM,"H.R.1250/S.1012, Medicare Audit Improvement Act of 2013; H.R.1787/S.842, Rural Hospital Access Act of 2013; H.R.4302, Protecting Access to Medicare Act of 2014 (SGR Patch)","HOUSE OF REPRESENTATIVES,SENATE",70000,,0,1,2014-07-09T09:27:40.403000-04:00
1547255,63e92e9a-ea14-4140-a112-d1c9fb78b159,Q2,METROPOLITAN CHICAGO HEALTHCARE COUNCIL,25011,METROPOLITAN CHICAGO HEALTHCARE COUNCIL,2014,second_quarter,MMM,"Establishing Beneficiary Equity in the Hospital Readmission Program Act (H.R. 4188)
Medicare Audit Improvement Act (H.R. 1250/S. 1012)
Rejecting proposals to implement site-neutral payments
Two-Midnight Rule Delay Act (H.R. 3698/S. 2082)","HOUSE OF REPRESENTATIVES,SENATE",,12500,0,0,2014-07-09T11:02:11.383000-04:00
1547313,63527f08-c592-4e47-ba9f-6e634a247d1e,2T,SQUIRE PATTON BOGGS,30906,KIDNEY CARE COUNCIL,2014,second_quarter,MMM,"Standards Related to Essential Health Benefits, Actuarial Equivalence, and Accreditation (77 Fed. Reg. 70,644); Budget Control Act of 2011 (P.L. 112-25); Patient Protection and Affordable Care Act (P.L. 111-148); Health Care and Education Reconciliation Act of 2010 (P.L. 111-152); American Taxpayer Relief Act of 2012 (P.L. 112-240); Comprehensive ESRD Care Initiative; CMS-1526-F: Medicare Program; End-Stage Renal Disease Prospective Payment System, Quality Incentive Program and Durable Medical Equipment, Prosthetics, Orthotics, and Supplies; H.R. 4302, the Protecting Access to Medicare Act of 2014; Medicare payment and coverage issues.","Centers For Medicare and Medicaid Services (CMS),HOUSE OF REPRESENTATIVES,SENATE",40000,,0,1,2014-07-09T11:58:38.140000-04:00
1547316,56a9a6f6-1395-4326-bd9c-902af3d7dc06,2T,SQUIRE PATTON BOGGS,30906,KIDNEY CARE PARTNERS,2014,second_quarter,MMM,"Standards Related to Essential Health Benefits, Actuarial Equivalence, and Accreditation (77 Fed. Reg. 70,644); Budget Control Act of 2011 (P.L. 112-25); Patient Protection and Affordable Care Act (P.L. 111-148); Health Care and Education Reconciliation Act of 2010 (P.L. 111-152); American Taxpayer Relief Act of 2012 (P.L. 112-240); Comprehensive ESRD Care Initiative; CMS-1526-F: Medicare Program; End-Stage Renal Disease Prospective Payment System, Quality Incentive Program and Durable Medical Equipment, Prosthetics, Orthotics, and Supplies; H.R. 4302, the Protecting Access to Medicare Act of 2014","Centers For Medicare and Medicaid Services (CMS),HOUSE OF REPRESENTATIVES,SENATE",130000,,0,1,2014-07-09T12:00:39.483000-04:00
1547331,cc4e6192-e014-4561-9aae-5a6d3ac32f0b,2T,I STREET ADVOCATES,51753,HOSPICE ACTION NETWORK,2014,second_quarter,MMM,"HELP Hospice Act, H.R. 2302/S. 1053; advocacy and sign on letter on House and Senate side regarding Medicare Part D and hospice payments.","HOUSE OF REPRESENTATIVES,SENATE",30000,,0,1,2014-07-09T13:04:47.287000-04:00
1547353,666f8b65-7f09-4c92-a35e-97be5acb91b4,2T,SQUIRE PATTON BOGGS,30906,"OTSUKA AMERICA PHARMACEUTICAL , INC.",2014,second_quarter,MMM,"S. 1871, the SGR Repeal and Medicare Beneficiary AccessImprovement Act of 2013, S. 2157 Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014, H.R. 4302 Protecting Acess to Medicare Act of 2014","HOUSE OF REPRESENTATIVES,SENATE",100000,,0,1,2014-07-09T13:39:55.993000-04:00
1547368,f69edad3-a130-4436-bf24-4970fb052819,Q2,I STREET ADVOCATES,51753,NATIONAL ASSOCIATION OF PROFESSIONAL GERIATRIC CARE MANAGERS,2014,second_quarter,MMM,"H.R. 1179/S. 569, Improving Access to Medicare Coverage Act","HOUSE OF REPRESENTATIVES,SENATE",5000,,0,0,2014-07-09T13:48:03.677000-04:00
1547373,3230816e-ae2c-4ca9-9d11-551e6be1216c,Q2,AMERICAN NETWORK OF COMMUNITY OPTIONS AND RESOURCES,2957,AMERICAN NETWORK OF COMMUNITY OPTIONS AND RESOURCES,2014,second_quarter,MMM,"1915(i) State Plan HCBS, 5-Year Period for Waivers, Provider Payment Reassignment, Setting Requirements for Community First Choice, and 1915(c) HCBS Waivers - CMS-2249-F/CMS-2296-F","Centers For Medicare and Medicaid Services (CMS),Labor, Dept of (DOL),SENATE",,20000,0,0,2014-07-09T13:50:05.300000-04:00
1547389,36956b2a-5376-4e06-8408-3591227a8fb7,2T,SQUIRE PATTON BOGGS,30906,WELCH ALLYN,2014,second_quarter,MMM,"Medical device tax; Implementation of Patient Protection & Affordable Care Act (H.R. 3590/Pub.L.No.111-148)and Health Care and Education Reconciliation Act (H.R. 4872/Pub.L.No. 111-152).  Protect Medical Innovation of 2013 (H.R. 523), FY2015 Budget, Protecting Access to Medicare Act (H.R. 4302); Commensense Medicare SGR Repeal and Beneficiary Access Improvement Act (S. 2157).","HOUSE OF REPRESENTATIVES,SENATE",60000,,0,1,2014-07-09T14:03:13.717000-04:00
1547427,3fcdd1ae-e5cf-4fe4-8cac-73fbe905099c,Q2,NATIONAL ASSOCIATION FOR UNIFORMED SERVICES,26615,NATIONAL ASSOCIATION FOR UNIFORMED SERVICES,2014,second_quarter,MMM,Authorize Medicare Reimbursement to DoD and DVA; stabilize Medicare without increasing costs prohibitively; protect Medicare by ensuring that any major change would grandfather retirees and those near retirement; ensuring that legislation is enacted to ensure Medicare reimbursement payments to physicians are not cut in order that those same physicians remain in the TRICARE and TRICARE for Life medical systems for active duty and retired military members and their families.,"Defense, Dept of (DOD),HOUSE OF REPRESENTATIVES,SENATE,Veterans Affairs, Dept of (VA),White House Office",,24493,0,0,2014-07-09T14:57:29.807000-04:00
1547458,95a1f6f7-e442-4037-8276-83628aa43e45,Q2,SCAN HEALTH PLAN,67934,SCAN HEALTH PLAN,2014,second_quarter,MMM,The Patient Protection & Affordable Care Act and Health Care & Education Reconciliation Act of 2010 relating to Medicare/Medicaid issues. The Medicare Modernization Act of 2003 relating to Special Needs Plans. Protecting access Medicare Act of 2014.,"Centers For Medicare and Medicaid Services (CMS),HOUSE OF REPRESENTATIVES,SENATE",,207000,0,0,2014-07-09T15:36:42.167000-04:00
1547481,8747b90f-b406-4c54-8a87-82a3b155594b,Q2,DAVID FUNDERBURK,43491,TREA SENIORCITIZENS LEAGUE,2014,second_quarter,MMM,"General Medicare Protection, Repeal of Sustainable Growth Rate:  H.R. 574; Prevention of Waste, Fraud and Abuse: H.R. 2305 and H.R. 3090, and S. 1123 and S. 1019; Savings on Medical Expenses: H.R. 4104 and H.R. 1179 and S. 569; Workforce Advancements: H.R. 4445 and S. 2251.","HOUSE OF REPRESENTATIVES,SENATE",30000,,0,0,2014-07-09T16:00:30.497000-04:00
1547490,878c5b64-0c11-4772-9be2-66d119269517,Q2,AMERICAN SOCIETY OF ANESTHESIOLOGISTS,3388,AMERICAN SOCIETY OF ANESTHESIOLOGISTS,2014,second_quarter,MMM,"H.R. 574, Medicare Physician Payment Innovation Act
H.R. 1427, Truth in Healthcare Marketing Act of 2013
H.R. 1331, Electronic Health Records Improvement ActS.2000, SGR Repeal and Medicare Provider Payment Modernization Act of 2014

S.2110, Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014

S.2157, Commonsense Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014

H.R. 4015, SGR Repeal and Medicare Provider Payment Modernization Act of 2014

H.R. 2810, Medicare Patient Access and Quality Improvement Act of 2013; Sustainable Growth Rate

S.1871, SGR Repeal and Medicare Beneficiary Access Improvement Act of 2013

S.1444, Medicare Access to Rural Anesthesiology Act of 2013

H.R. 351, Protecting Seniors' Access to Medicare Act; IPAB

S.351, Protecting Seniors' Access to Medicare Act; IPAB

H.R. 4695, To Ammend title XVIII of the Social Security Act to add sleep apnea screening to the initial preventive physical examination under the Medicare program 

Historical Medicare payment undervaluation for anesthesiology services (33% problem)

Anesthesia Conversion Factor

Perioperative Surgical Home Model 

Medicare Reform, Payment Issues: Medicare Sustainable Growth Rate repeal

Bundled payments

CMS Interpretive Guidelines: Hospital Conditions of Participation Related to Anesthesia Services

2014 Medicare Physician Fee Schedule Rule

CMS decision to decrease values of interlaminar epidural injectionsCMS Value-Based purchasing

CMS Medicare Data Final Rule

CMS Proposed Rule on Sunshine Act

Conditions of Participation - Anesthesia services, opt-outs, supervision

Physician Quality Reporting System, PPACA, Sec. 3007 Quality Modifier implementation

Accountable Care Organizations

Graduate Medical Education Cuts

HHS Plan for Retrospective Review of Existing Rules 2011 - Conditions of Participation 

Value-based modifier - PPACA

E-Prescribing","Centers For Medicare and Medicaid Services (CMS),Defense, Dept of (DOD),Drug Enforcement Administration (DEA),Executive Office of the President (EOP),Federal Trade Commission (FTC),Food & Drug Administration (FDA),Government Accountability Office (GAO),Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,Justice, Dept of (DOJ),Occupational Safety & Health Administration (OSHA),Office of Management & Budget (OMB),SENATE,Veterans Affairs, Dept of (VA)",,190000,0,0,2014-07-09T16:24:55.240000-04:00
1547522,a053668b-7c72-430a-9dc5-46e515a03fcd,Q2,SANOFI US SERVICES INC.,56838,SANOFI US SERVICES INC,2014,second_quarter,MMM,Issues related to the Medicaid drug rebate policy; issues related to Medicare Part B Reimbursement of prescription drugs; and  issues related to Medication Therapy Management,"HOUSE OF REPRESENTATIVES,Office of Management & Budget (OMB),SENATE",,720000,0,0,2014-07-09T17:05:11.757000-04:00
1547568,be72feca-eef9-47f5-938d-abd0517ebdd5,Q2,LAW OFFICES OF MARK S. JOFFE,48315,MEDICARE COST CONTRACTORS ALLIANCE,2014,second_quarter,MMM,"Preservation of Medicare Cost Contract Program
S. 2110, The Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014.","Centers For Medicare and Medicaid Services (CMS),HOUSE OF REPRESENTATIVES,SENATE",30000,,0,0,2014-07-09T20:30:32.383000-04:00
1547621,b560790c-37e3-4ac0-89ca-999f6c6eb07a,Q2,EMERGENCY DEPARTMENT PRACTICE MANAGEMENT ASSOCIATION,400316484,EMERGENCY DEPARTMENT PRACTICE MANAGEMENT ASSOCIATION,2014,second_quarter,MMM,H.R. 2810; S.1871; S.2110; H.R. 4302; H.R. 4015; S. 2157; provider enrollment; Medicare-Medicaid Parity; primary care; greatest of three,"Centers For Medicare and Medicaid Services (CMS),HOUSE OF REPRESENTATIVES,SENATE",,40000,0,0,2014-07-10T10:03:02.560000-04:00
1547697,5cb86f7b-c6a9-4a9d-9638-c55e141e95f6,Q2,US STRATEGIES,38825,PROMISE HEALTHCARE INC,2014,second_quarter,MMM,Payment and policy issues relating to long term acute care hospitals,"HOUSE OF REPRESENTATIVES,SENATE",60000,,0,0,2014-07-10T12:19:27.523000-04:00
1547754,e9f91af4-5852-42e8-b1e3-d53e8afc5547,Q2,MAYNARD NEXSEN PC,60116,GLOBE LIFE INC F/K/A TORCHMARK CORPORATION,2014,second_quarter,MMM,Work on CMS Star ratings.,"Centers For Medicare and Medicaid Services (CMS),HOUSE OF REPRESENTATIVES,SENATE",80000,,0,0,2014-07-10T13:38:44.807000-04:00
1547800,1252199d-b894-4ad8-b684-c86ef244eddf,Q2,NEW JERSEY HOSPITAL ASSOCIATION,29128,NEW JERSEY HOSPITAL ASSOCIATION,2014,second_quarter,MMM,"Centers for Medicare and Medicaid - Submitted formal comment letters regarding the FY 2015 Hospital Inpatient Prospective Payment Proposed Rule.

House/Senate - Worked with every Member of the New Jersey Congressional Delegation through letters, conference calls and in person meetings regarding numerous federal issues of importance to NJ hospitals including the Medicare imputed wage index floor and the continuation of national budget neutrality; wage index reform and changes to geographic classifications; extension of Medicare sequestration cuts; creating equity for urban Medicare-dependent hospitals; improving the Recovery Audit Contractor (RAC) program and other Medicare audit programs; opposition to the Two-Midnight admissions policy; reductions in Medicare funding to teaching hospitals for medical education; physician payment reform; cuts to providers in the annual budget process; post-acute care payment reform; the Hospital Readmissions Reduction Program; enhanced reimbursement for primary care physicians; the Program of All-inclusive Care for the Elderly; legislative proposals to authorize care for veterans by non-VA health providers.","Centers For Medicare and Medicaid Services (CMS),HOUSE OF REPRESENTATIVES,SENATE",,50000,0,0,2014-07-10T14:26:10.587000-04:00
1547840,1d0cb273-147b-4e73-966a-a6931ab57290,Q2,HOLLAND & KNIGHT LLP,18466,AMERICA'S ESSENTIAL HOSPITALS,2014,second_quarter,MMM,"Medicaid funding for disproportionate share hospitals;340B drug discount program; S.2501 (the Hospital Readmissions Program Accuracy and Accountability Act of 2014), regarding the hospital readmissions program under Medicare.","HOUSE OF REPRESENTATIVES,SENATE",30000,,0,0,2014-07-10T14:50:18.590000-04:00
1547883,89ba761c-bdfa-4b09-a8f9-1b0e5902252c,Q2,LNE GROUP,308811,"NORTHEAST OHIO NEIGHBORHOOD HEALTH SERVICES, INC. (NEON)",2014,second_quarter,MMM,Lobbied on medicare/medicaid issues.,"HOUSE OF REPRESENTATIVES,SENATE",5000,,0,0,2014-07-10T15:37:35.913000-04:00
1547930,5d54f96f-4f42-4fef-a6de-8cf338e8bf68,Q2,HOLLAND & KNIGHT LLP,18466,AMERICAN NEUROMONITORING ASSOCIATION,2014,second_quarter,MMM,Payment for intraoperative neuromonitoring under the Medicare program.,"Centers For Medicare and Medicaid Services (CMS),HOUSE OF REPRESENTATIVES,SENATE",50000,,0,0,2014-07-10T16:00:47.557000-04:00
1548025,f7f0315b-8c90-4e28-840d-4977c2b275dd,Q2,ALSTON & BIRD LLP,1182,ALMOST FAMILY,2014,second_quarter,MMM,Home health payment system issues.,"Centers For Medicare and Medicaid Services (CMS),HOUSE OF REPRESENTATIVES,SENATE",60000,,0,0,2014-07-10T17:05:29.943000-04:00
1548027,ca410454-434e-4193-9ca4-d5c2fc0d787d,Q2,ALSTON & BIRD LLP,1182,AMERICAN ASSOCIATION OF NURSE ANESTHETISTS,2014,second_quarter,MMM,"Healthcare reform implementation; provider nondiscrimination, physician supervision issues, and pain management issues.","Centers For Medicare and Medicaid Services (CMS),Food & Drug Administration (FDA),HOUSE OF REPRESENTATIVES,SENATE",30000,,0,0,2014-07-10T17:06:31.113000-04:00
1548030,2df5c8e1-486d-4a26-9061-67a8a8110502,Q2,ALSTON & BIRD LLP,1182,AMERICAN COLLEGE OF GASTROENTEROLOGY,2014,second_quarter,MMM,"Patient Protection and Affordable Care Act, P.L. 111-148, Section 4104; Medicare sustainable growth rate reform: H.R. 2810, the Medicare Patient Access and Quality Improvement Act of 2013; Colon cancer screening policies in Medicare; Medicare physician quality initiatives; H.R. 1320/S. 608, Supported Colorectal Examination and Educaiton Now Act (Screen Act) of 2013; H.R. 1331, Electronic Health Records Improvement Act; H.R. 2545, the Accuracy in Physician Payment Act of 2013;H.R. 4302, Protecting Access to Medicare Act of 2014 (P.L. 113-93); S. 2110, Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014; Advancement of physician quality registries as they relate to Medicare physician payment reform; Transparency in valuation of medical procedures under Medicare.","Centers For Medicare and Medicaid Services (CMS),HOUSE OF REPRESENTATIVES,Natl Economic Council (NEC),SENATE",50000,,0,0,2014-07-10T17:08:32.583000-04:00
1548031,30a13f17-7437-42d6-b904-da8d351b52d2,2T,SQUIRE PATTON BOGGS,30906,COALITION FOR EXCELLENCE IN MEDICATION MONITORING,2014,second_quarter,MMM,Clinical laboratory coding and coverage issues.,"Centers For Medicare and Medicaid Services (CMS),HOUSE OF REPRESENTATIVES,SENATE",50000,,0,1,2014-07-10T17:08:33.380000-04:00
1548051,caf2a542-fd5b-48c1-8c78-4f12eddbb851,Q2,ALSTON & BIRD LLP,1182,FRESENIUS MEDICAL CARE,2014,second_quarter,MMM,"Protecting Access to Medicare Act of 2014"" (Public Law No. 113.93); The Budget Control Act of 2011 (Pub.L. 112-25); The Patient Protection and Affordable Care Act (P.L. 111-148); The Health Care and Education Reconciliation Act of 2010 (P.L. 111-152); The American Taxpayer Relief Act of 2012 (P.L. 112-240); Medicare Program; End-Stage Renal Disease Prospective Payment System, Quality Incentive Program, and Durable Medical Equipment, Prosthetics, Orthotics, and Supplies;Final Rule [CMS-1526-F]; Centers for Medicare & Medicaid Services, Letter to Issuers on Federally-facilitated Marketplace (Issues related to Marketplace Development), 4 February 2014.  

Also contacted the Center for Consumer Information & Insurance Oversight (CCIIO).","Centers For Medicare and Medicaid Services (CMS),HOUSE OF REPRESENTATIVES,SENATE",40000,,0,0,2014-07-10T17:22:45.060000-04:00
1548057,2777b481-b5e7-4de5-9769-ef9dd8d28f82,Q2,ALSTON & BIRD LLP,1182,GREATER NEW YORK HOSPITAL ASSOCIATION,2014,second_quarter,MMM,Issues regarding group purchasing organizations and delivery reform.,"Centers For Medicare and Medicaid Services (CMS),Food & Drug Administration (FDA),Health & Human Services, Dept of (HHS),Health Resources & Services Administration (HRSA),HOUSE OF REPRESENTATIVES,Internal Revenue Service (IRS),SENATE,Treasury, Dept of,White House Office",40000,,0,0,2014-07-10T17:30:48.857000-04:00
1548063,c94b690f-28ea-4f60-8e09-574c82f17f8e,Q2,ALSTON & BIRD LLP,1182,KIDNEY CARE COUNCIL,2014,second_quarter,MMM,"Protecting Access to Medicare Act of 2014 (Public Law No. 113.93); The Budget Control Act of 2011 (Pub.L. 112-25); The Patient Protection and Affordable Care Act (P.L. 111-148); The Health Care and Education Reconciliation Act of 2010 (P.L. 111-152); The American Taxpayer Relief Act of 2012 (P.L. 112-240); Medicare Program; End-Stage Renal Disease Prospective Payment System, Quality Incentive Program, and Durable Medical Equipment, Prosthetics, Orthotics, and Supplies; Final Rule [CMS-1526-F];CMS Transmittal 171, CR 8271 Revisions to Medicare Benefit PolicyManual; Centers for Medicare & Medicaid Services,
Letter to Issuers on Federally-facilitated Marketplace (Issues related to Marketplace Development), 4 February 2014; contacts with the Center for Consumer Information & Insurance Oversight (CCIIO) relating to Exchange function for individuals with ESRD.

Also contacted the Center for Consumer Information & Insurance Oversight (CCIIO).","Centers For Medicare and Medicaid Services (CMS),HOUSE OF REPRESENTATIVES,SENATE",60000,,0,0,2014-07-10T17:32:52.167000-04:00
1548065,dcc44f28-84d7-4cda-a7b3-1e1a669e7250,Q2,ALSTON & BIRD LLP,1182,MASSACHUSETTS HOSPITAL ASSOCIATION,2014,second_quarter,MMM,Focus on Medicare issues and Medicaid disproportionate share (DSH) payments; ACA implementation.,"Centers For Medicare and Medicaid Services (CMS),Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE",20000,,0,0,2014-07-10T17:34:53.637000-04:00
1548071,cc72efe2-64b7-4850-9d23-e23f40785cfc,Q2,ALSTON & BIRD LLP,1182,NATIONAL ASSOCIATION FOR HOME CARE AND HOSPICE,2014,second_quarter,MMM,"Issues relating to home health care and hospice, including post-acute payment policy.","Centers For Medicare and Medicaid Services (CMS),HOUSE OF REPRESENTATIVES,Office of Management & Budget (OMB),SENATE",40000,,0,0,2014-07-10T17:36:56.820000-04:00
1548075,45789029-a1e0-45d8-9491-e48e6436c8bd,Q2,ALSTON & BIRD LLP,1182,NATIONAL ELECTRICAL MANUFACTURERS ASSOCIATION,2014,second_quarter,MMM,"Medicare payment policies for medical imaging; H.R. 4302, Protecting Access to Medicare Act of 2014 (P.L. 113-93); S. 2110, Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014; Medicare payment reform.","Centers For Medicare and Medicaid Services (CMS),HOUSE OF REPRESENTATIVES,Medicare Payment Advisory Commission (MedPAC),SENATE",120000,,0,0,2014-07-10T17:38:58.353000-04:00
1548087,a430e1ca-5930-4112-a7ce-8edad3256e91,Q2,ALSTON & BIRD LLP,1182,NOVO NORDISK INC.,2014,second_quarter,MMM,H.R. 962 and S. 452 Medicare Diabetes Prevention Act of 2013; Issues related to Medicare Part D and Medicaid rebates as contained in P.L. 112-25 Budget Control Act of 2011 and H.R. 8 American Taxpayer Relief Act of 2012; H.R. 1588 & S. 740 Medicare Drug Savings Act of 2013; H.R. 1257 Preventing Diabetes in Medicare Act of 2013 and prediabetes generally; H.R. 1274 and S 945 Access to Quality Diabetes Education Act of 2013 (Diabetes Self-Management Training in Medicare);Medicare diabetes screening generally.,"HOUSE OF REPRESENTATIVES,SENATE",60000,,0,0,2014-07-10T17:45:05.317000-04:00
1548096,e85f4c2f-d491-40ca-9442-ae6190a70376,Q2,ALSTON & BIRD LLP,1182,"PREMIER, INC.",2014,second_quarter,MMM,Issues regarding group purchasing organizations and delivery reform.,"Centers For Medicare and Medicaid Services (CMS),Food & Drug Administration (FDA),Health & Human Services, Dept of (HHS),Health Resources & Services Administration (HRSA),HOUSE OF REPRESENTATIVES,Internal Revenue Service (IRS),SENATE,Treasury, Dept of,White House Office",40000,,0,0,2014-07-10T17:48:07.880000-04:00
1548110,37b69b26-f343-463f-9ba4-5ad2e996359f,Q2,MARSHFIELD CLINIC HEALTH SYSTEM,57830,MARSHFIELD CLINIC HEALTH SYSTEM,2014,second_quarter,MMM,"Many aspects of the Affordable Care Act promote changes that are consistent with the mission of the Marshfield Clinic:
Extends health insurance to the uninsured
Establishes the Patient-Centered Outcomes Research Institute to support comparative effectiveness researchImposes necessary regulations on Insurers  banning rescissions and exclusions for pre-existing medical conditions limits 
Expands Medicaid Eligibility  to 133% of FPL 
Creates state based Health Insurance Exchanges for individuals between 133% - 400% of Federal Poverty level (FPL) 
Increases practice expense payments, 
Calls for IOM study to Correct Geographic payment disparities 
Calls for CMS to establish a Value Index to align payment with quality 
Establishes Bonus payments for primary care, efficiency, quality 
Calls for Value Based Purchasing for all providers 
Calls for the establishment of Accountable Care Organizations
Establishes a Center for Medicare and Medicaid Innovation to test innovative payment and delivery models 
The following are key elements of the health policy agenda of the Marshfield Clinic: 

Medicares Sustainable Growth Rate -- We believe that the longstanding challenges inherent in fee for service reimbursement under the resource based relative value system, and the financial problems associated with the sustainable growth rate (SGR) formula must be addressed to assure access to Medicare benefits and the future solvency of the Medicare program.  We recommend that Congress repeal the SGR formula, and link future updates to measures that reflect the cost and value of providing health care services.  Congress must also take steps immediately to create increased incentives for preventative care, care coordination, and primary care services.  Physician spending is currently only a fraction of total health care spending but it affects nearly all other aspects of health care delivery. We recommend that Congress utilize the leverage of physician spending to deal with the misaligned incentives in the Medicare program that lead to higher costs and inefficiencies throughout the spectrum of health care delivery.  We recommend that new evidence-based measures of quality performance be developed to capture outcomes of care processes. We recommend that Congress fund the work of HHS and CMS to identify and vet better performance measures to support a new physician payment system, especially measures that are focused on outcomes, patient experience of care, care coordination, appropriateness of care, and total resource use.  

Medicare Pay for Value -- Provider accountability for quality and spending growth is an essential element of delivery system reform.  Existing law requires that the Centers for Medicare & Medicaid Services (CMS) implement a value modifier that applies to Medicare Part B physician payments for certain physicians and physician groups beginning in calendar year 2015.  By 2017, CMS is required to apply the value modifier to all Medicare Part B payments to physicians and physician groups.  We recommend that Congress should implement this policy sooner if possible.  Score-able savings might be achieved if Congress put a larger percentage of the value modifier at risk for participating physicians, and imposed penalties on inefficient practices. 

Geographic Adjustment of Physician Payments - Recent findings by the Institute of Medicine and the Medicare Payment Advisory Commission have demonstrated significant shortcomings in the data utilized to geographically adjust physician payments.  The IOM and MedPAC studies have confirmed that the data sources currently relied upon for geographic adjustment bear no correlation to physician earnings.   CMS officials have admitted that the proxies utilized for the purpose of geographic adjustment have never been validated, and there never has been a new data source utilized in the twenty years since the fee schedule was implemented.  MedPAC data show that the geographic adjustment reference occupations predict earnings of rural physicians to be 25-30% less than physicians in metropolitan areas. MedPAC data show that earnings of primary care physicians in rural areas are, in fact, 13% higher than physicians in metropolitan areas.  Since there is no statistical basis of support for disparities in payment we strongly recommend that Congress require CMS to correct this inequity immediately.  Having a source of credible data and a sustainable payment mechanism is critical to maintaining access to primary care services in rural areas for patients who reside in those areas. 

CBO Scoring of Preventive Health -The budget process should be improved to permit Congress to assess long-term health savings that are possible from preventive health initiatives. Recent research supports the premise that the current budget window should be extended and CBO directed to take into account the relevant disease-progression data that exists which demonstrates savings in preventive health.  To ensure that CBOs projections on cost savings are tied to scientific data, preventive health analysis must include credible and publicly available epidemiological projection, incorporating clinical trials or observational studies in humans, longitudinal studies, and meta-analysis. This narrow approach will discourages abuse while encouraging a sensible review of health policy Congress believes will further public health.Value Based Purchasing - The concept of value-based health care purchasing is that buyers should hold providers of health care accountable for both cost and quality of care. Value-based purchasing brings together information on the quality of health care, including patient outcomes and health status, with data on the dollar outlays going towards health. It focuses on managing the use of the health care system to reduce inappropriate care and to identify and reward the best-performing providers.  Recommendations:
Medicare and other payors must capture the data on performance measures utilizing available claims-based data, and/or data recoverable through enhanced IT functions, and validate performance improvement.
Implement quality/efficiency based payments for physician services as soon as possible. 
Implement bundled payments for episodes of care.
Implement FFS reimbursement for the value added through care management and coordination of services.
Improve reimbursement for primary care services.

Medicare Payment Inequities - In the traditional fee-for-service system Medicare currently reimburses for units of service, in a manner that promotes service utilization without regard to quality.  This has had the effect of economically stimulating growth in the numbers of supply-sensitive services provided by physicians.  The Update formula for physician services is inequitable because it treats all physicians and regions of the country alike regardless of their individual volume influencing behavior.  If the problem of cost is related to the volume of services provided, shouldnt payment be volume adjusted for specific localities? Why should conservative practices and States be punished for the excessive volume of other localities?

Payment Equity for Physician Work - There is no difference in the work of physicians in different locations regardless of where the work occurs. We believe that physician work should not be adjusted for geographic location. What is the rational for paying physicians more in many geographic areas when those same areas have apparently ample numbers of physicians and their wages are trending below physician wages in other areas? Should the Medicare program subsidize physicians who chose to live in high cost areas?  Recommendation: the geographic adjustment of physician work should be eliminated entirely on a Budget neutral basis. 

Transparency -- Marshfield Clinic supports The Quality Data, Quality Healthcare Act, S. 1758, introduced by Senators Tammy Baldwin (D-WI) and John Thune (R-SD), and similar legislation the Expanding the Availability of Medicare Data Act, HR 4418, introduced by Reps. Ron Kind (D-WI) and Paul Ryan (R-WI).   This legislation would provide for greater access to Medicare claims data by modernizing and reforming the Qualified Entity (QE) program, which permits organizations to access and analyze Medicare data.

Medicare Advantage Performance Measurement - The Medicare Advantage program provides a capitated reimbursement to health plans for all Medicare benefits provided to enrolled beneficiaries. We believe that mechanisms for rewarding value in the Medicare Advantage program should offer incentives for those plans that demonstrate superior patient care performance. We recommend that performance bonuses should be provided for plans that:  Achieve predetermined quality performance targets; Adopt health information technology; Meet standards for care coordination; and Provide data on comparative effectiveness. 

Medicare Advantage Improvements -H.R. 2753, THE SECURING CARE FOR SENIORS ACT, by Rep. Diane Black (R-TN), provides seniors with more choice and allows flexibility for plans in the highly successful Medicare Advantage (MA) program through common-sense and technical fixes expanding the Open Enrollment Period; Permitting Incentives for Participation in Health Care Improvement Programs; enabling Cost-sharing Variation; making Improvements to the Risk Adjustment System; and making Improvements to MA 5-Star Quality Rating System. Marshfield Clinic supports this bill.

Accountable Care Organizations - The Affordable Care Act seeks to improve the quality of health care services and to lower health care costs by encouraging providers to create integrated health care delivery systems. These integrated systems will test new reimbursement methods intended to create incentives for health care providers to enhance health care quality and lower costs. One important delivery system reform is the Medicare Shared Savings Program under section 3022 of the Affordable Care Act, which promotes the formation and operation of accountable care organizations (ACOs). Under this provision, groups of providers meeting the criteria specified by the Secretary may work together to manage and coordinate care for Medicare beneficiaries through an [ACO]. An ACO may receive payments for shared savings if the ACO meets certain quality performance standards and cost savings requirements established by the Secretary.The basic shared savings model outlined in the statute provides a bonus payment to ACOs that meet quality targets and keep spending for the population for whom the ACO is responsible below a target level. The amount of the bonus payment will depend on the amount of savings and the proportion of the savings allocated to the ACO and Medicare ACOs should report a focused set of quality indicators that reflect the outcomes ACOs are designed to achieve: keeping the population healthy, better care coordination to reduce unnecessary and sometimes harmful spending, and better patient experience. We recommend that CMS relax restrictions on the provision of services using telemedicine technologies to allow ACOs to increase the efficiency of services provided. 

Adequate Funding for CMS -The problems facing the Medicare program stem from the nations earliest attempts to make health care services broadly available nationwide without disturbing the economic incentives that were then in place. Congress must ensure that CMS has adequate funding to provide oversight of its many programs, including its measurement of resource and input costs and full implementation of the Affordable care Act.

Telemedicine in Medicare -Changes to Medicare law and regulation are needed to improve equity in access for Medicare beneficiaries to services delivered via TeleHealth. Medicare beneficiaries should be allowed to receive services in telemedicine sites located in urban areas.  The necessary changes would remove restrictions on originating sites by removing the rural requirement and the list of originating sites and allowing any certified Medicare facility to provide the services; current requirements that physician must bill for services from the originating site should be removed; restrictions on eligible practitioners should be removed to allow all Medicare approved practitioners to provide telemedicine services; and there should be no restrictions on which Medicare services may be provided through telemedicine.  
Recommendations: 
1.Amend the Medicare requirement for non-MSA geographic location of the patient to allow all Medicare certified organizations as originating sites regardless of rural or metropolitan statistical area designation.  
2.Alternative  amend the Medicare requirement for non-MSA geographic location of the patient to allow accountable care organizations to be exempt from the MSA requirement.  

Community Health Centers Under Health Reform  -- The Affordable Care Act contained a number of key provisions relating to community health centers, including new funding for the community health center program and funding to expand the National Health Service Corp.  While these are mandatory funding levels, the Congress did cut the base funding levels for community health centers.  Americas Health Centers like Family Health Center of Marshfield, Inc. currently serve as the health care home for more than 22 million Americans, providing comprehensive primary and preventive care services.   Americas Health Centers play an important role in delivering care to many Americans and could be the health care home for many more, but unless Congress and the Administration act, funding for the Health Center program will be cut by 70%. A cut of this size would force Health Centers to close their doors, lay off staff, and reduce the services they provide, leaving millions of Americans without access to the health care services they need.  We ask the Congress to provide not only the funding to preserve ongoing Health Center services but to also expand this cost effective model of care to every community  especially those that currently lack basic primary care services.
 
Dental Access and Integration with Traditional Medicine - The Institute of Medicine (IOM) released a report, Dental Education at the Crossroads: Challenges and Change in January 1995 which called for a strong cohesion between medicine and dentistry. The IOM report states that ""Dentistry will and should become more closely integrated with medicine and the health care system on all levels: research, education, and patient care.  The National Institutes of Health has supported research documenting the importance of oral health in the context of general health and well being. Studies have demonstrated numerous oral-systemic interactions that underscore the need for more integrated care delivery. As our nation embraces EHR technologies, science underscores the need to fully incorporate oral health within an integrated EHR. Marshfield Clinic is simultaneously addressing the issue of dental access and integration with traditional medicine. Family Health Center of Marshfield, Inc. has been providing on-site dental services since the fall of 2002 and operates eight dental sites.  As part of this initiative, Marshfield Clinic has developed a comprehensive medical-dental integrated electronic health record (iEHR) environment. CattailsMD, the internally developed electronic health record at Marshfield Clinic in Wisconsin, is one of the oldest electronic medical records systems in the country, with coded diagnoses back to 1960. More recently a dental module, CattailsDental has been integrated and successfully rolled out in all of the seven dental centers across Central and Northern Wisconsin. Using technology to integrate medical and dental health records holds great promise to improve the quality, safety, efficiency, effectiveness and continuity of patient care by enhancing communication and teamwork between physicians and dentists.A comprehensive approach to primary care delivery, demonstrated by Marshfield Clinic and community health centers nationwide, can best be supported with an equally comprehensive EHR infrastructure for both medical and dental records.


Oral Health Coverage for the Medically Compromised and at Risk Populations 

There is sufficient data that demonstrates oral health impacts the systemic health of the patient and in doing can reduce the cost of care.  Linkages that encourage patient compliance, patient education, provider education, and bi-directional referral and surveillance should be incented and compensated.   Shared savings demonstrations should be developed for health systems and co-pay incentives developed for patients engaging in and complying with such inter-disciplinary care.


Meaningful Use of Health Information Technology

The accelerating growth in new medical knowledge, coupled with the birth of new sciences, such as genomics and personalized medicine, suggests that physicians, nurses, and other healthcare professionals will invariably continue to fall further and further behind in their ability to keep up with the latest discoveries and approved treatments.  As information technology has sparked this explosive growth in knowledge, only information technology can provide an adequate response. By using evidence-based knowledge embedded in clinical decision support deployed within a well-designed workflow, physicians can manage the ever changing and growing knowledge base critical to the delivery of effective and efficient healthcare.  Health IT on a broad basis is still in its infancy.   Looking to what can be achieved in the future due to implementation of these systems should be our focus, and an ongoing oversight function of the Office of the National Coordinator for HIT which must be closely integrated with Medicare reimbursement.

Personalized Medicine

Personalized medicine, the tailoring of medical treatments to patient characteristics, relies upon the ability to classify individuals into subpopulations that differ in disease susceptibility and treatment responses. It allows clinicians to target preventive or therapeutic interventions on those who will benefit, and thereby to spare the expense and side effects of treatment for those who will not, thus making medicine more efficient. If the multiple population groups in the United States and elsewhere in the world are to benefit fully and fairly from such research, a national resource operated as a trust for the public good must be established to conduct a large populationbased cohort study that includes full representation of minority populations. The Federal government should make critical investments in the enabling tools and resources essential to moving beyond genomic discoveries to personalized medicine services of patient and public benefit.","Centers For Medicare and Medicaid Services (CMS),Executive Office of the President (EOP),Health & Human Services, Dept of (HHS),Health Resources & Services Administration (HRSA),HOUSE OF REPRESENTATIVES,Medicare Payment Advisory Commission (MedPAC),SENATE",,120000,0,0,2014-07-10T17:56:12.830000-04:00
1548112,a5b739d5-270e-490e-82b6-f355a157dbd4,Q2,ALSTON & BIRD LLP,1182,SOCIETY OF INTERVENTIONAL RADIOLOGY,2014,second_quarter,MMM,"Sustainable growth rate reform; Medicare delivery reform proposals; Medicare reimbursement policies; H.R. 4302, Protecting S. 2110, Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014, Medicare policies concerning funding of graduate medical education.","HOUSE OF REPRESENTATIVES,SENATE",30000,,0,0,2014-07-10T17:58:14.187000-04:00
1548128,be3412da-5efd-43e2-8cb8-0f4fda7c9a58,Q2,ALSTON & BIRD LLP,1182,VITAS INNOVATIVE HOSPICE CARE,2014,second_quarter,MMM,Outreach to CMS regarding operational issue relating to provider numbers.,Centers For Medicare and Medicaid Services (CMS),50000,,0,0,2014-07-10T18:04:20.263000-04:00
1548133,48db0b47-5484-49dd-8cee-43da03f75a68,Q2,ALSTON & BIRD LLP,1182,AMERICAN CLINICAL LABORATORY ASSOCIATION,2014,second_quarter,MMM,Payment and regulation of clinical laboratory testing.,"Centers For Medicare and Medicaid Services (CMS),Food & Drug Administration (FDA),Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE",30000,,0,0,2014-07-10T18:09:23.340000-04:00
1548135,ca0a37b8-c45d-41d7-9b93-54156dbe0703,Q2,ALSTON & BIRD LLP,1182,"AMERICAN COLLEGE OF EMERGENCY PHYSICIANS (""ACEP"")",2014,second_quarter,MMM,Issues related to health care reform implementation and emergency medicine; Medicare reimbursement; and issues related to the practice of emergency medicine.,"Centers For Medicare and Medicaid Services (CMS),Health & Human Services, Dept of (HHS)",20000,,0,0,2014-07-10T18:11:24.857000-04:00
1548137,957a42d0-0ddb-496f-b3ad-3fa0014161e2,Q2,ALSTON & BIRD LLP,1182,AMERICAN HEALTH QUALITY ASSOCIATION,2014,second_quarter,MMM,Medicare Quality Improvement Organization Program and Health Care Reform.,"Administration for Children & Families (ACF),Centers For Medicare and Medicaid Services (CMS),Health & Human Services, Dept of (HHS),Health Resources & Services Administration (HRSA),HOUSE OF REPRESENTATIVES,Office of Management & Budget (OMB),SENATE",50000,,0,0,2014-07-10T18:12:25.497000-04:00
1548144,8f83986c-31a1-48d6-a476-f8a8f30648dd,Q2,ALSTON & BIRD LLP,1182,AMERICAN ORTHOTIC & PROSTHETIC ASSOCIATION (AOPA),2014,second_quarter,MMM,Medicare Orthotics and Prosthetics Improvement Act; Orthotics and prosthetic parity; Medicare reimbursement.,"Centers For Medicare and Medicaid Services (CMS),HOUSE OF REPRESENTATIVES,SENATE",20000,,0,0,2014-07-10T18:38:27.330000-04:00
1548158,8e363d5a-a409-4ae5-9089-433efc1779b2,Q2,ALSTON & BIRD LLP,1182,FAIRVIEW HEALTH SERVICES,2014,second_quarter,MMM,Regulatory matters impacting hospitals.,Centers For Medicare and Medicaid Services (CMS),30000,,0,0,2014-07-10T18:47:36.090000-04:00