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
1871190,f4be6896-80c6-4aec-829f-c3f484af0720,3T,"W STRATEGIES, LLC",400605842,MCKESSON CORPORATION,2016,third_quarter,MMM,March 2016 CMS proposed rule implementing a new Part B drug payment model.,"HOUSE OF REPRESENTATIVES,SENATE",10000,,0,1,2016-08-12T17:14:59.880000-04:00
1871736,afde71f0-a24e-433d-a2e6-c00fe09df7e6,3T,"BOCKORNY GROUP, INC.",289773,"PHI, INC.",2016,third_quarter,MMM,"H.R.822 - To amend title XVIII of the Social Security Act to require reporting of certain data by providers and suppliers of air ambulance services for purposes of reforming reimbursements for such services under the Medicare program, and for other purposes.
S.1149 - A bill to amend title XVIII of the Social Security Act to require reporting of certain data by providers and suppliers of air ambulance services for purposes of reforming reimbursements for such services under the Medicare program, and for other purposes. 
Issues Related to Air Medical Reimbursement","HOUSE OF REPRESENTATIVES,SENATE",10000,,0,1,2016-09-01T11:12:38.160000-04:00
1871896,bec79232-67b4-4d9d-ac6d-84a6332f5540,3T,DUANE MORRIS GOVERNMENT STRATEGIES,400867541,CAPITAL HEALTH MEDICAL CENTER,2016,third_quarter,MMM,Advocating for Medicare reimbursement issues,"HOUSE OF REPRESENTATIVES,SENATE",30000,,0,1,2016-09-13T15:22:42.970000-04:00
1872039,04149d56-c412-4c78-8594-177a4b262f1b,Q3,HOSPICE COMPASSUS,401103527,HOSPICE COMPASSUS,2016,third_quarter,MMM,"Medicare hospice and advanced care planning issues
The Care Planning Act: S 1549
The Hospice Commitment to Accurate and Relevant Encounters Act - Hospice CARE:  H.R. 2208","Centers For Medicare and Medicaid Services (CMS),HOUSE OF REPRESENTATIVES,Medicare Payment Advisory Commission (MedPAC),SENATE",,60000,0,0,2016-09-23T16:28:36.050000-04:00
1872208,55641fa4-1e36-4e44-9678-86522089ddf2,Q3,SISTERS OF CHARITY OF ST. AUGUSTINE HEALTH SYSTEM,307273,SISTERS OF CHARITY OF ST AUGUSTINE HEALTH SYSTEM,2016,third_quarter,MMM,Advocated for Better provider reimbursements for Medicare and Medicaid. Educated about the negative impacts (to providers and beneficiaries) of cuts to Medicare and Medicaid. Stressed the importance of Graduate Medical Education. Educated about the importance of Disproportionate Share Hospital (DSH) funding for hospitals serving those in need.,"HOUSE OF REPRESENTATIVES,SENATE,Transportation, Dept of (DOT)",,,0,0,2016-09-28T10:01:22.290000-04:00
1872214,464a4d47-366b-4069-b59c-f75307a8fe0e,3A,SISTERS OF CHARITY OF ST. AUGUSTINE HEALTH SYSTEM,307273,SISTERS OF CHARITY OF ST AUGUSTINE HEALTH SYSTEM,2016,third_quarter,MMM,Advocated for Better provider reimbursements for Medicare and Medicaid. Educated about the negative impacts (to providers and beneficiaries) of cuts to Medicare and Medicaid. Stressed the importance of Graduate Medical Education. Educated about the importance of Disproportionate Share Hospital (DSH) funding for hospitals serving those in need.,"HOUSE OF REPRESENTATIVES,SENATE,Transportation, Dept of (DOT)",,,0,0,2016-09-28T10:08:24.133000-04:00
1872345,ea6a7cbf-c06e-4b5e-bd5b-60824e8271f3,Q3,LOBBYIT.COM,400487397,AMERICAN CASE MANAGEMENT ASSOCIATION,2016,third_quarter,MMM,"Advocated for reform of the CMS two-midnight rule, communicated with Congressional offices in support of the Medicare Audit Improvement Act (HR 2156 in 114th Congress)","HOUSE OF REPRESENTATIVES,SENATE",10000,,0,0,2016-09-29T18:48:35.267000-04:00
1872354,966cb4b9-bdb3-45b7-80c5-cb3e45830387,Q3,LOBBYIT.COM,400487397,A.W.A.R.E. INC.,2016,third_quarter,MMM,Communicated with CMS regarding Medicare policy in Montana. Also spoke with Montana congressional delegation on the issue.,"Centers For Medicare and Medicaid Services (CMS),Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,Labor, Dept of (DOL),Natl Council on Disability,SENATE",,,0,0,2016-09-29T19:32:48.333000-04:00
1872369,1e61782b-eaae-4681-9ada-ab3cc4135d38,Q3,US STRATEGIES,38825,PROMISE HEALTHCARE INC,2016,third_quarter,MMM,"Payment and policy issues relating to long term acute care hospitals, acute care hospitals and skilled nursing facilities","HOUSE OF REPRESENTATIVES,SENATE",30000,,0,0,2016-09-30T09:19:18.167000-04:00
1872415,f380a914-0285-4f61-ac67-011906ad43df,Q3,THE METROHEALTH SYSTEM,288236,THE METROHEALTH SYSTEM,2016,third_quarter,MMM,"HOPD, Provider reimbursement","HOUSE OF REPRESENTATIVES,SENATE",,,0,0,2016-09-30T15:33:17.593000-04:00
1872417,b49351a0-cba8-4cc3-a9bd-128d04b51044,Q3,DUANE MORRIS GOVERNMENT STRATEGIES,400867541,INGLIS,2016,third_quarter,MMM,Advocacy related to LIFE program project,"Centers For Medicare and Medicaid Services (CMS),HOUSE OF REPRESENTATIVES,SENATE",10000,,0,0,2016-09-30T15:49:21.567000-04:00
1872552,5af6f769-00f6-4f53-a818-4d4b59059525,Q3,MARSHALL BRACHMAN,6848,BAYLOR SCOTT AND WHITE HEALTH -- FORMERLY BAYLOR HEALTH CARE SYSTEM,2016,third_quarter,MMM,"monitor post acute care and other site neutral medicare cuts;support HR 2513 ending ban on physician owned hospitals;support HR 1453 reforming reimbursement for ASCs;monitor legislation affecting hospital not-for-profit status; monitor 340B program;monitor for other legislation affecting hospitals;support HR2, SGR reform;monitor UNOS/HRSA liver transplant protocols","HOUSE OF REPRESENTATIVES,SENATE",33000,,0,0,2016-10-02T10:35:51.677000-04:00
1872557,82c82131-4b47-4732-a97e-b298185d2fae,Q3,MARSHALL BRACHMAN,6848,UNITED SURGICAL PARTNERS INTERNATIONAL INC,2016,third_quarter,MMM,"support HR2513 to reverse restrictions on physician owned hospitals;support legislation to increase reimbursement for ambulatory surgical centers (HR 1453 S 2071);oppose cuts to advanced medical imaging;support legislation regarding implementation of meaningful use for HIT (HR 887, HR 270);","HOUSE OF REPRESENTATIVES,SENATE",24000,,0,0,2016-10-02T10:44:54.477000-04:00
1872559,545dad2d-2fe3-461a-ad92-0e8a670cbf12,Q3,MARSHALL BRACHMAN,6848,CARDIOLOGY ADVOCACY ALLIANCE,2016,third_quarter,MMM,oppose cuts to medical imaging; support appropriateness model for diagnostic imaging;support IPAB repeal(HR1189);support SGR reform (HR2);oppose site neutral cuts; monitor implementation of meaningful use standards; support HR 3309 FLEX IT2 to delay stage 3 meaningful use;support S.2425 for hardship exemptions for health IT,"HOUSE OF REPRESENTATIVES,SENATE",25000,,0,0,2016-10-02T10:47:55.883000-04:00
1872774,d2b09e51-f6e7-4f7a-9fc1-2e3465cee80f,Q3,THE MICHAEL LEWAN COMPANY,22746,MEDTRONIC,2016,third_quarter,MMM,HR 1427 & S 804 - Medicare CGM Access Act of 2015,"HOUSE OF REPRESENTATIVES,SENATE",10000,,0,0,2016-10-03T14:18:31.060000-04:00
1872817,bcf18086-ffda-4209-8a15-17321d018569,Q3,"PARKER, POE, ADAMS & BERNSTEIN LLP",288098,NATIVE ANGELS HOME CARE AGENCY INC,2016,third_quarter,MMM,Represent client on issues regarding Medicaid/Medicare cap on home care and hospice,"Health & Human Services, Dept of (HHS)",,,0,0,2016-10-03T15:30:02.867000-04:00
1872915,947d69b3-ede7-4424-9016-04925bc2a6bc,Q3,MJWT CONSULTING,69696,WELLMED MEDICAL MANAGEMENT INC,2016,third_quarter,MMM,"Medicare/ Medicare Advantage legislative, regulatory issues","HOUSE OF REPRESENTATIVES,SENATE",20000,,0,0,2016-10-04T08:50:16.177000-04:00
1873133,01b08e4d-03d5-438f-9f31-a85ed34a1e3d,Q3,COREWELL HEALTH,298455,COREWELL HEALTH,2016,third_quarter,MMM,HR 4275: Discussions regarding the Medicare Advantage Benchmark Cap.,"Centers For Medicare and Medicaid Services (CMS),Health Resources & Services Administration (HRSA),HOUSE OF REPRESENTATIVES,SENATE",,30000,0,0,2016-10-05T12:31:35.303000-04:00
1873243,d3789a2e-7873-4a6b-b6f9-7df5eed030f3,Q3,NORTH CAROLINA BAPTIST HOSPITAL,46723,NORTH CAROLINA BAPTIST HOSPITAL,2016,third_quarter,MMM,"Resident Physician Shortage Reduction Act of 2015, (S. 1148, H.R. 2124); 340(B) Drug Pricing Program and Section 603 of the Bipartisan Act of 2015; Medicaid reform proposals and information regarding 1115 waivers for NC; House and Senate sign-on letters to CMS urging CMS to provide flexibility for hospital outpatient departments in OPPS Final Rule; Implementation of the Medicare Access & Chip Reauthorization Act of 2015 (MACRA);""Helping Hospitals Improve Patient Care Act of 2016,"" (HR5273); CMS' OPPS proposed rule regarding Section 603 of the Bipartisan Act of 2015; ""Hospital Quality Rating Transparency Act of 2016,"" (HR5927)","Centers For Medicare and Medicaid Services (CMS),Health & Human Services, Dept of (HHS),Health Resources & Services Administration (HRSA),HOUSE OF REPRESENTATIVES,SENATE",,25000,0,0,2016-10-05T15:45:34.260000-04:00
1873265,c90358e7-fa59-4619-9d59-83796574070c,Q3,WAKE FOREST UNIVERSITY HEALTH SCIENCES,6781,WAKE FOREST UNIVERSITY HEALTH SCIENCES,2016,third_quarter,MMM,"Resident Physician Shortage Reduction Act of 2015, (S. 1148, H.R. 2124); 340(B) Drug Pricing Program and Section 603 of the Bipartisan Act of 2015; Medicaid reform proposals and information regarding 1115 waivers for NC; House and Senate sign-on letters to CMS urging CMS to provide flexibility for hospital outpatient departments in OPPS Final Rule; Implementation of the Medicare Access & Chip Reauthorization Act of 2015 (MACRA); ""Helping Hospitals Improve Patient Care Act of 2016,"" (HR5273); CMS' OPPS proposed rule regarding Section 603 of the Bipartisan Act of 2015; ""Hospital Quality Rating Transparency Act of 2016,"" (HR5927)","Centers For Medicare and Medicaid Services (CMS),Health & Human Services, Dept of (HHS),Health Resources & Services Administration (HRSA),HOUSE OF REPRESENTATIVES,SENATE",,130000,0,0,2016-10-05T16:04:57.067000-04:00
1873350,59c67d5f-2758-4630-859e-d3cbbb2897fa,Q3,AMERICAN COLLEGE OF CLINICAL PHARMACY,57258,AMERICAN COLLEGE OF CLINICAL PHARMACY,2016,third_quarter,MMM,"Promote enhanced quality, structure and information dissemination concerning medication therapy management services (MTMS) under Medicare Part D.","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,SENATE",,128875,0,0,2016-10-06T10:09:33.290000-04:00
1873436,e0e867a9-73a9-4417-b15e-29474a6fe7eb,Q3,WESLEY ENHANCED LIVING,401103160,WESLEY ENHANCED LIVING,2016,third_quarter,MMM,Support HR837/S395 - The Medicare Residential Care Coordination Act of 2015,"HOUSE OF REPRESENTATIVES,SENATE",,40000,0,0,2016-10-06T12:00:06.313000-04:00
1873456,93b5945a-45fd-4b3e-afab-d35114e329af,Q3,"CORLEY CONSULTING, LLC",400704112,CREATIVE SOLUTIONS IN HEALTH CARE,2016,third_quarter,MMM,1115 Waiver; Trusted Provider bill reintroduction--bill would allow CMS to separate providers with a good history of audit outcomes from those with a bad history of outcomes for purposes of paying sooner.,"Centers For Medicare and Medicaid Services (CMS),HOUSE OF REPRESENTATIVES,SENATE",30000,,0,0,2016-10-06T12:51:34.117000-04:00
1873468,8806823c-aa05-4eb5-a172-79fab186f30a,Q3,"CORLEY CONSULTING, LLC",400704112,TARRANT COUNTY GOVERNMENT,2016,third_quarter,MMM,1115 Texas Medicaid waiver renewal,"HOUSE OF REPRESENTATIVES,SENATE",20000,,0,0,2016-10-06T12:55:41.137000-04:00
1873470,6848b9ad-87f2-4c70-8460-8b06f3af3e4d,Q3,"CORLEY CONSULTING, LLC",400704112,JPS HEALTH NETWORK,2016,third_quarter,MMM,1115 Texas Medicaid waiver renewal,"HOUSE OF REPRESENTATIVES,SENATE",20000,,0,0,2016-10-06T12:56:42.527000-04:00
1873493,ab50928c-0528-407a-9b0b-73d6ad729195,Q3,"THE HAROLD FORD GROUP, LLC",15122,METHODIST HEALTHCARE,2016,third_quarter,MMM,Issues pertaining to patient eligibility under the 340B.,HOUSE OF REPRESENTATIVES,50000,,0,0,2016-10-06T13:16:11.037000-04:00
1873529,82be05ba-9315-4b57-839d-c614bc877256,Q3,"PORTER GROUP, LLC",400745228,"RAINBOW OMEGA, INC.",2016,third_quarter,MMM,CMS rules relating to intermediate care facilities.,"Centers For Medicare and Medicaid Services (CMS),HOUSE OF REPRESENTATIVES,SENATE",10000,,0,0,2016-10-06T14:08:45.390000-04:00
1873574,a39bf29a-3a3e-492a-b7a1-3413a5f1edee,Q3,AMERICAN GASTROENTEROLOGICAL ASSOCIATION,59650,AMERICAN GASTROENTEROLOGICAL ASSOCIATION,2016,third_quarter,MMM,"Lobbied in support of H.R. 1220/S. 624, the Removing Barriers to Colorectal Cancer Screening Act. Also lobbied in favor of specialists being able to qualify as alternative payment models under MACRA.","Centers For Medicare and Medicaid Services (CMS),HOUSE OF REPRESENTATIVES,SENATE",,80000,0,0,2016-10-06T16:12:30.093000-04:00
1873596,98ad3ed9-a90f-42d7-b675-ef726476488a,Q3,AMERICAN COLLEGE OF EMERGENCY PHYSICIANS,1967,AMERICAN COLLEGE OF EMERGENCY PHYSICIANS,2016,third_quarter,MMM,"H.R.290-Creating Access to Rehabilitation for Every Senior (CARES) Act of 2015
H.R.1190-Protecting Seniors Access to Medicare Act of 2015
H.R.1571-Improving Access to Medicare Coverage Act of 2015
H.R.2298-Medicare Patient Safety and Drug Abuse Prevention Act
H.R.2646-Helping Families in Mental Health Crisis Act of 2015
H.R.2799-Furthering Access to Stroke Telemedicine (FAST) Act
H.R.2948-Medicare Telehealth Parity Act of 2015
H.R.3081-TELEmedicine for MEDicare (TELE-MED) Act of 2015
H.R.3288-Strengthening DSH and Medicare Through Subsidy Recapture and Payment Reform Act of 2015
H.R.3291-Medicare Crosswalk Hospital Code Development Act of 2015
H.R.3292-Medicare IME Pool Act of 2015
H.R.3762-Restoring Americans' Healthcare Freedom Reconciliation Act of 2015
H.R.3770-End Surprise Billing Act of 2015
H.R.4059-Medicare Choices Empowerment and Protection Act
H.R.4435-Comprehensive Behavioral Health Reform and Recovery Act of 2016
H.R.5273-Helping Hospitals Improve Patient Care
H.R.5284-World's Greatest Healthcare Plan Act of 2016
H.R.5547-Health Care Price Transparency Promotion Act of 2016

S.141-Protecting Seniors Access to Medicare Act of 2015
S.599-Improving Access to Emergency Psychiatric Care Act
S.843-Improving Access to Medicare Coverage Act of 2015
S.1465-Furthering Access to Stroke Telemedicine (FAST) Act
S.1549-Care Planning Act of 2015
S.1648-Rural Emergency Acute Care Hospital (REACH) Act
S.1778-TELEmedicine for MEDicare (TELE-MED) Act of 2015
S.1913-Stopping Medication Abuse and Protecting Seniors Act of 2015
S.2297-Medicare Choices Empowerment and Protection Act
S.2525-Expand Excellence in Mental Health Act
S.2680-Mental Health Reform Act of 2016
S.2985-World's Greatest Healthcare Plan Act of 2016

P.L.114-10-Medicare Access and CHIP Reauthorization Act of 2015","HOUSE OF REPRESENTATIVES,SENATE",,512329,0,0,2016-10-06T22:34:59.390000-04:00
1873675,a04c8d40-cc2c-4d96-85d7-9563800cab5c,Q3,UNITED WAY OF AMERICA,39303,UNITED WAY OF AMERICA,2016,third_quarter,MMM,Medicaid,"Administration for Children & Families (ACF),Agriculture, Dept of (USDA),Centers For Disease Control & Prevention (CDC),Centers For Medicare and Medicaid Services (CMS),Corporation for Natl & Community Service,Education, Dept of,Equal Employment Opportunity Commission (EEOC),Executive Office of the President (EOP),Homeland Security, Dept of (DHS),HOUSE OF REPRESENTATIVES,Job Corps,Office of Faith-Based & Community Initiatives,Office of Management & Budget (OMB),Office of the Vice President of the United States,SENATE,White House Office",,53000,0,0,2016-10-07T11:01:05.507000-04:00
1873676,0779e4f0-f352-463a-90f6-299cb4daeb93,Q3,CHRISTOPHER MOYER,401093053,CAMERON COMPANIES,2016,third_quarter,MMM,"Section 202 of H.R. 5273, the Helping Hospitals Improve Patient Care Act of 2016 to exempt dedicated cancer centers from the site-neutral payment changes enacted by Section 603 of the Bipartisan Budget Act of 2015.","HOUSE OF REPRESENTATIVES,SENATE",10000,,0,0,2016-10-07T11:02:06.993000-04:00
1873687,60774a8d-081b-42b7-9bb7-b39233666d40,Q3,CAMERON COMPANIES,401095057,FOX CHASE CANCER CENTER,2016,third_quarter,MMM,"Section 202 of H. R. 5273, the Helping Hospitals Improve Patient Care Act of 2016 to exempt dedicated cancer centers from the site-neutral payment changes enacted by 603 of the Bipartisan Budget Act of 2015.","HOUSE OF REPRESENTATIVES,SENATE",30000,,0,0,2016-10-07T11:07:13.323000-04:00
1873722,ada663c1-5580-4d16-ad98-82ad550daaf5,Q3,WAXMAN STRATEGIES,401103693,CALIFORNIA ASSOCIATION OF PUBLIC HOSPITALS AND HEALTH SYSTEMS,2016,third_quarter,MMM,Laws and regulations affecting California's public hospitals and health systems,"Centers For Medicare and Medicaid Services (CMS),HOUSE OF REPRESENTATIVES,SENATE,White House Office",10000,,0,0,2016-10-07T11:39:39.510000-04:00
1873730,881551d5-98bf-43cc-96d2-5f8ecf036978,Q3,AMERICAN SOCIETY FOR DERMATOLOGIC SURGERY ASSOCIATION,401103437,AMERICAN SOCIETY FOR DERMATOLOGIC SURGERY ASSOCIATION,2016,third_quarter,MMM,Medicare Physician Fee Schedule; restore Refinement Panel; MACRA implementation,"Centers For Medicare and Medicaid Services (CMS),Food & Drug Administration (FDA),HOUSE OF REPRESENTATIVES,SENATE,Veterans Affairs, Dept of (VA)",,,0,0,2016-10-07T11:44:47.280000-04:00
1873735,0965e98a-87b3-49f8-9baa-c6b9eb2f39c6,Q3,"GEMALTO, INC",400275273,GEMALTO INC,2016,third_quarter,MMM,"Health IT, e-Authentication, privacy protection, Medicare fraud prevention
S. 2586 Medicare CAC. H.R. 2, the Medicare Access and CHIPS Reauthorization Act 2015 - specifically Section 503, Consideration of Measures Regarding Medicare Beneficiary Smart Cards","Centers For Medicare and Medicaid Services (CMS),Congressional Budget Office (CBO),HOUSE OF REPRESENTATIVES,SENATE,Veterans Affairs, Dept of (VA)",,40000,0,0,2016-10-07T11:49:49.563000-04:00
1873756,70f91063-a5f9-4219-9af2-155ae419db79,Q3,AMERICAN ALLIANCE OF ORTHOPAEDIC EXECUTIVES,401103331,AMERICAN ALLIANCE OF ORTHOPAEDIC EXECUTIVES,2016,third_quarter,MMM,"HR 2029 - Consolidated Appropriations Act, 2016. Section 502 - Medicare Payment Incentive for the Transition from Traditional X-Ray Imaging to Digital Radiography and Other Medicare Imaging Payment Provision. Opposition to cuts to Medicare reimbursement for analog and computed radiography X-Ray services.

CMS-1656-P - Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Organ Procurement Organization Reporting and Communication; Transplant Outcome Measures and Documentation Requirements; Electronic Health Record (EHR) Incentive Programs; Payment to Certain Off�Campus Outpatient Departments of a Provider; Hospital Value�Based Purchasing (VBP) Program. Supportive of removing lower extremity total joint arthroplasty from inpatient only list.

CMS-1654-P - Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY 2017; Medicare Advantage Pricing Data
Release; Medicare Advantage and Part D Medical Low Ratio Data Release; Medicare Advantage Provider Network Requirements; Expansion of Medicare Diabetes Prevention Program Model. Opposition to global code data collection, removal of modifier 25, and stratification of codes for physical therapy procedures.

CMS-5517-P - Medicare Program; Merit�Based Incentive Payment System (MIPS) and Alternative Payment Model (APM) Incentive Under the Physician Fee Schedule, and Criteria for Physician�Focused Payment Models. Supportive of CMS announcement of flexibility for 2017 reporting under MACRA.","Centers For Medicare and Medicaid Services (CMS),HOUSE OF REPRESENTATIVES,SENATE",,,0,0,2016-10-07T12:18:10.717000-04:00
1873815,13b0d63d-b9de-4579-b778-37270eaa27d5,Q3,NELSON MULLINS RILEY & SCARBOROUGH,285871,PHARMACEUTICAL INDUSTRY LABOR MANAGEMENT ASSOCIATION (PILMA),2016,third_quarter,MMM,"Work to protect patent protections for pharmaceutical companies and other general issues relating to the Pharmaceutical Industry, Medicare Part B","HOUSE OF REPRESENTATIVES,SENATE",30000,,0,0,2016-10-07T14:08:57.603000-04:00
1873817,02c706b5-9cb1-4ff8-8576-1e78fb9b7029,Q3,NELSON MULLINS RILEY & SCARBOROUGH,285871,PHRMA,2016,third_quarter,MMM,"Work to protect patent protections for pharmaceutical companies and other general issues relating to the Pharmaceutical Industry, Medicare Part B","HOUSE OF REPRESENTATIVES,SENATE",30000,,0,0,2016-10-07T14:09:58.930000-04:00
1873900,bfc05037-ddd8-4ca4-a4e1-a2dfadd8236b,Q3,HOLLAND & KNIGHT LLP,18466,CLINICAS DEL CAMINO REAL INC,2016,third_quarter,MMM,Federal policy related to participation of Federally Qualified Health Center in Medicaid expansion and Affordable Care Act.,"Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES",,,0,0,2016-10-07T15:41:09.233000-04:00
1873922,26bcdfbc-a317-4567-9c81-c36f272d5ddf,Q3,AMERICAN AMBULANCE ASSOCIATION,56018,AMERICAN AMBULANCE ASSOCIATION,2016,third_quarter,MMM,"Lobbied to improve Medicare ambulance policies and reimbursement.  Lobbied on the Medicare Ambulance Access, Fraud Prevention and Reform Act (H.R. 745, S. 377), the Fairness in Ambulance Reimbursement Act (H.R. 817).","Centers For Medicare and Medicaid Services (CMS),HOUSE OF REPRESENTATIVES,SENATE",,300000,0,0,2016-10-07T16:12:35.500000-04:00
1873931,bb7dac39-bc4b-4df2-9b44-8663d09e67f2,Q3,HOLLAND & KNIGHT LLP,18466,AMERICAN MEDICAL TECHNOLOGISTS,2016,third_quarter,MMM,Payment and reimbursement for Medicare clinical laboratory testing; Medicare Part B reimbursement policies; Adjustments to Medicare Clinical Laboratory Fee Schedule; Affordable Care Act implementation; Implementation of Sec. 216 of the Protecting Access to Medicare Act (PAMA) of 2014.,"HOUSE OF REPRESENTATIVES,SENATE",10000,,0,0,2016-10-07T16:21:47.833000-04:00
1873939,015905a1-2219-4e10-bb8f-1be0737dc783,Q3,HOLLAND & KNIGHT LLP,18466,"THERMO FISHER SCIENTIFIC, INC.",2016,third_quarter,MMM,Medicare and Medicaid coverage for allergy testing.,"Centers For Medicare and Medicaid Services (CMS),HOUSE OF REPRESENTATIVES,Natl Institutes of Health (NIH),SENATE",100000,,0,0,2016-10-07T16:33:57.120000-04:00
1874050,e292b271-936e-4a3f-ba80-40ec3cf953e6,Q3,"THE AFFLERBACH GROUP, LLC",401103165,NATIONAL ADULT DAY SERVICES ASSOCIATION (NADSA),2016,third_quarter,MMM,"S.704 - Community Based Independence for Seniors Act - To establish a Community-Based Institutional Special Needs Plan demonstration program to target home and community-based care to eligible Medicare beneficiaries.
S.739 - Veterans Access to Extended Care Act of 2015 - To modify treatment of agreements entered into by the Veterans Administration to furnish nursing home, adult day health care, and other extended care services to veterans.
H.R.1383 - Medicare Adult Day Services Act of 2015 - To amend title XVIII of the Social Security Act to provide for coverage of certified adult day services under the Medicare program.
H.R.2460 - State Veterans Home Adult Day Health Care Improvement Act of 2016 - Provides support for HCBS health care services for veterans who otherwise would be housed in a state veterans home.","Administration on Aging,Centers For Medicare and Medicaid Services (CMS),Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,Office of Management & Budget (OMB),SENATE,Social Security Administration (SSA),Veterans Affairs, Dept of (VA),White House Office",10000,,0,0,2016-10-08T14:34:17.883000-04:00
1874111,45b3c02c-7bb1-423f-b6d1-3ebde8f5ace7,Q3,"FEDERAL HEALTH COUNSEL, LLC",401027898,PHARMACEUTICAL RESEARCH AND MANUFACTURERS OF AMERICA,2016,third_quarter,MMM,Lobbied on the issues of CMMI and the Part B demonstration project.,"HOUSE OF REPRESENTATIVES,SENATE",20000,,0,0,2016-10-09T22:15:48.540000-04:00
1874112,d23969c0-13ab-4813-91cf-cdf6d0c9d689,Q3,"FEDERAL HEALTH COUNSEL, LLC",401027898,"AMGEN, INC.",2016,third_quarter,MMM,Issues relating to and CMMI demonstration project on Part B drug demonstration.,"HOUSE OF REPRESENTATIVES,SENATE",10000,,0,0,2016-10-09T22:21:51.060000-04:00
1874150,d14a4b85-7364-45b2-a6c2-d841a2a78833,3T,HANCE SCARBOROUGH,17443,ALLIANCE OF INDEPENDENT PHARMACISTS - TEXAS,2016,third_quarter,MMM,"Federal legislation affecing the practice of pharmacy, and FDA and DEA regulations of compounded drugs.","HOUSE OF REPRESENTATIVES,SENATE",,,0,1,2016-10-10T10:36:39.560000-04:00
1874201,6c725f3a-93fb-4816-a7e8-acd1b80c1e6d,Q3,MR. CARL SCHMID,51742,AIDS INSTITUTE,2016,third_quarter,MMM,"Medicare Part D, Medicare and Medicaid programs, health care reform, reimbursement of hiv and hepatitis testing, Medicaid coverage of Hepatitis medications","Centers For Disease Control & Prevention (CDC),Centers For Medicare and Medicaid Services (CMS),Health & Human Services, Dept of (HHS),Health Resources & Services Administration (HRSA),HOUSE OF REPRESENTATIVES,Natl Institutes of Health (NIH),Office of Management & Budget (OMB),Office of Natl AIDS Policy,SENATE,White House Office",20000,,0,0,2016-10-10T11:37:29.140000-04:00
1874299,88a04952-ba19-4065-9259-1aa8fac3f03b,Q3,AMERICAN SOCIETY FOR CLINICAL PATHOLOGY,3435,AMERICAN SOCIETY FOR CLINICAL PATHOLOGY,2016,third_quarter,MMM,"Affordable Care Act Implementation; Medicare; Medicare Physician Fee Schedule, Medicare Clinical Laboratory Fee Schedule; Protecting Access to Medicare Act (PAMA); Medicare Access and CHIP Reauthorization Act; Electronic Health Records; Health Information Technology Reform Act; Physician Quality Reporting System; Stark Self-Referral Reform; Medicare Sustainable Growth Rate; Laboratory Developed Tests; Physician Shortages and Graduate Medical Education; on-Communicable Disease","Agency for Healthcare Research & Quality (AHRQ),Bureau of Labor Statistics (BLS),Centers For Disease Control & Prevention (CDC),Centers For Medicare and Medicaid Services (CMS),Congressional Budget Office (CBO),Food & Drug Administration (FDA),Government Accountability Office (GAO),Health & Human Services, Dept of (HHS),Health Resources & Services Administration (HRSA),HOUSE OF REPRESENTATIVES,Labor, Dept of (DOL),Medicare Payment Advisory Commission (MedPAC),Natl Institutes of Health (NIH),Office of Management & Budget (OMB),Office of Personnel Management (OPM),Office of Science & Technology Policy (OSTP),SENATE,State, Dept of (DOS),Veterans Affairs, Dept of (VA),White House Office",,60750,0,0,2016-10-10T13:42:25.013000-04:00
1874308,e01894b3-f42c-4521-8bcd-96c8771c6d2d,Q3,GROUP HEALTH COOPERATIVE,17022,GROUP HEALTH COOPERATIVE,2016,third_quarter,MMM,"Issues related to health reform legislation and regulation, including treatment of Medicare Advantage Five Star health plans and the implementation of the Patient Protection and Affordable Care Act","Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,Office of Personnel Management (OPM),SENATE",,98000,0,0,2016-10-10T13:44:28.047000-04:00
1874309,11955a3d-2f31-424d-ba52-fab51976c276,Q3,HOLLAND & KNIGHT LLP,18466,"MED-CARE DIABETIC & MEDICAL SUPPLIES, INC.",2016,third_quarter,MMM,CMS reimbursement issues relating to competitive bidding and direct sale of medical supplies.,,,,0,0,2016-10-10T13:46:29.843000-04:00
1874337,5803bb9b-6f75-45d0-a21b-5e2ab4e113de,Q3,COTIVITI CORPORATION,401090048,COTIVITI CORPORATION,2016,third_quarter,MMM,"Medicare program integrity and issues related to Medicare recovery audit contracting including the federal budget and appropriations processes, and the Audit and Appeal Fairness, Integrity, and Reforms in Medicare Act of 2015 (AFIRM).","HOUSE OF REPRESENTATIVES,SENATE",,180000,0,0,2016-10-10T14:45:53.623000-04:00
1874342,dbc19a84-6ddd-475d-93e8-2019e01d8b2b,Q3,HOLLAND & KNIGHT LLP,18466,FLORIDA HOSPITAL ASSOCIATION,2016,third_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 and site neutral Medicare payment.,"Centers For Medicare and Medicaid Services (CMS),Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE",80000,,0,0,2016-10-10T14:54:59.317000-04:00
1874434,8088d00f-23b8-4219-82b4-f55cdcfc8534,Q3,MARSHFIELD CLINIC HEALTH SYSTEM,57830,MARSHFIELD CLINIC HEALTH SYSTEM,2016,third_quarter,MMM,"Medicare Access and CHIP Reauthorization Act
With passage of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), Congress has put to rest the constant threat of massive cuts to Medicare physician fees. Going forward Medicare physician payments will transition to an incentive-based system based on value and accountability.  Starting in 2019, Medicare physician payment will be based on the Merit-Based Incentive Payment System (MIPS). Physicians who perform well on quality, value and IT metrics will be rewarded with higher pay rates and those who perform poorly will face penalties. Participants in Alternative Payment Systems (APMs) such as accountable care organizations that assume financial risk will receive 5% bonuses between 2019 and 2024. Because the language of the statute is not specific, the Centers for Medicare and Medicaid Services (CMS) is developing metrics that will be used to determine the bonus payments and penalties that will start in 2019 in a public rulemaking currently underway. The proposed metrics simplify and consolidate the existing measurements employed under the Meaningful Use Incentive Program, the Physician Reporting System (PQRS), and the Value-Based Modifier (VBM) to streamline the reporting burden for physician practices.  MIPS will then pay physicians based on four weighted performance categories: Quality (50% of total score in year 1), Advancing Care Information (25% of total score in year 1); Clinical Practice Improvement Activities (15% of total score in year 1): Resource Use (10% of total score in year 1, but growing to 30% in subsequent years). 
Having a source of credible data as the foundation of CMS metrics is critical both to fair payment and maintaining access to medical services in rural areas. CMS will be refining the metrics perpetually throughout the lifespan of this program. Challenges to fair reimbursement persist under the current Medicare fee schedule, which remains the foundation of the reimbursement system, particularly in regard to the valuation of primary care and the geographic adjustment of physician wages. These challenges must be addressed.  Adequate funding for CMS to implement and maintain this new system is critical to patient care, provider education and acceptance of the new program and its long term success. 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 and MACRA.
Accountable Care Organizations

Marshfield Clinic has benefitted substantially from its 9 + years of experience with CMS in the development and implementation of the Physician Group Practice Demonstration, and the Medicare Shared Savings Program.  The mission of the Clinic and the objectives of the PGP and MSSP programs are closely paralleled in that it is our mission and objective to make compassionate care more affordable, improve outcomes and enrich the care experience of our patients. It is in our organizational self-interest that these programs succeed, so we have committed substantial resources and energy to the understanding and improvement of the programs.  By both objective and subjective criteria Marshfield Clinic has performed successfully.  In a recent letter to CMS we focused on the CMS program objective of encouraging ACOs to transition into full risk arrangements.  In the proposed regulations codifying the terms and definitions of the Medicare and CHIP Reauthorization Act of 2015, (MACRA) we find that we must become a risk-bearing MSSP ACO before 2017 to become a qualified Alternative Payment Model (APM).   This is a primary strategic objective for MCHS.  Unfortunately, CMS has not allowed for a pathway for Track 1 ACOs in their second three year term to transition to a full risk Track until 2019, which forecloses our opportunities to become an APM.  We believe that it is in our own and our patients best interests that we take whatever steps are necessary to move into risk-bearing arrangements, and we have requested support from CMS to make this necessary transition.

Medicare Advantage 

The Medicare Advantage program provides a full risk, 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. 

The Medicare Advantage Benchmark Cap - ACA SEC. 3201. (b) (4)   By authorizing Quality Incentive Payments for MA plans with star ratings of 4 stars and above, Congress made a significant policy change towards value-based purchasing in the MA program.  If a plan is eligible for a Quality Incentive Payment, it receives it in the form of a 5 percent increase to its benchmark. However, Congress also authorized a new methodology for calculating benchmarks, and mandated that benchmarks under the new methodology cannot be greater than what they would have been under the old benchmark methodology.  This is the benchmark cap.  The benchmark cap reduces or even eliminates Quality Incentive Payments. The policy issue is that the cap weakens the incentive for plans to attain higher star ratings and undermines the shift towards paying for performance in the MA program.  We do not think that Congress intended to take away with one provision (the cap) the significant policy change towards paying for value that it enacted in the ACA. This change will have a significant negative impact on Medicare Advantage beneficiaries. CMS has indicated that it wants to remove the cap administratively, and we believe that Secretary Burwell and CMS have the authority under law to make the necessary changes.  If HHS and CMS do not make the change, then a statutory change will be necessary. Medicare Advantage benchmark cap legislation was introduced in December. We urge you to cosponsor H.R. 4275, the Medicare Advantage Quality Payment Relief Act of 2015, introduced by Reps. Mike Kelly (R-PA), Ron Kind (D-WI), Brett Guthrie (R-KY) and Mike Doyle (D-PA) that would remove the quality incentive payments from the calculation of the benchmark cap. 

Graduate Medical Education

MCHS is concerned about having a sufficient supply of primary care physicians to meet the demands of an expanding and aging population.   This is doubly true for patients and health systems in rural settings.  Currently only about 10% of physicians practice in rural areas while 25% of the population resides there.   While 36% allopathic residents and 50% osteopathic residents who are trained in a rural residency end up practicing in a rural area, only 4% of the residency training actually occurs in rural areas.    Currently there are more US medical students graduating from medical school than there are GME slots.  An increase in GME primary care training positions is essential to maintaining high-quality, accessible, and cost efficient care.  

Teaching hospitals in rural locations provide an environment for residents to learn and faculty to serve as educators, providers and researchers. These roles advance the broad mission of preparing each generation of physicians, provide critical patient care and specialized services, often to the disadvantaged, facilitate the discovery of new therapies and treatments, and enable residents to acclimate to the rural setting. As new payment and delivery models emphasize primary care to improve patient outcomes and reduce costs, and as more care shifts to outpatient settings, teaching faculty and residency programs must increase access to ambulatory residency rotations to serve Americans who live in areas with an under-supply of primary care physicians including Psychiatry. The purpose and value of residency training in clinical settings and the financial support needed to sustain physician education will only increase as the U.S. population lives longer with more complex health conditions.  To ensure GME can meet the future needs of the newly insured and aging population, Congress must commit to the consistent GME funding and lift Medicares limit on funded residency positions. We support the Teaching Health Center funding in MACRA for Community Health Centers but request you extend funding beyond 2017.

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.  These corrections are necessary to assure the credibility of the changes enacted in MACRA.

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.  We recommend that the Medicare requirement for non-MSA geographic location of the patient be expanded to allow all Medicare certified organizations as originating sites regardless of rural or metropolitan statistical area designation.  

Part B Drug Payment Model 
 
CMS proposed a new Medicare Part B Drug Payment Model in the Federal Register on March 11, 2016. This model proposes to test alternative payment methodologies for separately payable Part B drugs to determine whether alternative drug payment designs will lead to a reduction in Medicare expenditures while preserving or enhancing quality of care.
 
MCHS supports CMS efforts to address the rising cost of Medicare Part B drugs, but has concerns about the proposed demonstration of a new Average Sales Price (ASP) payment methodology. Specifically we believe that CMS should utilize its rule making authority to de-link physician payment entirely from the drugs they prescribe for patients.    
 
MCHS believes that the major responsibility for unsustainable drug spending remains with pharmaceutical manufacturers. The rising costs of drugs and biologics is a system-wide concern. A major contributing factor to those costs is the price set by manufacturers. The fact that there are no regulations on pricing of new anticancer drugs is disturbing. Pharmaceutical companies have the freedom to price their drug liberally at whatever price they deem appropriate, on the basis of what they presume the market will bear.  The fact that the largest purchaser of drugs, the US Government, via Medicare  and VA, is obligated to purchase the drug at that price and is barred by law from negotiating price, is  illogical, disturbing, and unfortunate for public beneficiaries throughout the country.  We believe manufacturers should be transparent about their research and development, marketing, advertising and other costs in getting a drug to market and setting prices that reasonably reflect the true costs. MCHS encourages CMS to work further with stakeholders to address the pricing side of the ledger with the expectation that this will enable it to move beyond shortsighted modifications in the Average Sales Price (ASP)-based payment methodology.  To be very explicit we are not recommending that this proposal be withdrawn, but we do believe it is a long way from perfect policy.  We believe that some necessary preconditions should be met before this program is implemented. The first of which must be to de-link physician payment entirely from the drugs they prescribe for patients. In addition, we believe manufacturers should be transparent about their research and development, marketing, advertising and other costs in getting a drug to market and setting prices that reasonably reflect the true costs.

Advance Care Planning 

MCHS supports S. 1549 Care Planning Act of 2015, introduced by Senators Mark Warner, Johnny Isakson and Tammy Baldwin which Amends titles XVIII of Medicare) of the Social Security Act (SSAct) to cover advanced illness planning and coordination services furnished to an eligible individual with progressive illness, including Alzheimer's disease, by a hospice or other provider through an interdisciplinary team.","Centers For Medicare and Medicaid Services (CMS),Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,Natl Institutes of Health (NIH),SENATE,Veterans Affairs, Dept of (VA)",,90000,0,0,2016-10-10T16:23:12.330000-04:00
1874486,ae2a9ea8-c396-466b-b6cc-31ad74078c32,Q3,THE JEWISH FEDERATIONS OF NORTH AMERICA,11105,JEWISH FEDERATIONS OF NORTH AMERICA,2016,third_quarter,MMM,"Medicaid Reform, Medicare Reform, Affordable Care Act Implementation related to Medicaid & Medicare, Transition to Independence Act, and Improving Medicare Post Acute Transformation (IMPACT) Act","Administration for Children & Families (ACF),Administration on Aging,Centers For Medicare and Medicaid Services (CMS),Federal Emergency Management Agency (FEMA),Health & Human Services, Dept of (HHS),Homeland Security, Dept of (DHS),HOUSE OF REPRESENTATIVES,Housing & Urban Development, Dept of (HUD),SENATE,State, Dept of (DOS),Treasury, Dept of,White House Office",,255633,0,0,2016-10-10T17:09:51.397000-04:00
1874598,d56011d2-bb59-4d4d-8188-14d80039bbc8,Q3,COUNCIL FOR CITIZENS AGAINST GOVERNMENT WASTE,11003,COUNCIL FOR CITIZENS AGAINST GOVERNMENT WASTE,2016,third_quarter,MMM,CCAGW Applauds Budget Hearing on CMMI Scoring,"HOUSE OF REPRESENTATIVES,SENATE",,50000,0,0,2016-10-11T08:21:27.300000-04:00
1874682,31b4e424-4e59-45b7-b24d-c52caf80691b,Q3,"CAPITOL ASSOCIATES, INC.",8101,NATIONAL ASSOCIATION OF RURAL HEALTH CLINICS,2016,third_quarter,MMM,"Regulations stemming from enactment of H.R. 3590, The Patient Protection and Affordable Care Act.

Regulations stemming from enactment of H.R. 4872, The Reconciliation Act of 2010.

Proposed Regulations affecting Rural Health Clinics.

S. 1355 and H.R. 3986, the Rural Health Clinic Patient Access Improvement Act of 2009.

Regulations establishing standards for the meaningful use of electronic health records.

Provider enrollment (PECOS) in Medicare and the ability to order or refer patients.

Possible cuts in Medicare bad debt payments for RHCs.

Rural Health Clinics Fairness Act.

Electronic Health Records Improvement Act.

Seniors Mental Health Access Improvement Act of 2013.

Proposed Changes in RHC regulations dealing with employment of PAs and NPs.

Changes to the RHC manual by CMS.

Medicaid waiver applications submitted by Arkansas and Iowa.

Legislation repeal/replacing SGR (H.R. 2).

Network Adequacy.

Chronic Care Management and payment for RHCs.

Coding on RHC claims. Development of the RHC Qualifying Visit list and clarification of billing requirements.

PQRS application to RHCs.

Support for S. 2786, the Rural Access to Hospice Act

Regulations implementing the Medicare Access and CHIP Reauthorization Act of 2015","Centers For Medicare and Medicaid Services (CMS),Health & Human Services, Dept of (HHS),Health Resources & Services Administration (HRSA),HOUSE OF REPRESENTATIVES,SENATE",40000,,0,0,2016-10-11T10:47:31.030000-04:00
1874686,1c286c4c-2951-4a65-92fa-cdd64a34d7c6,Q3,"CAPITOL ASSOCIATES, INC.",8101,AHRA: THE ASSOCIATION FOR MEDICAL IMAGING MANAGEMENT,2016,third_quarter,MMM,"Medicare rules and regulations affecting payments for technical assistance component of medical imaging.  
Regulations mandating use of XR-29 compliant CT.  
Regulations mandating consultation with Clinical Decision Support as a condition for payment for imaging services.  
Regulations affecting low-dose CT.  
Issues affecting medicare payment for imaging services in general.  
Site Neutral Payment policy
Regulations implementing Medicare Access and CHIP Reauthorization Act of 2015
Regulations implementing payment reductions for the technical component of X-rays using CR and DR and plain film","Centers For Medicare and Medicaid Services (CMS),HOUSE OF REPRESENTATIVES,SENATE",15000,,0,0,2016-10-11T10:50:34.567000-04:00
1874693,d575b651-4db0-4af2-b291-3c5fde52bf3f,Q3,"CAPITOL ASSOCIATES, INC.",8101,"ZIMMER BIOMET, INC.",2016,third_quarter,MMM,"Regulations implementing the Medicare Access and CHIP Reauthorization Act of 2015

Support for the Helping Hospitals Improve Patient Care Act of 2016 (H.R. 5273) provisions related the risk adjusting hospital payments for high cost patients.","Centers For Medicare and Medicaid Services (CMS),Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE",20000,,0,0,2016-10-11T10:52:43.617000-04:00
1874697,383077a7-c387-460f-9d1c-83b2c4504eb3,Q3,"CAPITOL ASSOCIATES, INC.",8101,AMERICAN ASSOCIATION OF PHYSICISTS IN MEDICINE,2016,third_quarter,MMM,"The Consistency, Accuracy, Responsibility and Excellence in Medical Imaging and Radiation Therapy Act.

Legislation or regulations affecting radiation exposure from medical equipment or standards for personnel involved with radiation emitting medical equipment.

Regulations implementing the Medicare Access and CHIP Reauthorization Act of 2015","Centers For Medicare and Medicaid Services (CMS),Food & Drug Administration (FDA),HOUSE OF REPRESENTATIVES,SENATE",15000,,0,0,2016-10-11T10:57:48.683000-04:00
1874704,49d5cb8a-3f44-4358-841a-04ee18cebbe4,Q3,"CAPITOL ASSOCIATES, INC.",8101,CONFLUENCE HEALTH AND AFFILIATES (FNA) WENATCHEE VALLEY MEDICAL CENTER,2016,third_quarter,MMM,"Medicare regulations stemming from enactment of H.R. 3590, The Patient Protection and Affordable Care Act.

Regulations implementing the Medicare Access and CHIP Reauthorization Act of 2015

Medicare regulations stemming from enactment of H.R. 4872, The Reconciliation Act of 2010.

Regulations dealing with physician ownership of hospitals.

Medicare Regulations affecting Rural Health Clinics.

Legislation affecting Medicare payments for physician owned hospitals.

The Rural Health Clinic Patient Access Improvement Act.

Sequester related reductions in physician and hospital payments.

Payment equalization between physicians offices and hospital outpatient departments.

Rural Health Clinics Fairness Act.

Medicaid Reform initiatives.

Provider Payments reforms under Medicare.

Legislation and regulations mandating/promoting/implementing site-neutral payment policy for Medicare for off-campus hospital outpatient departments","Centers For Medicare and Medicaid Services (CMS),Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE",25000,,0,0,2016-10-11T11:03:54.483000-04:00
1874706,bd2758df-2bf9-402b-ba44-058076081463,Q3,"CAPITOL ASSOCIATES, INC.",8101,HEALTHCARE BUSINESS & MANAGEMENT ASSOC (FKA HEALTHCARE BILLING & MGMT),2016,third_quarter,MMM,"Regulations stemming from enactment of H.R. 3590, The Patient Protection and Affordable Care Act.

Regulations implementing the Medicare Access and CHIP Reauthorization Act of 2015

Regulations stemming from enactment of H.R. 4872, The Reconciliation Act of 2010.

Regulations establishing meaningful use criteria for electronic health records.

Issues involving provider enrollment in Medicare and the ability to order or refer patients.

ICD-10 Code implementation.

Issues affecting electronic claims transactions

H.R 2

Medicare changes in Place of Service and Date of Service policy.

Issues involving Medicare Enrollment and re-validation.

Medicare policies on overpayment of claims.

Issues involving sequestration and its impact on Medicare provider payments.

Medicare Changes to Place of Service and Date of Service Policy.

Proposed Changes to Medicare False Claims Act and fraud and abuse criteria.

Medicare/administrative simplification.

Policies implementing Medicare coverage of low-dose CT for lung cancer screening","Centers For Medicare and Medicaid Services (CMS),Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE",30000,,0,0,2016-10-11T11:07:56.003000-04:00
1874708,f73ff31a-ecba-4292-9384-a57006fa5606,Q3,"CAPITOL ASSOCIATES, INC.",8101,JOINT COUNCIL OF ALLERGY ASTHMA & IMMUNOLOGY D/B/A ADVOCACY COUNCIL OF ACAAI,2016,third_quarter,MMM,"Legislation to fix or affecting the Medicare Physician Fee problem and Graduate Medical Education.

Support to repeal IPAB.

Regulations implementing Affordable Care Act, HIT, ACO's, Physician Fee Schedule, Medicare fraud and abuse, electronic records and ICD-10.

Possible reforms to Medicare Graduate Medical Education funding.

Regulations implementing the Medicare Access and CHIP Reauthorization Act of 2015

Regulations proposing changes to the Part B Drug Payment Model(CMS-1670-P)

Support for H.R. 2948 - Medicare Telehealth Parity Act of 2015","Food & Drug Administration (FDA),HOUSE OF REPRESENTATIVES,SENATE",30000,,0,0,2016-10-11T11:11:57.363000-04:00
1874711,ff7782ef-5065-4958-b04f-347ddee1c486,Q3,INVACARE CORPORATION,91433,INVACARE CORPORATION,2016,third_quarter,MMM,"H.R. 1516 and S. 1013, Ensuring Access to Quality Complex Rehabilitation Technology Act of 2015; H.R. 3229 and S. 2196, To amend title XVIII of the Social Security Act to provide for the non-application of Medicare competitive acquisition rates to complex rehabilitative wheelchairs and accessories; H.R. 5210 and S. 2736, Patient Access to Durable Medical Equipment (PADME) Act.","Centers For Medicare and Medicaid Services (CMS),Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE,Veterans Affairs, Dept of (VA)",,107500,0,0,2016-10-11T11:14:58.723000-04:00
1874764,f8bcca4c-4af3-4dc8-a581-8a52d6683d5b,Q3,NELSON MULLINS RILEY & SCARBOROUGH,285871,BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA,2016,third_quarter,MMM,"Processing of Durable Medical Equipment (DME) claims and the Centers for Medicare and Medicaid Services (CMS) Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Program","HOUSE OF REPRESENTATIVES,SENATE",20000,,0,0,2016-10-11T11:32:20.297000-04:00
1874776,e2452ed8-6415-42c3-a264-2de027e4926a,Q3,ATRIUM HEALTH-FORMERLY KNOWN AS CAROLINAS HEALTHCARE SYSTEM,58534,ATRIUM HEALTH - FORMERLY KNOWN AS CAROLINAS HEALTHCARE SYSTEM,2016,third_quarter,MMM,Any requests/legislative activity asking members of Congress to write to the Centers for Medicare and Medicaid Services to request changes/amendments to proposed rules to the Medicare hospital payment program for hospital based physician practices to continue to pay hospitals.,"Centers For Medicare and Medicaid Services (CMS),HOUSE OF REPRESENTATIVES,SENATE",,28557,0,0,2016-10-11T11:52:30.400000-04:00
1874866,776e3302-b00b-4733-a7f4-00ba4f595595,Q3,POLSINELLI PC,314911,ELEKTA INC.,2016,third_quarter,MMM,Issues related to radiation oncology treatment,"Centers For Medicare and Medicaid Services (CMS),HOUSE OF REPRESENTATIVES,SENATE",30000,,0,0,2016-10-11T14:07:06.890000-04:00
1874887,db1624aa-1c8d-4cb6-91f1-3d08da2d6459,Q3,POLSINELLI PC,314911,"ROCKWELL MEDICAL TECHNOLOGIES, INC.",2016,third_quarter,MMM,Issues pertaining to coverage of hemodialysis products,"Centers For Medicare and Medicaid Services (CMS),HOUSE OF REPRESENTATIVES,SENATE",50000,,0,0,2016-10-11T14:13:22.250000-04:00
1874902,a21a50c8-ee9e-4955-bbf2-5586988f52ce,Q3,POLSINELLI PC,314911,AMERICAN REGISTRY OF RADIOLOGIC TECHNOLOGISTS,2016,third_quarter,MMM,Issues related to Medicare coverage of medical imaging services performed by radiologist assistants; Issues related to the status of radiologist assistants [H.R.4614 - Medicare Access to Radiology Care Act of 2016; S.2940 - Medicare Access to Radiology Care Act of 2016],"Centers For Medicare and Medicaid Services (CMS),HOUSE OF REPRESENTATIVES,SENATE",30000,,0,0,2016-10-11T14:16:31.347000-04:00
1874907,64d3f1cd-8a8d-433d-8102-682209a8cbca,Q3,POLSINELLI PC,314911,AMERICAN SOCIETY OF CLINICAL ONCOLOGY,2016,third_quarter,MMM,Issues pertaining to the federal government's regulation and coverage of cancer care and treatments [H.R.5122 - Medicare Part B Drug Payment Demonstration]; Health reform implementation issues pertaining to the regulation and coverage of cancer care and treatments,"Centers For Medicare and Medicaid Services (CMS),Food & Drug Administration (FDA),Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE",40000,,0,0,2016-10-11T14:19:36.613000-04:00
1874911,a936175a-4a5e-439b-a234-36304901fda8,Q3,HOLLAND & KNIGHT LLP,18466,INTERMEDIX CORPORATION,2016,third_quarter,MMM,Funding for hospital and public health preparedness.,"HOUSE OF REPRESENTATIVES,SENATE",30000,,0,0,2016-10-11T14:20:40.083000-04:00
1874913,4d661cab-95b8-4269-bbb7-3d3a573279ee,Q3,HOLLAND & KNIGHT LLP,18466,AMERICA'S ESSENTIAL HOSPITALS,2016,third_quarter,MMM,"Medicaid funding for disproportionate share hospitals; 340B drug discount program; H.R. 1343, S.688:  Establishing Beneficiary Equity in the Hospital Readmission Program Act of 2015, regarding the hospital readmission program under Medicare; development of legislation to create partnership opportunities for essential hospitals; Medicare funding for hospital outpatient departments.","HOUSE OF REPRESENTATIVES,SENATE",40000,,0,0,2016-10-11T14:23:44.303000-04:00
1875024,23fd604f-4c02-40b1-a35d-ae24075c75f0,Q3,NELSON MULLINS RILEY & SCARBOROUGH,285871,"NATERA, INC.",2016,third_quarter,MMM,"Precision Medicine Initiative, biomedical research, maternal health, TRICARE, Medicaid, and genetic testing","HOUSE OF REPRESENTATIVES,SENATE",30000,,0,0,2016-10-11T15:21:20.397000-04:00
1875027,cc96cfb9-b0e7-42e5-81e3-1d2c584170c5,Q3,HOLLAND & KNIGHT LLP,18466,THE BIOSIMILARS FORUM,2016,third_quarter,MMM,"Medicare reimbursement issues, FDA regulation of biosimilars.","HOUSE OF REPRESENTATIVES,SENATE",120000,,0,0,2016-10-11T15:25:21.837000-04:00
1875031,d92d1493-2d1c-482e-bc47-ad822ec7a536,Q3,ALZHEIMER'S FOUNDATION OF AMERICA,323158,ALZHEIMER'S FOUNDATION OF AMERICA,2016,third_quarter,MMM,"S. 3130, the Independence at Home Act of 2016 
S. 3137/H.R. 5681 - To require the Center for Medicare and Medicaid Innovation (CMMI) to test the efficacy of providing Alzheimers Disease caregiver support services","Administration on Aging,Food & Drug Administration (FDA),Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,Office of Management & Budget (OMB),SENATE,White House Office",,28000,0,0,2016-10-11T15:35:27.543000-04:00
1875062,b35241c8-ceaa-4250-9c29-ee5112bb0327,Q3,"VERITAS ADVISORS, LLP",283878,SAINT LUKES HEALTH SYSTEM (FKA ST LUKES REGIONAL MEDICAL CENTER LTD),2016,third_quarter,MMM,H.R.2; S.141; S.298/H.R.546; H.B.169/S.258; S.257; S.313; H.R.2156/S.2368; S.257/H.R.1611; S.578/H.R.1342,"HOUSE OF REPRESENTATIVES,SENATE",10000,,0,0,2016-10-11T16:01:55.743000-04:00
1875085,475547b7-75cd-4d23-8f31-f7cbefbcdbef,Q3,AMERICAN PHARMACISTS ASSOCIATION,3071,AMERICAN PHARMACISTS ASSOCIATION,2016,third_quarter,MMM,"Chronic Conditions
Medicare Part D
Medicare Part B
Medication Therapy Management
Waste, fraud and abuse
HIT/EHR
Prescription drug abuse","Centers For Disease Control & Prevention (CDC),Centers For Medicare and Medicaid Services (CMS),Drug Enforcement Administration (DEA),Food & Drug Administration (FDA),Health & Human Services, Dept of (HHS),Health Resources & Services Administration (HRSA),HOUSE OF REPRESENTATIVES,Office of Natl Drug Control Policy (NDCP),SENATE,Substance Abuse & Mental Health Services Administration (SAMHSA)",,30000,0,0,2016-10-11T16:31:18.867000-04:00
1875106,63d6f17a-a148-48bf-a2d6-236a1bbcef43,Q3,NATIONAL ASSOCIATION FOR THE ADVANCEMENT OF COLORED PEOPLE,48975,NATIONAL ASSOCIATION FOR THE ADVANCEMENT OF COLORED PEOPLE,2016,third_quarter,MMM,"Support Andy Slavitt to serve as Administrator of the Centers for Medicare and Medicaid Services
Oppose increasing cost sharing for beneficiaries in the Medicare Part D program.
Support H.R.5100, S.2874 
Support overall arc of proposed regulations for delivery ad payment reform to implement the Medicare Access and CHIP Reauthorization Act.
Oppose proposed CMS Meaningful Use rule","Agriculture, Dept of (USDA),Bureau of Alcohol Tobacco Firearms & Explosives,Bureau of Prisons (BOP),Bureau of the Census,Centers For Medicare and Medicaid Services (CMS),Consumer Financial Protection Bureau (CFPB),Council of Economic Advisers (CEA),Defense, Dept of (DOD),Education, Dept of,Election Assistance Commission (EAC),Environmental Protection Agency (EPA),Equal Employment Opportunity Commission (EEOC),Federal Communications Commission (FCC),Federal Deposit Insurance Corporation (FDIC),Federal Housing Finance Agency (FHFA),Federal Trade Commission (FTC),Food & Drug Administration (FDA),Health & Human Services, Dept of (HHS),Homeland Security, Dept of (DHS),HOUSE OF REPRESENTATIVES,Housing & Urban Development, Dept of (HUD),Interior, Dept of (DOI),Justice, Dept of (DOJ),Labor, Dept of (DOL),Natl Credit Union Administration (NCUA),Natl Institute of Standards & Technology (NIST),Natl Telecommunications & Information Administration (NTIA),Office of Faith-Based & Community Initiatives,Office of Management & Budget (OMB),Office of the Comptroller of the Currency (OCC),SENATE,State, Dept of (DOS),Transportation, Dept of (DOT),Treasury, Dept of,U.S. Agency for International Development (USAID),Veterans Affairs, Dept of (VA),White House Office",,68750,0,0,2016-10-11T16:45:29.953000-04:00
1875132,15642798-2bdd-47a5-a7c3-e608244bcd59,Q3,AMERICAN ASSOCIATION OF ORAL AND MAXILLOFACIAL SURGEONS,1672,AMERICAN ASSOCIATION OF ORAL AND MAXILLOFACIAL SURGEONS,2016,third_quarter,MMM,Repeal of the Medicare Independent Payment Advisory Board (HR 1190/S 141),"HOUSE OF REPRESENTATIVES,SENATE",,19929,0,0,2016-10-11T16:49:31.737000-04:00
1875224,56fe030c-e921-4a33-95e8-f155359518b7,Q3,"ALMOST FAMILY, INC.",401012857,"ALMOST FAMILY, INC.",2016,third_quarter,MMM,"Medicare/Medicaid payment and legislative/regulatory issues, including program integrity initiatives and matters related to home healthcare policy and services reimbursement, ACO matters and the nomination of C. Steven Guenthner to MedPAC","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",,150000,0,0,2016-10-12T09:37:38.123000-04:00
1875228,6e1d49f1-64de-4ddf-9c00-776f4561513e,Q3,"R.G. FLIPPO AND ASSOCIATES, INC",14861,ALABAMA NURSING HOME ASSOCIATION,2016,third_quarter,MMM,"HR 290 Creating Access to Rehabilitation for Every Senior (CARE) Act of 2015
HR 3298 Medicare Post Acute Care Value Based Purchasing Act of 2015","HOUSE OF REPRESENTATIVES,SENATE",18000,,0,0,2016-10-12T09:42:40.607000-04:00
1875248,6d9cc93d-0227-46b7-a221-fa5906698644,Q3,"WILLIAMS AND JENSEN, PLLC",41454,OHIO POLICE AND FIRE PENSION FUND,2016,third_quarter,MMM,Medicare eligibility rules.,"Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,Internal Revenue Service (IRS),SENATE,Treasury, Dept of",20000,,0,0,2016-10-12T09:57:58.743000-04:00
1875268,2e0f69b8-e63f-4f07-960c-8191b0916d1b,Q3,"WILLIAMS AND JENSEN, PLLC",41454,ASTRAZENECA PHARMACEUTICALS LP (FORMERLY ASTRAZENECA PHARMACEUTICALS GROUP),2016,third_quarter,MMM,"Medicare prescription drug benefit; Drug rebates for Medicare Part D; Part D benefit structure; Payment policies for Medicare Part B Prescription drugs; Independent Payment Advisory Board (IPAB), repeal of Part D Non-interference Provision; CCMI Medicare Part B Demonstration.","HOUSE OF REPRESENTATIVES,Office of the Vice President of the United States,SENATE",50000,,0,0,2016-10-12T10:23:13.777000-04:00
1875271,1bbdb477-3def-445c-be9a-52e3e4ac058e,Q3,"WILLIAMS AND JENSEN, PLLC",41454,NATIONAL ASSOCIATION OF REHABILITATION PROVIDERS AND AGENCIES,2016,third_quarter,MMM,Medicare coverage and reimbursement for therapy services; Outpatient therapy caps; Physician fee schedule and Medicare payment reform; and implementation of the Medicare Access and CHIP Reauthorization Act.,"Centers For Medicare and Medicaid Services (CMS),HOUSE OF REPRESENTATIVES,SENATE",20000,,0,0,2016-10-12T10:24:15.150000-04:00
1875275,c9f73a9e-6603-4cf4-9efc-204de8927ec4,Q3,"WILLIAMS AND JENSEN, PLLC",41454,NOVARTIS INC,2016,third_quarter,MMM,Medicare prescription drug benefit; Rebates for Medicare Part D; Payment policies for Medicare Part B prescription drugs; the Independent Payment Advisory Board (IPAB); repeal of Part D Non-interference provision; CMMI Medicare Part B Demonstration.,"HOUSE OF REPRESENTATIVES,SENATE",50000,,0,0,2016-10-12T10:25:17.747000-04:00
1875281,d49cce91-ba86-4e3d-81ed-f7cceb40267a,Q3,"WILLIAMS AND JENSEN, PLLC",41454,PLASMA PROTEIN THERAPEUTICS ASSOCIATION,2016,third_quarter,MMM,Legislation to preclude inclusion of plasma products in DME competitive bidding; Payment policies for Medicare Part B prescription drugs.,"HOUSE OF REPRESENTATIVES,SENATE",30000,,0,0,2016-10-12T10:26:20.573000-04:00
1875292,0d927983-f60e-4b80-9ba5-a29481272ce0,Q3,"WILLIAMS AND JENSEN, PLLC",41454,"TAKEDA PHARMACEUTICALS AMERICA, INC.",2016,third_quarter,MMM,Medicare prescription drug benefit; Rebates for Medicare Part D; Independent Payment Advisory Board (IPAB); Medicare coverage for Alzheimer's diagnostics; payment policies for Medicare Part B prescription drugs.  CMMI Medicare Part B Demonstration.,"HOUSE OF REPRESENTATIVES,Office of the Vice President of the United States,SENATE",50000,,0,0,2016-10-12T10:32:29.123000-04:00
1875419,925075d1-14b8-4262-830d-24df72283da3,Q3,"DONNA M. FIORENTINO, LLC",40029250,INTERNATIONAL SOCIETY FOR CLINICAL DENSITOMETRY,2016,third_quarter,MMM,H.R. 2461 the Increasing Access to Osteoporosis Testing for Medicare Beneficiaries Act of 2015.,"HOUSE OF REPRESENTATIVES,SENATE",10000,,0,0,2016-10-12T11:52:06.840000-04:00
1875448,1d7139e7-f186-4b11-991f-d5403814f0f2,Q3,"ALEXANDER, BOROVICKA & O'SHEA GOVERNMENT SOLUTIONS (FKA ALEXANDER & BOROVICKA GO",40025213,SWEDISH AMERICAN HEALTH SYSTEM,2016,third_quarter,MMM,"Advocating on behalf of issues affecting the Hospital, for example medicare and medicaid and 340B programs.","HOUSE OF REPRESENTATIVES,SENATE",20000,,0,0,2016-10-12T12:31:30.527000-04:00
1875516,f6ea296d-d19b-472e-9913-e85aba143726,Q3,"ARNALL GOLDEN GREGORY, LLP",400713137,AMERICAN REGISTRY OF RADIOLOGIC TECHNOLOGISTS,2016,third_quarter,MMM,Medicare Access to Radiology Care Act; issues relating to Medicare coverage of medical imaging services performed by radiologist assistants; issues related to the status of radiologist assistants and physicians' supervision of radiologist assistants; H.R. 4614,"HOUSE OF REPRESENTATIVES,SENATE",30000,,0,0,2016-10-12T13:36:35.180000-04:00
1875521,388f54a4-5965-40ae-9d3a-6a42fc603273,3T,"ARNALL GOLDEN GREGORY, LLP",400713137,HEALTHCARE NUTRITION COUNCIL,2016,third_quarter,MMM,"Medicare competitive bidding legislation (S. 2312, H.R. 4185); Medicare policies regarding enteral nutrition and long term health care; health reform issues regarding nutrition; nutrition screening and assessment; preventive care issues; demonstration projects relevant to nutrition","HOUSE OF REPRESENTATIVES,SENATE",10000,,0,1,2016-10-12T13:42:38.750000-04:00
1875524,b6d35d09-2c26-496b-b90d-3af7d5cfa7f5,Q3,"ARNALL GOLDEN GREGORY, LLP",400713137,NATIONAL ASSOCIATION FOR THE SUPPORT OF LONG TERM CARE,2016,third_quarter,MMM,Medicare reimbursement issues for post-acute care services and products; Medicare Part B competitive bidding issues; issues re: coverage and payment for rehabilitation services; issues pertaining to electronic health records and health information; tele-health issues; and portable laboratory payment issues.,"HOUSE OF REPRESENTATIVES,SENATE",,,0,0,2016-10-12T13:46:42.947000-04:00
1875531,af64acd2-05fc-4107-8ba7-6fde7b495c2b,Q3,"ARNALL GOLDEN GREGORY, LLP",400713137,NATIONAL HOME INFUSION ASSOCIATION,2016,third_quarter,MMM,"Issues regarding comprehensive coverage of home infusion therapy; the Medicare Home Infusion Site of Care Act of 2015 (S. 276, H.R. 605); Medicare reform issues regarding home care; infusion therapy demo project & similar demo projects; Medicare Part B competitive bidding;issues regarding drug compounding regulations","HOUSE OF REPRESENTATIVES,SENATE",30000,,0,0,2016-10-12T13:53:47.033000-04:00
1875554,451fe099-dacb-44d3-9870-2254b728a05c,Q3,UWC,38871,UWC,2016,third_quarter,MMM,Workers' Compensation relationship to Medicare and Medicaid,"Centers For Medicare and Medicaid Services (CMS),Congressional Budget Office (CBO),Employment & Training Administration,Government Accountability Office (GAO),Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,Labor, Dept of (DOL),SENATE",,,0,0,2016-10-12T14:02:05.220000-04:00
1875611,084fd17f-132e-4b9a-a5b8-a8d931f23d21,3A,AMERICAN PHARMACISTS ASSOCIATION,3071,AMERICAN PHARMACISTS ASSOCIATION,2016,third_quarter,MMM,"Chronic Conditions
Medicare Part D
Medicare Part B
Medication Therapy Management
Waste, Fraud and Abuse
HIT/EHR
Prescription Drug Abuse","Centers For Disease Control & Prevention (CDC),Centers For Medicare and Medicaid Services (CMS),Drug Enforcement Administration (DEA),Food & Drug Administration (FDA),Health & Human Services, Dept of (HHS),Health Resources & Services Administration (HRSA),HOUSE OF REPRESENTATIVES,Office of Natl Drug Control Policy (NDCP),SENATE,Substance Abuse & Mental Health Services Administration (SAMHSA)",,30000,0,0,2016-10-12T14:25:28.557000-04:00
1875663,327280f2-0ce3-46de-902a-ba7a6ec4b888,Q3,"HOOPER, LUNDY & BOOKMAN, P.C.",401020884,NORTHWEST KIDNEY CENTERS,2016,third_quarter,MMM,"End stage renal disease (ESRD) Medicare reimbursement and payment reform. ESRD Quality measurement.  Improved policies for Chronic Kidney Disease (CKD).  Transplant Initiatives. 
Dialysis PATIENT Demonstration Act (H.R. 5506/S. 3090/H.R. 5942)
ESRD Choice Act (H.R. 5659)","HOUSE OF REPRESENTATIVES,SENATE",20000,,0,0,2016-10-12T14:54:58.220000-04:00
1875668,82db48da-51b3-4b6c-b3d3-c4c133961b63,Q3,TAUZIN STRATEGIC NETWORKS,400786367,PARTNERSHIP FOR QUALITY HOME HEALTHCARE,2016,third_quarter,MMM,Advocating for issues related to CMS; prior authorization and pre-claim reviews,"HOUSE OF REPRESENTATIVES,SENATE",60000,,0,0,2016-10-12T14:58:03.347000-04:00
1875669,f05ea9af-18fc-4378-a4ef-b8db634bb86c,Q3,"HOOPER, LUNDY & BOOKMAN, P.C.",401020884,NONPROFIT KIDNEY CARE ALLIANCE,2016,third_quarter,MMM,"End stage renal disease (ESRD) rebasing, Medicare reimbursement and payment reform. CMS's Center for Medicare and Medicaid Innovation's comprehensive ESRD Care Initiative and improving overall ESRD patient health quality.  Improved policies on chronic kidney disease. Chronic care management reform legislation. ESRD Integrated Care legislation.  Transplant Initiatives. Implementation of the Medicare Access and CHIP Reauthorization Act. 
Living Donor Protection Act (H.R. 4616/S. 2584)
ESRD Choice Act (H.R. 5659)
Dialysis PATIENT Demonstration Act (H.R. 5506/S. 3090/H.R. 5942)","Centers For Medicare and Medicaid Services (CMS),Health Resources & Services Administration (HRSA),HOUSE OF REPRESENTATIVES,Natl Economic Council (NEC),Office of Science & Technology Policy (OSTP),SENATE",80000,,0,0,2016-10-12T14:58:04.583000-04:00
1875673,a7f4a232-5cbd-4ec5-b17a-eda99d9eed06,Q3,"HOOPER, LUNDY & BOOKMAN, P.C.",401020884,"DIALYSIS CLINIC, INC.",2016,third_quarter,MMM,"End stage renal disease (ESRD) rebasing, Medicare reimbursement and payment reform.  CMS's Center for Medicare and Medicaid Innovation's comprehensive ESRD Care Initiative and improving overall patient health quality.  Improved policies on chronic kidney disease.  Chronic Care management reform legislation. ESRD Integrated Care Legislation. Transplant Initiatives.
Living Donor Protection Act (H.R. 4616/S. 2584)
ESRD Choice Act (H.R. 5659)
Dialysis PATIENT Demonstration Act (H.R. 5506/S. 3090/H.R. 5942)","Centers For Medicare and Medicaid Services (CMS),HOUSE OF REPRESENTATIVES,SENATE",20000,,0,0,2016-10-12T15:00:10.617000-04:00
1875678,a9f2c557-1e33-4b48-b62d-54f6b5a54934,Q3,"MEHLMAN CONSULTING, INC.",284950,AEGIS SCIENCES CORPORATION,2016,third_quarter,MMM,Medicare coverage and reimbursement for laboratory testing.,"Centers For Medicare and Medicaid Services (CMS),Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE",20000,,0,0,2016-10-12T15:02:16.900000-04:00
1875686,b63c3c1c-d03e-4513-a71c-41809ee34b86,Q3,"HOOPER, LUNDY & BOOKMAN, P.C.",401020884,COMMUNITY MEDICAL CENTERS,2016,third_quarter,MMM,"Medicare inpatient/outpatient hospital payment issues  
Medicare Graduate Medical Education (GME) funding and policy reform
Medicare Two-midnight rule payment reduction
Provisions on site neutral payment policies","Centers For Medicare and Medicaid Services (CMS),Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,Office of Management & Budget (OMB),SENATE",40000,,0,0,2016-10-12T15:05:25.263000-04:00