{"database": "lobbying", "table": "lobbying_activities", "is_view": false, "human_description_en": "where filing_period = \"fourth_quarter\", filing_year = 2011 and issue_code = \"MMM\" sorted by filing_year descending", "rows": [[1147669, "193f13fc-8abd-48bb-8e99-0adbd7c8fec8", "4T", "CAPITOL COUNSEL LLC", 313715, "TEEN SCREEN CENTER FOR MENTAL HEALTH CHECKUPS", 2011, "fourth_quarter", "MMM", "Legislation relating to Medicaid - EPSDT; Parity/SCHIP Regulations, Electronic Health Records.", "Centers For Medicare and Medicaid Services (CMS),Health & Human Services, Dept of (HHS),Health Resources & Services Administration (HRSA),HOUSE OF REPRESENTATIVES,SENATE,Substance Abuse & Mental Health Services Administration (SAMHSA),White House Office", 20000, null, 0, 1, "2011-10-13T10:38:46.710000-04:00"], [1147671, "f4d7c876-8c41-40ba-9d7c-9360115b2ea1", "4T", "CAPITOL COUNSEL LLC", 313715, "CARESOURCE MANAGEMENT GROUP CO", 2011, "fourth_quarter", "MMM", "Legislative issues relating to Medicare, Medicaid, and health care reform", "Centers For Medicare and Medicaid Services (CMS),Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE", 10000, null, 0, 1, "2011-10-13T10:39:47.523000-04:00"], [1179449, "5d1d0375-aed4-41cd-bc28-294013158da1", "4T", "CEPHALON, INC.", 8761, "CEPHALON INC", 2011, "fourth_quarter", "MMM", "Health Care Reform", "HOUSE OF REPRESENTATIVES,SENATE", null, 80000, 0, 1, "2011-11-01T15:42:16.520000-04:00"], [1179811, "a3f11508-cc8a-4c3b-b402-41b31f2d294d", "4T", "ACG ADVOCACY", 2057, "CEPHALON INC", 2011, "fourth_quarter", "MMM", "Health Care Reform", "HOUSE OF REPRESENTATIVES,SENATE", 30000, null, 0, 1, "2011-11-09T11:01:37.733000-05:00"], [1180678, "7a5209ce-c65c-4042-b6c3-8c7a54168f57", "Q4", "NATIONAL KIDNEY FOUNDATION", 28105, "NATIONAL KIDNEY FOUNDATION", 2011, "fourth_quarter", "MMM", "Reimbursement for dialysis services.", "Centers For Disease Control & Prevention (CDC),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,Indian Health Service,Internal Revenue Service (IRS),Natl Institutes of Health (NIH),Office of Management & Budget (OMB),SENATE", null, 95000, 0, 0, "2011-12-16T17:42:19-05:00"], [1180714, "3e9c6fa1-4713-4f9a-9e17-937c73497ce8", "Q4", "AMERICAN COLLEGE OF CLINICAL PHARMACY", 57258, "AMERICAN COLLEGE OF CLINICAL PHARMACY", 2011, "fourth_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", null, 59600, 0, 0, "2011-12-19T16:25:37-05:00"], [1180866, "1e35b83b-5c93-45f2-ae40-f54ddd7113ae", "4T", "KING & SPALDING LLP", 21632, "HEALTHCARE DISTRIBUTION MANAGEMENT ASSOCIATION", 2011, "fourth_quarter", "MMM", "Implementation of Average Sales Price (ASP) Methodology; exclusion of prompt pay discounts from ASP; ASP multiplier", "HOUSE OF REPRESENTATIVES,SENATE", 50000, null, 0, 1, "2011-12-23T14:13:32-05:00"], [1180933, "5db98cac-af2c-465e-bf8e-1cd9f93a41b2", "Q4", "RED+BLUE STRATEGIES", 400693064, "COMMUNITY CATALYST", 2011, "fourth_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.\nPublic Law 112-25 - The Budget Control Act of 2011- promoting Medicare polices that both improve the program and garner savings. H.R. 3630 ( S. Amdt 1465) -  Temporary Payroll Tax Cut Continuation Act of 2011 - Monitored proposed changes to Medicare and Medicaid included in the Act.", "Centers For Medicare and Medicaid Services (CMS),Executive Office of the President (EOP),Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE,Treasury, Dept of", 15000, null, 0, 0, "2011-12-27T09:52:45-05:00"], [1180935, "78da0618-c798-4369-a40d-c969daa7d655", "Q4", "RED+BLUE STRATEGIES", 400693064, "DAVITA INC.", 2011, "fourth_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.\nPublic Law - 112-25 - Promoting policies to amend the health reform law to apply MSP to the Exchange for ESRD patients. Working with CMS on guidance to ensure the ESRD patients have reasonable travel time to their dialysis centers for treatment.", "Centers For Medicare and Medicaid Services (CMS),Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE", 60000, null, 0, 0, "2011-12-27T11:10:46-05:00"], [1180937, "16b31231-4c17-4d4e-8a01-d09f22fbc1f9", "Q4", "RED+BLUE STRATEGIES", 400693064, "EXPRESS SCRIPTS INC.", 2011, "fourth_quarter", "MMM", "H.R. 3630 (S. Amdt 1465) Temporary Payroll Tax Cut Continuation Act of 2011 - Tracking Medicare offsets\nMonitoring ongoing Medicare and Medicaid regulations and guidance related to prescription medications, PBMs and related entities.\nMonitoring potential health-related offsets being considered as part of the deficit reduction package related to Medicare Part D and Medicaid pharmacy benefits.", "Centers For Medicare and Medicaid Services (CMS),Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,Office of Management & Budget (OMB),SENATE", 30000, null, 0, 0, "2011-12-27T11:30:46-05:00"], [1180942, "5b091a07-5295-45dc-83d9-fbc1cabb7f66", "Q4", "MJWT CONSULTING", 69696, "WELLMED MEDICAL MANAGEMENT INC", 2011, "fourth_quarter", "MMM", "Medicare/Medicare Advantage issues", "HOUSE OF REPRESENTATIVES,SENATE", 15000, null, 0, 0, "2011-12-27T13:51:50-05:00"], [1180943, "122cd326-39d2-44fd-b701-3e93af92f876", "4A", "MJWT CONSULTING", 69696, "WELLMED MEDICAL MANAGEMENT INC", 2011, "fourth_quarter", "MMM", "Medicare/Medicare Advantage issues", "HOUSE OF REPRESENTATIVES,SENATE", 15000, null, 0, 0, "2011-12-27T14:08:51-05:00"], [1180956, "09e2e99a-b617-4dfd-8a43-d99f8756452b", "Q4", "RED+BLUE STRATEGIES", 400693064, "GE HEALTHCARE", 2011, "fourth_quarter", "MMM", "H.R. 3630 (S. Amdt. 1465) - Temporary Payroll Tax Cut Continuation Act of 2011- Focus on the inclusion of provisions supporting Osteoporosis screening and pathology reimbursement rates.\n\nS. 1096- The Preservation of Access to Osteoporosis Testing for Medicare Beneficiaries Act of 2011 and related Medicare issues. Public Law 112-25 - The Budget Control Act of 2011 - Monitoring Medicare provisions impacting imaging, screenings, and health information technology.\n\nS. 1096 - The Preservation of Access to Osteoporosis Testing for Medicare Beneficiaries Act and related issues regarding Medicare", "HOUSE OF REPRESENTATIVES,SENATE", 45000, null, 0, 0, "2011-12-27T16:59:57-05:00"], [1180971, "7e67fd71-232a-4fe2-8ed7-01aa6f6f29bf", "Q4", "RED+BLUE STRATEGIES", 400693064, "CHILDREN'S HOSPITAL ASSOCIATION F/K/A NAT'L ASSOCIATION OF CHILDREN'S HOSPITALS", 2011, "fourth_quarter", "MMM", "P.L. 112-25- Budget Control Act of 2011- Focusing on Medicaid policies that impact children, children's hospitals and pediatric providers.\nImplementation of the Health Reform Law and related provisions before CMS, specifically, the Center for Medicare and Medicaid Innovation, regarding health homes for children. H.R. 3630 ( S. Amdt. 1465) - Temporary Payroll Tax Cut Continuation Act of 2011- Focused on potential Medicaid policies that would impact children and children's hospitals.", "Centers For Medicare and Medicaid Services (CMS),Executive Office of the President (EOP),Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE,White House Office", 50000, null, 0, 0, "2011-12-28T11:09:17-05:00"], [1180973, "d0089a28-2a02-4cd2-bd37-4cc4b8382f87", "Q4", "RED+BLUE STRATEGIES", 400693064, "PHARMACEUTICAL CARE MANAGEMENT ASSOCIATION (PCMA)", 2011, "fourth_quarter", "MMM", "P.L. 112-25 - The Budget Control Act. Focused on pharmacy benefit provisions that could be included in both the Medicare and Medicaid arenas as they related to the work of Congress as it relates to the law.\n\nH.R. 3630 (S. Admt. 1465) - The Temporary Payroll Tax Cut Continuation Act of 2011 - Monitoring policies impacting Medicare cont. \n\nPart D and PBM- related policies.", "Centers For Medicare and Medicaid Services (CMS),Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE", 60000, null, 0, 0, "2011-12-28T11:41:18-05:00"], [1181009, "40f5e409-5ce1-4974-a62b-5bf56e20488b", "Q4", "RED+BLUE STRATEGIES", 400693064, "CAMBIA HEALTH SOLUTIONS (FORMERLY KNOWN AS THE REGENCE GROUP)", 2011, "fourth_quarter", "MMM", "H.R. 3630 (S. Amdt. 1465) - Temporary Payroll Tax Cut Continuation Act of 2011 - Monitoring legislation for potential provisions impacting the Medigap program in Medicare.", "Executive Office of the President (EOP),Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE", 60000, null, 0, 0, "2011-12-29T11:36:38-05:00"], [1181028, "a7dff21d-6582-4aa7-b991-fda885e5859d", "Q4", "RED+BLUE STRATEGIES", 400693064, "PEW CHARITABLE TRUSTS", 2011, "fourth_quarter", "MMM", "Implementation and rulemaking related to the Physician Payment Sunshine Act- a Medicare-related provision in the health reform law focused on systemic transparency.", "Executive Office of the President (EOP),Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,Office of Management & Budget (OMB),SENATE", 25000, null, 0, 0, "2011-12-29T16:55:51-05:00"], [1181216, "b6ddb00c-7c99-4415-8f2a-be603442eb61", "Q4", "LAW OFFICES OF MARK S. JOFFE", 48315, "MEDICARE COST CONTRACTORS ALLIANCE", 2011, "fourth_quarter", "MMM", "H.R. 2770 and S.1497, the Medicare Cost Contract Extension Act of 2011", "Centers For Medicare and Medicaid Services (CMS),HOUSE OF REPRESENTATIVES,SENATE", 30000, null, 0, 0, "2012-01-03T09:44:10-05:00"], [1181242, "ab26365c-3ae1-4b6c-8da0-c3be43bda436", "Q4", "DAVID FUNDERBURK", 43491, "TREA SENIORCITIZENS LEAGUE", 2011, "fourth_quarter", "MMM", "General Medicare Protection, Prescription Drug Reimportation: H.R. 147 and S. 319; Medicare Prescription Improvement: H.R. 3613", "HOUSE OF REPRESENTATIVES,SENATE", 40000, null, 0, 0, "2012-01-03T11:54:29-05:00"], [1181256, "3d04f214-84ba-4d06-a440-fba670b4e4cf", "Q4", "TREA SENIOR CITIZENS LEAGUE", 38426, "TREA SENIOR CITIZENS LEAGUE", 2011, "fourth_quarter", "MMM", "General Medicare Protection, Prescription Drug Reimportation: H.R. 147 and S. 319, Medicare Prescription Drug Improvement: H.R. 3613", "HOUSE OF REPRESENTATIVES,SENATE", null, 40000, 0, 0, "2012-01-03T12:22:34-05:00"], [1181271, "7e494294-b144-41a1-bc78-f12318d34cff", "Q4", "HOLLAND & KNIGHT LLP", 18466, "BLUE CROSS AND BLUE SHIELD OF MINNESOTA", 2011, "fourth_quarter", "MMM", "Medicare Advantage; Health Care Reform; Medicare and Medicaid; obesity.", "Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE", 20000, null, 0, 0, "2012-01-03T12:51:40-05:00"], [1181279, "f8047972-e7b2-432f-b503-bf92e5eb1379", "Q4", "JOHNSTON GROUP, LLC", 400383768, "NOVO NORDISK", 2011, "fourth_quarter", "MMM", "Extension of the National Diabetes Prevention Program (NDPP) & Medicare Part D", "SENATE", 10000, null, 0, 0, "2012-01-03T12:58:52-05:00"], [1181286, "95f83c93-6c4c-454a-a08c-90a1c48c6477", "Q4", "HOLLAND & KNIGHT LLP", 18466, "TRUVEN HEALTH ANALYTICS", 2011, "fourth_quarter", "MMM", "Medical errors, Medicare and Medicaid, patient safety; Health Information Technology (HIT); Comparative Effectiveness (CER); compendia", "Commerce, Dept of (DOC),Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE", 30000, null, 0, 0, "2012-01-03T13:09:45-05:00"], [1181309, "277da866-e482-498e-b2ba-046a3ad3e8b7", "Q4", "HOLLAND & KNIGHT LLP", 18466, "AMERICA'S ESSENTIAL HOSPITALS", 2011, "fourth_quarter", "MMM", "Health care reform implementation; 340B drug discount program (H.R. 2674); Medicaid funding for public hospitals; and  Medicaid/Medicare deficit reduction proposals", "HOUSE OF REPRESENTATIVES,SENATE", 10000, null, 0, 0, "2012-01-03T13:42:55-05:00"], [1181321, "fe4f3dc2-ff22-47ab-ac5d-c129795ae1f6", "Q4", "WAKE FOREST UNIVERSITY HEALTH SCIENCES", 6781, "WAKE FOREST UNIVERSITY HEALTH SCIENCES", 2011, "fourth_quarter", "MMM", "Budget Negotiations FY2012: Omnibus bills\nDebt Ceiling/Deficit Reduction Talks-GME and Medicaid provider tax program\nJoint Committee-GME:Medicaid Provider Tax; Bad Debt\nSGR-Outpatient HOPD spending cuts Medicare Physician Payments\n-Pay-for-Performance/Quality and Value Initiatives\nPatient Protection and Affordability Care Act\nMedPAC recommendations re: GME funding\nPPACA-Center for Medicare Innovations\n(Transitions in Care Funding)\n(Accountable Care Organizations)", "Centers For Medicare and Medicaid Services (CMS),Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE,Transportation, Dept of (DOT),Veterans Affairs, Dept of (VA)", null, 160000, 0, 0, "2012-01-03T13:50:00-05:00"], [1181325, "1bc30b8b-4037-4e95-a940-6b330f5f9fae", "Q4", "HOLLAND & KNIGHT LLP", 18466, "ADVENTIST HEALTH", 2011, "fourth_quarter", "MMM", "Implementation of  Affordable Care Act.", "Centers For Medicare and Medicaid Services (CMS),Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE", 40000, null, 0, 0, "2012-01-03T13:51:01-05:00"], [1181337, "47c80d8a-8889-431a-a592-32250029e32e", "Q4", "NORTH CAROLINA BAPTIST HOSPITAL", 46723, "NORTH CAROLINA BAPTIST HOSPITAL", 2011, "fourth_quarter", "MMM", "Budget Negotiations FY2012: Omnibus bills \nGraduate Medical Education \nDebt Ceiling/Deficit Reduction Talks-GME and Medicaid provider tax program\nJoint Committee- GME, Medicaid Provider Tax: Bad Debt Medicaid 340(b) Program\nMedicaid Graduate Medical Education (GME) funding\nMedicare Recovery Audit Committee\nPatient Protection and Affordable Care Act\n(Accountable Care Organizations)\n(Transitions in Care Funding)\nSGR-Outpatient HOPD spending cuts", "Centers For Medicare and Medicaid Services (CMS),Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE", null, 40000, 0, 0, "2012-01-03T13:58:06-05:00"], [1181499, "b2a36c2d-6da1-410c-8957-bea9808ba4d7", "Q4", "HOLLAND & KNIGHT LLP", 18466, "THE E-ORDERING COALITION", 2011, "fourth_quarter", "MMM", "Efforts to advance federal legislation and policy to encourage the use of electronic decision support technologies in connection with the ordering of imaging services; FY 12 Medicare Budget", "HOUSE OF REPRESENTATIVES,SENATE", 20000, null, 0, 0, "2012-01-04T10:46:23-05:00"], [1181631, "17a78f37-3afb-4418-a137-4b721cbe1e96", "Q4", "GRQ, LLC", 17066, "AMERICAN ASSOCIATION OF CARDIOVASCULAR & PULMONARY REHABILITATION", 2011, "fourth_quarter", "MMM", "Technical correction to PL 110-275 to clarify that non physician practitioners are authorized to supervise pulmonary and cardiac rehabiltiation programs.", "HOUSE OF REPRESENTATIVES,SENATE", null, null, 0, 0, "2012-01-04T13:21:20-05:00"], [1181632, "f81ef7a3-abf1-4c37-8543-c393f817bac2", "Q4", "GRQ, LLC", 17066, "NATIONAL ASSOCIATION FOR MEDICAL DIRECTION OF RESPIRATORY CARE", 2011, "fourth_quarter", "MMM", "Improve access to pulmonary rehabilitation programs through technical correction to PL 110-275 to allow non physician practitioners to supervise programs.", "SENATE", null, null, 0, 0, "2012-01-04T13:29:20-05:00"], [1181641, "968d0271-b912-49e9-bb8d-87e7fdcb0b12", "Q4", "AMERICAN CAPITOL GROUP", 305852, "PHARMACEUTICAL RESEARCH AND MANUFACTURERS OF AMERICA", 2011, "fourth_quarter", "MMM", "Medicare Part D Issues", "HOUSE OF REPRESENTATIVES,SENATE", 20000, null, 0, 0, "2012-01-04T13:38:24-05:00"], [1181672, "b8e58326-8e52-47c5-a2a8-b7a179a0294e", "Q4", "AMERICAN ASSOCIATION FOR MARRIAGE AND FAMILY THERAPY", 1488, "AMERICAN ASSOCIATION FOR MARRIAGE AND FAMILY THERAPY", 2011, "fourth_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)", null, 25000, 0, 0, "2012-01-04T14:12:41-05:00"], [1181679, "8ca016de-a8a2-44b0-a615-bc70a3a729cb", "Q4", "HOLLAND & KNIGHT LLP", 18466, "FLORIDA HOSPITAL ASSOCIATION", 2011, "fourth_quarter", "MMM", "Implementation of HR 3200, America's Affordable Health Care Act of 2009.   Communicating with Florida House and Senate Delegation and CMS re: Medicaid waiver extension and statewide Medicaid managed care proposals. Advocacy re: deficit reduction negotiations/Medicaid& Medicare cuts and potential impact on Florida providers.", "Centers For Medicare and Medicaid Services (CMS),HOUSE OF REPRESENTATIVES,SENATE", 80000, null, 0, 0, "2012-01-04T14:16:42-05:00"], [1181750, "ad5d5e0b-dda1-482a-b722-da72ea01c224", "Q4", "PARKER, POE, ADAMS & BERNSTEIN LLP", 288098, "NATIVE ANGELS HOME CARE AGENCY INC", 2011, "fourth_quarter", "MMM", "Represent client on issues regarding Medicaid/Medicare cap on home care and hospice", "Health & Human Services, Dept of (HHS)", null, null, 0, 0, "2012-01-04T16:04:21-05:00"], [1181867, "ced8ece7-67f4-4488-a33a-1483cf234e82", "Q4", "DS2 GROUP, LLC", 400694066, "ROCHE DIAGNOSTICS", 2011, "fourth_quarter", "MMM", "Medicare & Medicaid issues; HR 1936 Medicare Access to Diabetes Supplies Act of 2011", "HOUSE OF REPRESENTATIVES,SENATE", 10000, null, 0, 0, "2012-01-05T10:15:07-05:00"], [1181942, "1b56aa8c-e98c-4c06-9174-3243376c8d2f", "Q4", "HEALTH AND MEDICINE COUNSEL, LLC", 17818, "ASD HEALTHCARE", 2011, "fourth_quarter", "MMM", "HR 905:  Medicare Part B Prompt-Pay Legislation\nHR 1845: Medicare IVIG Access Act\nS 960:  Medicare IVIG Access Act\nS 733:  Medicare Part B Prompt-Pay Legislation", "HOUSE OF REPRESENTATIVES,SENATE", 10000, null, 0, 0, "2012-01-05T12:30:48-05:00"], [1181982, "a525b7ba-76a1-48b0-9c83-ad4a0922643e", "Q4", "MERIDIAN HEALTH", 293313, "MERIDIAN HEALTH", 2011, "fourth_quarter", "MMM", "Medicare reform\nMedicare Disproportionate Share (DSH) funding\nWage index\nUrban Medicare dependent hospital relief (UMDH) Imputed rural floor\nMedicare physicians' reimbursement (\"physician fix\") Sustainable Growth Rate\nMedicare bad debt\nMedicare outpatient prospective payment system (OPPS)\nMedical education funding for teaching hospitals (IME)\nDisproportionate share hospitals (DSH) reimbursement\nHealth information technology (HIT)\nProvider, Enrollment, Chain, and Ownership System (PECOS)\nFederal Medical Assistance Program (FMAP)\nDurable medical equipment (DME) competitive bidding program\nImplementation of \"face-to-face\" documentation for home care\nCMMI Healthcare Innovation Grant", "Centers For Medicare and Medicaid Services (CMS),Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,Labor, Dept of (DOL),Natl Economic Council (NEC),Office of Management & Budget (OMB),SENATE", null, 30000, 0, 0, "2012-01-05T14:03:07-05:00"], [1182074, "a7183bfb-4cae-4697-be75-58dbb8ce605b", "Q4", "GEMALTO, INC", 400275273, "GEMALTO INC", 2011, "fourth_quarter", "MMM", "Health IT, e-Authentication, privacy protection, Medicare fraud prevention\nMedicare Common Access Card Act of 2011: SB1551 & HR 2925", "Commerce, Dept of (DOC),HOUSE OF REPRESENTATIVES,SENATE", null, 40000, 0, 0, "2012-01-06T10:05:02-05:00"], [1182144, "4e2dd226-789f-4138-b650-6261fa23ab9b", "Q4", "ASSN OF MEDICAL DEVICE REPROCESSORS", 291732, "ASSN OF MEDICAL DEVICE REPROCESSORS", 2011, "fourth_quarter", "MMM", "Outlined cost-savings opportunities embedded in Medicare/Medicaid reimbursement programs, Accountable Care Organizations and other shared savings models for hospitals/clinicians who utilize reprocessed single-use medical devices.", "Centers For Medicare and Medicaid Services (CMS),Food & Drug Administration (FDA),HOUSE OF REPRESENTATIVES,SENATE", null, 20000, 0, 0, "2012-01-06T11:40:39-05:00"], [1182232, "41666e49-4728-4b73-9c23-4da5247b5bc9", "Q4", "ALLIANCE FOR RETIRED AMERICANS", 67238, "ALLIANCE FOR RETIRED AMERICANS", 2011, "fourth_quarter", "MMM", "1. Patient Protection and Affordable Health Care Act, implementation of provisions regarding Medicare Part D coverage gap assistance, preventive care services, and dual eligible Medicare and Medicaid beneficiaries\n2. Medicare Eligibility Age\n3. Medicare Sustainable Growth Rate 4. Medicare, potential impact from the deliberations of the Joint Select Committee on Deficit Reduction\n5. Medicaid, potential impact from the deliberations of the Joint Select Committee on Deficit Reduction", "Executive Office of the President (EOP),Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,Labor, Dept of (DOL),SENATE", null, 60000, 0, 0, "2012-01-06T14:45:08-05:00"], [1182241, "aeddcfc6-144d-4d58-b0c6-6491cc21527f", "Q4", "AMERICAN SOCIETY OF HEALTH-SYSTEM PHARMACISTS", 3457, "AMERICAN SOCIETY OF HEALTH-SYSTEM PHARMACISTS", 2011, "fourth_quarter", "MMM", "Communication with Centers for Medicare and Medicaid Services regarding influenza vaccines, conditions of participation, Innovation Center, funding for specialized pharmacy resident programs, Part D utilization review and direct reimbursement under the Medicare program.", "Centers For Disease Control & Prevention (CDC),Centers For Medicare and Medicaid Services (CMS),Food & Drug Administration (FDA),Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE", null, 250000, 0, 0, "2012-01-06T14:56:12-05:00"], [1182260, "d80a1818-32b0-4716-9faf-1b19604e20d0", "Q4", "VALENTE & ASSOCIATES", 45983, "HOLLISTER INC", 2011, "fourth_quarter", "MMM", "Medicare/Medicaid", "Centers For Medicare and Medicaid Services (CMS),HOUSE OF REPRESENTATIVES,Internal Revenue Service (IRS),Labor, Dept of (DOL),SENATE,Treasury, Dept of", 70000, null, 0, 0, "2012-01-06T15:28:21-05:00"], [1182267, "be255f3b-58b3-40b8-abbd-1f9f9cba8127", "Q4", "VALENTE & ASSOCIATES", 45983, "AMERICAN-SPEECH-LANGUAGE-HEARING ASSOCIATION", 2011, "fourth_quarter", "MMM", "Medicare; Medicaid", "Centers For Medicare and Medicaid Services (CMS),Education, Dept of,HOUSE OF REPRESENTATIVES,Office of Personnel Management (OPM),SENATE", 20000, null, 0, 0, "2012-01-06T15:38:24-05:00"], [1182315, "00352800-df46-4b6f-b1e5-0397c6fcc983", "Q4", "AVANCER HEALTH POLICY", 293610, "MARYLAND COMMUNITY HEALTH SYSTEM", 2011, "fourth_quarter", "MMM", "Monitoring developments in Joint Select Committe on Deficit Reduction, with regard to Medicare and Medicaid payments for FQHCs", "HOUSE OF REPRESENTATIVES,SENATE", null, null, 0, 0, "2012-01-06T17:10:52-05:00"], [1182317, "0343cdb6-4e1e-4aae-ade3-cb3575c491f9", "Q4", "AVANCER HEALTH POLICY", 293610, "LOCAL HEALTH PLANS OF CALIFORNIA", 2011, "fourth_quarter", "MMM", "Impact on plan Medicaid payment rates under state budget cuts; Implications of deficit reduction on health plans and health care entitlements", "Centers For Medicare and Medicaid Services (CMS),HOUSE OF REPRESENTATIVES,SENATE", 15000, null, 0, 0, "2012-01-06T17:16:55-05:00"], [1182325, "6953a1ad-f92e-4c9b-a676-e877d5f76ef6", "Q4", "AVANCER HEALTH POLICY", 293610, "THE UNIVERSITY OF ARIZONA HEALTH NETWORK", 2011, "fourth_quarter", "MMM", "Impact of changes in Medicare and Medicaid policy on UAHN within the context of deficit reduction;  Opportunities for improved care coordination with dual eligibiles;  Graduate Medical Education", "HOUSE OF REPRESENTATIVES,SENATE", 20000, null, 0, 0, "2012-01-06T17:30:57-05:00"], [1182339, "b14d707b-639d-4bee-96bb-d2310c6f27a8", "Q4", "JOHN TROY", 38541, "BLUE CROSS BLUE SHIELD ASSOCIATION", 2011, "fourth_quarter", "MMM", "Various issues related to medicare, medicaid and medicare supplement insurance", "Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,Labor, Dept of (DOL),SENATE", 50000, null, 0, 0, "2012-01-07T07:06:26-05:00"], [1182360, "8f3b0b68-226f-4e72-b102-3c8242a4f468", "Q4", "HARLOW GOVERNMENT RELATIONS LLC", 400745232, "AMERICAN MEDICAL ASSOCIATION", 2011, "fourth_quarter", "MMM", "Physician medicare reimbursement\nHR 3765, HR 3743, HR 3630, Temporary Payroll Tax Cut Continuation Act of 2011", "HOUSE OF REPRESENTATIVES,SENATE", 67500, null, 0, 0, "2012-01-07T14:09:18-05:00"], [1182374, "e57742f1-91a3-418e-a2d2-a84027feb828", "Q4", "MARSHALL BRACHMAN", 6848, "BAYLOR SCOTT AND WHITE HEALTH -- FORMERLY BAYLOR HEALTH CARE SYSTEM", 2011, "fourth_quarter", "MMM", "monitor revisions to 75% Inpatient Rehabilitation Rule \nmonitor legislation regarding Hospital in Hospital regulations \nsupport HR 1159 and HR 1186 ending ban on physician owned hospitals; support legislation reforming ASC reimbursement (HR 1173 and S 2108); monitor legislation affecting hospital not-for-profit status; monitor GME legislation", "HOUSE OF REPRESENTATIVES,SENATE", 33000, null, 0, 0, "2012-01-07T15:54:23-05:00"], [1182378, "07e3a840-67d5-43eb-9ae4-004b842e677a", "Q4", "MARSHALL BRACHMAN", 6848, "CARDIOLOGY ADVOCACY ALLIANCE", 2011, "fourth_quarter", "MMM", "Support HR 1159 and HR 1186 ending ban on physician owned hospitals;oppose CMS cuts to medical imaging; support appropriateness model for diagnostic imaging", "HOUSE OF REPRESENTATIVES,SENATE", 30000, null, 0, 0, "2012-01-07T15:58:25-05:00"], [1182385, "fbe66941-c09b-4dd9-9c8e-a4960704baa3", "4T", "MARSHALL BRACHMAN", 6848, "CARDIOVASCULAR OUTPATIENT CENTER ALLIANCE", 2011, "fourth_quarter", "MMM", "reverse cardiac catheterization practice expense cuts", "HOUSE OF REPRESENTATIVES,SENATE", 8000, null, 0, 1, "2012-01-07T17:00:27-05:00"], [1182401, "9eac7b6b-a133-4f16-9d18-4561c03ed98f", "Q4", "MARSHALL BRACHMAN", 6848, "ST.VINCENT HEALTH", 2011, "fourth_quarter", "MMM", "monitor medicare reimbursement issues; monitor legislation affecting the status of not-for-profit hospitals\nmonitor legislation affecting physician owned hospitals\nmonitor legislation affecting ambulatory surgical centers\nmonitor legislation affecting inpatient rehabilitation facilities", "HOUSE OF REPRESENTATIVES,SENATE", 9000, null, 0, 0, "2012-01-07T17:17:31-05:00"], [1182403, "59d070d5-c61a-4615-9621-6e6cc9ecbefa", "Q4", "MARSHALL BRACHMAN", 6848, "ST VINCENTS HEART CENTER OF INDIANA", 2011, "fourth_quarter", "MMM", "support HR1159 and HR 1186 to reverse restrictive language on physician owned hospitals", "HOUSE OF REPRESENTATIVES,SENATE", 12600, null, 0, 0, "2012-01-07T17:20:32-05:00"], [1182405, "10f2da73-2cc9-4925-9661-594d423b070c", "Q4", "MARSHALL BRACHMAN", 6848, "UNITED SURGICAL PARTNERS INTERNATIONAL INC", 2011, "fourth_quarter", "MMM", "suppport HR 1159 and HR 1186 to reverse restrictions on physician owned hospitals\nsupport legislation on increased reimbursement for ambulatory surgical centers (HR 2108 and S. 1173)\noppose cuts to reimbursement for advanced medical imaging", "HOUSE OF REPRESENTATIVES,SENATE", 24000, null, 0, 0, "2012-01-07T17:23:32-05:00"], [1182614, "2007c3bb-02cc-4adb-a877-c683b6bbdae3", "Q4", "STRATEGIC HEALTH CARE", 285255, "ACCESS TO HEALTH CARE NETWORK", 2011, "fourth_quarter", "MMM", "Health Care issues", "Centers For Medicare and Medicaid Services (CMS),Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE", 6000, null, 0, 0, "2012-01-09T11:33:37-05:00"], [1182620, "99757c5a-3bc8-427d-b46f-69bce4031096", "Q4", "STRATEGIC HEALTH CARE", 285255, "BAPTIST HEALTHCARE SYSTEM", 2011, "fourth_quarter", "MMM", "Health Care issues", "Centers For Medicare and Medicaid Services (CMS),HOUSE OF REPRESENTATIVES,SENATE", 24000, null, 0, 0, "2012-01-09T11:44:41-05:00"], [1182724, "5a903f6a-37ed-4910-8364-9c39661cc561", "Q4", "HOUSING WORKS, INC.", 291470, "HOUSING WORKS INC", 2011, "fourth_quarter", "MMM", "Appropriations, Health Care Reform", "Health & Human Services, Dept of (HHS),Health Resources & Services Administration (HRSA),HOUSE OF REPRESENTATIVES,Housing & Urban Development, Dept of (HUD),SENATE,White House Office", null, null, 0, 0, "2012-01-09T15:49:43-05:00"], [1182814, "23e4e766-4f2e-4774-8c4c-710ea13225d0", "Q4", "NOVO NORDISK INC.", 284790, "NOVO NORDISK INC.", 2011, "fourth_quarter", "MMM", "P.L. 111-148, Patient Protection and Affordable Care Act of 2009 (ACA) and P.L. 111-152, The Health Care & Education Affordability Reconciliation Act of 2010; CMS Proposed Coverage Decision Memorandum for Intensive Behavioral Therapy for Obesity; Medicare Diabetes Screening; HR 2741, Preventing Diabetes in Medicare Act of 2011 and Prediabetes generally; Issues related to Medicaid rebates and similar revenue provisions as contained in  P.L. 112-25, Budget Control Act of 2011 (deficit reduction); HR 3743 Middle Class Tax Relief and Job Creation Act of 2011, HR 3630 Middle Class Tax Relief and Job Creation Act of 2011, and HR 3765 (PL 112-78) Temporary Payroll Tax Cut Continuation of 2011-Issues related to Medicaid rebates and similar revenue provisions", "Centers For Disease Control & Prevention (CDC),Centers For Medicare and Medicaid Services (CMS),Executive Office of the President (EOP),Food & Drug Administration (FDA),Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,Labor, Dept of (DOL),Natl Institutes of Health (NIH),SENATE,White House Office", null, 386000, 0, 0, "2012-01-09T20:42:32-05:00"], [1182872, "115ae04e-5368-4f46-883f-2f16071b2a14", "4A", "UNIVERSITY OF KENTUCKY", 400287372, "UNIVERSITY OF KENTUCKY", 2011, "fourth_quarter", "MMM", "Medicare Funding Improvements; Doc fix", "HOUSE OF REPRESENTATIVES,SENATE", null, 84000, 0, 0, "2012-01-10T09:26:22-05:00"], [1183065, "ec315d27-c865-4f64-bb0a-3ec1bf275cfe", "Q4", "STANTON PARK GROUP", 83717, "MCKESSON CORPATION AND ITS AFFILIATE US ONCOLOGY (FORMERLY US ONCOLOGY)", 2011, "fourth_quarter", "MMM", "Medicare, oncology, Radiation and Imaging Reimbursement issues;  medicare physician payments; healthcare reform; Health Information Technology; Accountable Care Organizations; prompt pay discount; drug reimbursement issues", "HOUSE OF REPRESENTATIVES,SENATE", 50000, null, 0, 0, "2012-01-10T12:39:02-05:00"], [1183071, "e33743f7-6207-4549-9f89-df4f514225bb", "Q4", "THE PETRIZZO GROUP, INC.", 305932, "ORLANDO HEALTH", 2011, "fourth_quarter", "MMM", "Advocated establishment of Health Innovation Zone (HIT) at center for Medicare and Medicaid Services.", "Centers For Medicare and Medicaid Services (CMS),HOUSE OF REPRESENTATIVES,SENATE", 30000, null, 0, 0, "2012-01-10T12:56:06-05:00"], [1183076, "394cfc06-e026-4a47-b916-46374f23a82a", "4T", "STANTON PARK GROUP", 83717, "WATSON PHARMACEUTICALS", 2011, "fourth_quarter", "MMM", "Medicare and Medicaid reimbursement for pharmaceuticals.  Reimbursement for prostate cancer drugs.  Prevention of preterm birth.", "HOUSE OF REPRESENTATIVES,SENATE", 50000, null, 0, 1, "2012-01-10T12:57:09-05:00"], [1183150, "51f46604-2b25-4a07-b6b3-e891c8a1cddc", "Q4", "METROPOLITAN CHICAGO HEALTHCARE COUNCIL", 25011, "METROPOLITAN CHICAGO HEALTHCARE COUNCIL", 2011, "fourth_quarter", "MMM", "Children's Hospital GME Support Reauthorization Act of 2011 (H.R. 1852/S. 958)\nImproving Access to Medicare Coverage Act (H.R. 1543)\nTemporary Payroll Tax Cut Continuation Act of 2011 (H.R. 3630)", "HOUSE OF REPRESENTATIVES,SENATE", null, 12500, 0, 0, "2012-01-10T14:40:01-05:00"], [1183169, "4c1c7436-01ac-4f28-a017-38f623c46d09", "Q4", "BEN BARNES GROUP LP", 5415, "FAIR LABORATORY PRACTICES ASSOCIATION", 2011, "fourth_quarter", "MMM", "Bring attention to prevention of unfair billing practices by laboratories for Medicare services", "HOUSE OF REPRESENTATIVES,SENATE", null, null, 0, 0, "2012-01-10T14:53:09-05:00"], [1183193, "cc70681e-06c3-4129-b0a4-2ea6bdb5746b", "Q4", "KOZAK & SALINA, LLC", 400520537, "NATIONAL COALITION FOR ASSITIVE REHAB TECHNOLOGY (NCART)", 2011, "fourth_quarter", "MMM", "Develop a legislative and regulatory strategy to lobby and obtain a separate benefit classification for complex rehab equipment.", "HOUSE OF REPRESENTATIVES,SENATE", 12000, null, 0, 0, "2012-01-10T15:23:24-05:00"], [1183205, "685f84a7-41cc-4915-8255-86f488c49cc9", "Q4", "STRATEGIC HEALTH CARE", 285255, "HARDIN MEMORIAL HOSPITAL", 2011, "fourth_quarter", "MMM", "Health care funding and appropriations", "HOUSE OF REPRESENTATIVES,SENATE", 21000, null, 0, 0, "2012-01-10T15:27:31-05:00"], [1183208, "ce58a0d6-d00d-4f0a-b229-dfdeb0257d32", "Q4", "STRATEGIC HEALTH CARE", 285255, "HEALTHEAST", 2011, "fourth_quarter", "MMM", "Health care funding and appropriations and health care policy", "Centers For Medicare and Medicaid Services (CMS),HOUSE OF REPRESENTATIVES,SENATE", 22500, null, 0, 0, "2012-01-10T15:30:32-05:00"], [1183210, "3865498b-dca4-40cc-b584-c40d1eaa5c29", "Q4", "LOWE'S COMPANIES INC.", 312678, "LOWE'S COMPANIES INC.", 2011, "fourth_quarter", "MMM", "HR 1063, SMART Act re streamlining Medicare secondary payer process to settle Medicare 3rd party claims and reimbursement of trust fund", "HOUSE OF REPRESENTATIVES,SENATE", null, 75000, 0, 0, "2012-01-10T15:33:34-05:00"], [1183219, "a3a22a53-cfb6-4d4f-bcef-7cc914648ad9", "Q4", "STRATEGIC HEALTH CARE", 285255, "HENRY FORD HEALTH SYSTEM", 2011, "fourth_quarter", "MMM", "Health care funding and appropriations and health care policy", "Centers For Medicare and Medicaid Services (CMS),HOUSE OF REPRESENTATIVES,SENATE", 34500, null, 0, 0, "2012-01-10T15:37:35-05:00"], [1183226, "6d1f269b-fdb0-45b0-bf13-cdcf68861e9f", "Q4", "STRATEGIC HEALTH CARE", 285255, "MINISTRY HEALTH CARE", 2011, "fourth_quarter", "MMM", "Health care funding and appropriations", "Centers For Medicare and Medicaid Services (CMS),HOUSE OF REPRESENTATIVES,SENATE", 45000, null, 0, 0, "2012-01-10T15:42:39-05:00"], [1183235, "2b209183-e6f0-4411-8e71-d269e23cdd57", "Q4", "STRATEGIC HEALTH CARE", 285255, "HOSPITAL HEALTH PLAN COALITION (FORMERLYNATIONAL COALITION OF LOCAL HEALTH PLANS", 2011, "fourth_quarter", "MMM", "Health care policy issues", "Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE", null, null, 0, 0, "2012-01-10T15:48:43-05:00"], [1183237, "e5a4d3a6-c3d6-4cba-9794-9231f3390776", "Q4", "STRATEGIC HEALTH CARE", 285255, "OSF HEALTHCARE SYSTEM", 2011, "fourth_quarter", "MMM", "Health care funding and appropriations and health policy", "HOUSE OF REPRESENTATIVES,SENATE", 30000, null, 0, 0, "2012-01-10T15:50:44-05:00"], [1183257, "ab7c0032-4e98-47f5-9312-aeaaff6ebdbe", "Q4", "GOLDBUG STRATEGIES LLC", 400701094, "COALITION FOR 21ST CENTURY MEDICINE", 2011, "fourth_quarter", "MMM", "FDA regulation of laboratory developed tests.\nMedicare reimbursement for laboratory developed tests\nHR 3207.", "Food & Drug Administration (FDA),HOUSE OF REPRESENTATIVES,SENATE", 15000, null, 0, 0, "2012-01-10T16:04:50-05:00"], [1183265, "c942ce24-1fa9-48e7-a294-61f8082b3370", "Q4", "GOLDBUG STRATEGIES LLC", 400701094, "GENOMIC HEALTH INC.", 2011, "fourth_quarter", "MMM", "FDA regulation of laboratory developed tests.\nMedicare reimbursement for laboratory developed tests.\nTricare payment of laboratory developed tests.\nHR 3207", "Food & Drug Administration (FDA),HOUSE OF REPRESENTATIVES,SENATE", 70000, null, 0, 0, "2012-01-10T16:17:56-05:00"], [1183272, "67fd4862-9652-4af5-aa79-105cfb0f6850", "4A", "STRATEGIC HEALTH CARE", 285255, "MINISTRY HEALTH CARE", 2011, "fourth_quarter", "MMM", "Health care funding and appropriations", "Centers For Medicare and Medicaid Services (CMS),HOUSE OF REPRESENTATIVES,SENATE", 45000, null, 0, 0, "2012-01-10T16:20:58-05:00"], [1183312, "e461f592-cd3c-468d-ba8f-5bbda81ce837", "Q4", "MARSHFIELD CLINIC HEALTH SYSTEM", 57830, "MARSHFIELD CLINIC HEALTH SYSTEM", 2011, "fourth_quarter", "MMM", "The following bullet points summarize the objectives of the Marshfield Clinic's Health Policy Agenda:\n\"value-based purchasing of health services including bonus payments for high value Medicare Advantage programs;\n\"establishment and funding of comparative effectiveness research; \n\"promoting payment fairness in Medicare physician and practice expense payments; promoting payment fairness in Medicare physician and practice expense payments;\nnew formulas for aligning Medicare reimbursement with value;\nbonus payments for efficient providers;\nbonus payments for primary care providers;\nfinancing for the adoption and utilization of health information technology; \nrepeal and reform of the Medicare sustainable growth rate mechanism for updating physician payments;\nimproved reimbursement for the CMS Physician Group Practice (PGP) demonstration;\nexpansion of the PGP demonstration methodology into a national accountable care organization program to extend the physician group practice demonstration; \nAdequate funding for CMS; \nAdequate funding for community health centers;\nFunding for after-school programs\nIntegration of Medical and dental care and records\nMeaningful use of HIT;\nFunding for medical simulation training\nPersonalized medicine\nHealthy lifestyles programs\n\nBudget Control Act (S. 365, PL 112-25) provisions requiring mandatory sequestration of federal funding if Congress does not act to implement deficit reduction.  Medicare Payment Advisory Commission recommendations regarding reform of the Sustainable Growth Rate (SGR) formula of the Medicare physician fee schedule, and offsets to fund the reforms.\n\nH.R.3682 : Patient Centered Healthcare Savings Act of 2011\nSponsor: Rep Duffy, Sean P. -  Marshfield Clinic, the corporate sponsor of Security Health Plan, a five star Medicare Advantage program, opposes provisions which promote the sale of insurance across state lines but do not address the disparities in existing state law which would allow other insurance entities to circumvent Wisconsin law.\n\nHR 3630 the House Payroll Tax holiday bill H.R.3630 Temporary Payroll Tax Cut Continuation Act of 2011 Sponsor: Rep Camp, Dave. The bill also included a \"doc fix\" - a 1% increase in Medicare physician payment for 2012 and 2013;  The bill also extends through 2012 the floor at 1.0 on the work geographic index in the formula for determining relative values for physicians' services for the Medicare physician payment; and directed MEDPAC to assess whether any geographic adjustment is needed under Medicare to distinguish the difference in work effort by geographic area, and if so, what that level should be and were it should be applied.  The bill also revises Medicare hospital outpatient department (OPD) payment amounts for evaluation and management services, bringing them into parity with physician E&M payments.  \n\nH.R.3765 Temporary Payroll Tax Cut Continuation Act of 2011 Sponsor: Rep Camp, Dave   two month extension Medicare physician payment increase. \n\nHR 3258 - Medicare Equity Extension Act of 2011 Sponsor Rep. Bruce Braley- Amends Medicare formulae for determining payments for physician services under part B to extend through calendar 2013: (1) a specified formula element for the employee wage and rent portions of the Medicare practice expense geographic adjustment, and (2) the Medicare work geographic adjustment floor at 1.0 under the Medicare and Medicaid Extenders Act of 2010.\n\nValue Based Purchasing\n\nThe 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. Variations in Health Care Service and Distribution\n\nResearch conducted the Medicare Payment Advisory commission and the Dartmouth School of Medicine has documented glaring variations in how medical resources are distributed and used in the United States. The extent of variation in Medicare spending, and the evidence that more care does not result in better outcomes, should lead us to ask if some chronically ill Americans are getting more care than they actually want or need.  Caring for people with chronic disease now accounts for more than 75 percent of all health-care spending. Over-use and overspending is not just a Medicare problemthe health-care system as a whole lacks efficient, effective ways of caring for people with severe chronic illnesses.   \n\nMedicare Payment Dilemma\n\nThe rising costs of care coupled with the increasing awareness of poor quality care have made clear the need for a transformation in the way health care is financed. Current Medicare payment policy values service delivery without regard to quality or need.  The Medicare system rewards physicians for providing care even when it is not needed. We recognize the importance of primary care and care coordinated through the use of unitary electronic medical records, but these expectations and values are at odds with the current reimbursement system and the distribution of payments throughout the country.    \n\nSustainable Growth Rate\n\nMedicares SGR mechanism unfairly links physician payment updates to factors unrelated to patients needs and the cost of providing patient care. For years the Marshfield Clinic has watched Medicare physician payments atrophy in proportion to the cost of providing Medicare Services. In 2010 the Clinic recovered only 52.45% of the Medicare Allowable Costs of serving Medicare patients. In 2009 the Clinic lost 49.6 cents on each dollar of care provided.  As payments have deteriorated in both the Medicare and Medicaid sector, the Clinic has documented increasing patient counts as other physicians and providers in the communities that we serve turn patients away.  The difficulty of correctly updating physician fees is complicated by problems with the fee schedule regarding resource use, compensation for care coordination, and volume growth that point to Mispricing related to the value of physician services; inaccuracy of practice expense (overhead) calculations; and increasing variation in the volumes of services provided in different regions of the country.  Uncertainty about the Medicare/Medicaid revenue stream complicates Clinic efforts to provide services where they are needed.  Stability, adequacy, and predictability in payment should be the highest priority for Congress to assure high quality efficient care for all patients, but especially for the 20% of the population that is chronically ill and responsible for 75% of Medicare spending.\n\nMedicare Payment Inequities\n\nIn 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?\n\nMedicare Payment Inequities\n\nIn 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\n\nThere 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. \nPayment Fairness for Practice Costs\n\nThe formulas by which Medicares payments are calculated are widely variable throughout Medicare localities, and are based upon outdated data assumptions regarding the cost and organization of medical practice.  Medicares physician fee schedule, which specifies the amount that Medicare will pay for each physician service, includes adjustments that are ostensibly made to ensure that the fees paid reflect systematic and enduring variation in geographic practice-related costs. Currently, CMS uses the median hourly earnings of four occupational classes -- Clerical Workers, Registered Nurses, Licensed Practical Nurses, and Medical Technicians -- found in physician offices as proxy non-physician wage input cost measures. These proxy occupational classes, which were the most common employees in physician practices in the 1980s, are now only a subset of non-physician employees in physician practices.  The practice of medicine has changed substantially since the proxy measurement formulae were established. Recommendation: Congress should require CMS to administratively revise its measurement of cost of practice to assure the validity and fairness of payments.   \n\nMedicare Advantage \n\nThe Medicare Advantage program provides a capitated reimbursement to health plans for all Medicare benefits provided to enrolled beneficiaries. Corresponding mechanisms for rewarding value in the Medicare Advantage program should offer incentives for those plans that demonstrate superior patient care performance. Performance bonuses should be provided for plans that:\nAchieve predetermined quality performance targets;\nAdopt health information technology;\nMeet standards for care coordination; and\nProvide data on comparative effectiveness.\n\nMedical Simulation Training\n\nThe Accreditation Council on Graduate Medical Education (ACGME) Program Requirements for Resident Education in Internal Medicine has recommended that residency programs need to Provide residents with access to training using simulation.  The need for medical simulation is great; medical errors continue to kill approximately 98,000 people annually. Over the past decade, this amounts to almost a staggering one million accidental patient deaths. These errors cost the US approximately $17-$29 billion annually. Medical errors are highly preventable through the use of modeling and simulation in medical education. Simulation will enhance technical and communication skills of physicians and other medical providers in high fatality, low frequency skills, such as emergency cricothyroidotomy, and amniocentesis and physician re-entry skill verification, such as pelvic exam and central line placement. Simulation experiences also provide the opportunity to enhance team communication and patient to provider communication through the recreation of uncommon or stressful scenarios such as obtaining a sexual health history or abuse/neglect screening.  Marshfield Clinic will support legislation to initiate, maintain and grow medical simulation programs through the identification of simulation centers of excellence, advancement of simulation technologies, allocation of grant funds for institutions who train healthcare providers and call together key leaders to discuss the direction of medical simulation Accountable Care Organizations\n\nOne 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.  \n\nThe 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. New measures may be necessary for ACOs because the current measures reflect the limitations and incentives of the current FFS payment system. A focused set of measures would help assure Medicare that the ACO is doing its job and help assure beneficiaries that they are receiving high quality care. The ACO metrics could include population-based outcomes measures such as: Emergency room use, Potentially preventable admission rates, In-hospital mortality rates, and possibly patient safety measures, and Readmission rates. In addition to outcomes measures, CMS could also consider measuring patient experience with health care provided under the ACO and health status. There should be a focused set of measures tracking how well care is provided, rather than how many services are provided.\n\nCommunity Health Centers Under Health Reform\n\nThe Affordable Care Act included provisions relating to community health centers, including $11 billion in new funding for the community health center program.  While these are mandatory funding levels, it is possible that the Congress might cut the base funding levels for community health centers and the National Health Service Corp effectively diminishing the impact of the reform legislation.  As reform is rolled out there are key payment protections and improvements for community health centers.  For example, the Act requires that health centers receive no less than their Medicaid rate from private insurers offering plans through the new health insurance exchanges and it requires that these plans must contract with health centers.  Other provisions add preventive services to the federally qualified health center Medicare payment rate and eliminates the outdated Medicare payment cap on FQHC payments.  This will begin to modernize the health center Medicare payments to insure health centers are able to provide highest quality care to Medicare beneficiaries.  It is possible that these payment reforms may open up new avenues for enhanced Medicare reimbursement for Family Health Center/Marshfield Clinic patients.  Finally, the Act acknowledges the growing role of health centers in teaching the next generation of primary care providers by authorizing and funding new programs for health center -based residencies.  A new Title VII grant program for the development of residency programs at health centers is established along with a new Title III program that would provide payments to community-based entities that operate teaching programs.  \n\nDental Access and Integration with Traditional Medicine\nThe 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. (FHC) in partnership with Marshfield Clinic has been serving low-income, underinsured and uninsured individuals since March 1974. 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. Meaningful Use of Health Information Technology\nThe 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.  \n\nPersonalized Medicine\nPersonalized medicine is the concept that envisions an individually tailored approach to detecting, preventing, and treating disease based on a persons specific genetic profile. 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.\n \nMedicaid Block Grants\n\nOn April 15, the House approved Rep. Paul Ryans budget proposal for FY 2012, entitled \"The Path to Prosperity.  Ryan's proposal does not have the force of law but of special interest is Ryans proposal for Medicaid block grants which will come before the Energy and Commerce Committee.   Under the Ryan proposal, starting in 2013, the federal share of all Medicaid payments would be paid to the states as a block grant (indexed to CPI-U and population growth). Federal requirements would be reduced and states would have flexibility in designing their programs. Starting in 2022, the block grant would be reduced to exclude projected spending for acute care services or Medicare premiums and cost-sharing paid by Medicaid. \n\nPremium support\n\nOn April 15, the House approved Rep. Paul Ryans budget proposal for FY 2012, entitled \"The Path to Prosperity.  Ryan's budget does not have the force of law but tees up consideration of various reform proposals which may be considered later this year. With regard to health care, the Ryan plan calls for a major withdrawal of the federal government from the financing of health care.  One health provision of the proposal calls for conversion of the current Medicare  to a premium support program.  For people now 55 or younger, the traditional Medicare program  a defined benefit plan  would cease to exist and, starting in 2022, would be converted to a defined contribution program which has been described as a premium support program. \n\nCMS Physician Group Practice Demonstration     On September 27, 2002 the Centers for Medicare and Medicaid Services published a notice in the Federal Register informing interested parties of an opportunity to submit proposals for participation in the Medicare Physician Group Practice Demonstration (PGP) project to test a hybrid payment methodology that combines Medicare fee-for-service payments with a bonus pool derived from savings achieved by improvements in patient care management.  Marshfield Clinic submitted a proposal for this demonstration and was selected by CMS to participate in the demonstration program, effective April 1, 2005.  Marshfield Clinic supported CMS determination to extend this program, beyond its initial 3-year term, and transition these organizations into Accountable care Organizations. Section 1301 of the House bill HR 3962, the Affordable Health Care for America Act, and Section 3022 of the Senate bill HR 3590, the Patient Protections and Affordable Care Act.", "Centers For Medicare and Medicaid Services (CMS),Food & Drug Administration (FDA),Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,Medicare Payment Advisory Commission (MedPAC),SENATE", null, 120000, 0, 0, "2012-01-10T17:05:23-05:00"], [1183418, "16e31c91-73b5-4a38-b377-8c9586e5cd6e", "Q4", "JEWISH FEDERATION OF METROPOLITAN CHICAGO (JFMC)", 60390, "JEWISH FEDERATION OF METROPOLITAN CHICAGO (JFMC)", 2011, "fourth_quarter", "MMM", "Federal Medical Assistance Percentage Increase\nFunding for Medicare/Medicaid", "Centers For Medicare and Medicaid Services (CMS),Education, Dept of,Health & Human Services, Dept of (HHS),Homeland Security, Dept of (DHS),HOUSE OF REPRESENTATIVES,Housing & Urban Development, Dept of (HUD),Office of Management & Budget (OMB),SENATE,Social Security Administration (SSA),State, Dept of (DOS),White House Office", null, 57000, 0, 0, "2012-01-11T10:28:24-05:00"], [1183559, "e6e0ee4e-3c83-4d06-adad-63cbe3048958", "Q4", "BEN BARNES GROUP LP", 5415, "ST. JOSEPH'S MEDICAL CENTER", 2011, "fourth_quarter", "MMM", "Healthcare and physician-owned hospitals", "Health & Human Services, Dept of (HHS),SENATE", 37500, null, 0, 0, "2012-01-11T13:06:22-05:00"], [1183664, "46d7b187-a427-44d5-8b15-8b01393c8be5", "Q4", "RYAN MACKINNON VASAPOLI AND BERZOK, LLP", 30187, "GENENTECH", 2011, "fourth_quarter", "MMM", "Implementation of H.R. 1; Medicare Prescription Drug and Modernization Act of 2003; Issues relating to PDUFA, stimulus. Issues relating to comparative effectiveness and CMS coverage of FDA approved therapies. Issues related to the PPS rule involving stroke guidelines. Proposals to reduce Medicare payment for Part B biologics.", "Executive Office of the President (EOP),Food & Drug Administration (FDA),Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE", 60000, null, 0, 0, "2012-01-11T14:57:07-05:00"], [1183684, "22a047f6-5d58-4c5d-a630-f7102e1c3d1b", "Q4", "RYAN MACKINNON VASAPOLI AND BERZOK, LLP", 30187, "NOVO NORDISK", 2011, "fourth_quarter", "MMM", "Medicare Diabetes Screening; H.R. 2741, Preventing Diabetes in Medicare Act of 2011 and Prediabetes generally; Issues related to Medicaid rebates and similar revenue provisions as contained in P.L. 112-25, Budget Control Act of 2011, P.L. 111-148, Patient Protection and Affordable Care Act of 2009 (ACA) and P.L. 111-152, The Health Care & Education Affordability Reconciliation Act of 2010: issues related to the 340B program, CMS Proposed Coverage Decision Memorandum for Intensive Behavioral Therapy  for Obesity.", "Centers For Disease Control & Prevention (CDC),Centers For Medicare and Medicaid Services (CMS),Executive Office of the President (EOP),Food & Drug Administration (FDA),Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,Labor, Dept of (DOL),Natl Institutes of Health (NIH),SENATE", 30000, null, 0, 0, "2012-01-11T15:10:19-05:00"], [1183800, "e80dce67-4696-492d-ac41-c7abdc6f3a35", "Q4", "MEHLMAN CONSULTING, INC.", 284950, "MEDICARE COST CONTRACTORS ALLIANCE", 2011, "fourth_quarter", "MMM", "Preservation of Medicare Cost Contract Programs.\nH.R. 2770 and S. 1497, The Medicare Cost Contract Extension Act of 2011; Budget Control Act of 2011 (PL 112-25) implementation.      H.R. 3636, Temporary Payroll Tax Cut Continuation Act of 2011\nH.R. 3765, Temporary Payroll Tax Cut Continuation Act of 2011 (Became PL 112-78 on 12/23/11)", "HOUSE OF REPRESENTATIVES,SENATE", 50000, null, 0, 0, "2012-01-11T16:39:02-05:00"], [1183848, "56cf1517-f0ef-45c6-af69-c5c21c1e809a", "Q4", "MEHLMAN CONSULTING, INC.", 284950, "AMERICAN OSTEOPATHIC ASSOCIATION", 2011, "fourth_quarter", "MMM", "Physician payment; Graduate Medical Education; Health Care Quality, Patient Access to Health Care;   Physician Workforce;   Medicare Physician Payment Issues;    Independent Payment Advisory Board;   Budget Control Act of 2011 (Became PL 112-25 on August 2, 2011) implementation;   H.R. 3630, Temporary Payroll Tax Cut Continuation Act of 2011;   H.R. 3765, Temporary Payroll Tax Cut Continuation Act of 2011 (Became PL 112-78 on 12/23/11)", "Executive Office of the President (EOP),HOUSE OF REPRESENTATIVES,SENATE", 50000, null, 0, 0, "2012-01-11T17:03:15-05:00"], [1183857, "2b4480a2-9b0f-4708-b0ff-8aa6c48219e5", "Q4", "MEHLMAN CONSULTING, INC.", 284950, "AMERICAN SOCIETY FOR RADIATION ONCOLOGY", 2011, "fourth_quarter", "MMM", "Medicare reimbursement for physicians, patient safety, quality improvement.    \nMedicare fraud and abuse.\nIn-office ancillary services exception to Stark law.\nSEE CONTINUATION PAGE. Implementation of Budget Control Act of 2011 (Became PL 112-25 on 8-2-11).\nH.R. 3630, Temporary Payroll Tax Cut Continuation Act of 2011.\nH.R. 3765, Temporary Payroll Tax Cut Continuation Act of 2011 (Became PL 112-78 on 12-23-11)", "HOUSE OF REPRESENTATIVES,SENATE", 50000, null, 0, 0, "2012-01-11T17:19:22-05:00"], [1183911, "8cb0eb4b-9215-49c3-ab11-f1cff214ac67", "Q4", "NEW JERSEY HOSPITAL ASSOCIATION", 29128, "NEW JERSEY HOSPITAL ASSOCIATION", 2011, "fourth_quarter", "MMM", "Deficit Reduction/Super Committee: While the bipartisan super committee was charged with crafting a plan to reduce the national deficit by at least $1.2 trillion by Nov. 23, NJHA urged Congress to oppose any further reductions to NJ's acute and post \nacute providers. These reductions would endanger access to care and jeopardize jobs in an already struggling economy. \nThe committee's failure to reach an agreement means automatic spending cuts totaling $1.2 trillion effective January 2013, including a 2% reduction in Medicare payments to hospitals and other providers over nine years (2013 to 2021).\nFor New Jersey, the automatic Medicare cuts would total $130 million in 2013 and nearly $1.3 billion by 2021, on top of $4.5 billion in cuts under the Affordable Care Act (ACA).\n\nMedicare: NJHA supported eliminating the scheduled reduction of 27.4 percent in Medicare payments to physicians set to begin on Jan. 1, but not by reducing payments to hospitals.  Expressed opposition to efforts that cut payments to providers to pay for a patch to the sustainable growth rate (SGR) adjustment for physicians. \n\nSupport Congressional letter to the Chairmen and Ranking Members of the House Committee on Ways & Means and the House Committee on Energy & Commerce asking them to reject proposals that would inappropriately reduce payments for rehabilitation hospitals and units.\n\nNJHA opposed provisions  in H.R. 3630, the Middle Class Tax Relief and Job Creation Act of 2011 , which would of cut more than $17 billion in hospital funding as part of a year-end tax and unemployment package that included a two-year fix for physician payment under Medicare.  \n\nNJHA supported efforts to extend the following provisions: Section 508 of MMA, exceptions process for Medicare therapy caps, physician fee schedule, outpatient hold harmless payments, mental health add-on payments; and Medicare work geographic adjustment floor, and temporary assistance for needy families program. \n\nSupport introduction of S. 1900, The Urban, Medicare-Dependent Hospitals (UMDH) Preservation Act of 2011. Companion bill in the House is H.R. 1656.\n\nSupport H.R. 2500/S. 3708, legislation that clarifies that electronic health records incentive payments under Medicare and Medicaid should go to each campus of a multi-campus hospital system.", "HOUSE OF REPRESENTATIVES,SENATE", null, 80000, 0, 0, "2012-01-11T22:27:52-05:00"], [1183952, "8b71f8d3-47d0-42ab-b883-154b05477886", "Q4", "LIBERTY PARTNERS GROUP, LLC", 400275281, "21ST CENTURY ONCOLOGY, INC.", 2011, "fourth_quarter", "MMM", "Medicare physician payment and policy issues relating to radiation therapy.", "HOUSE OF REPRESENTATIVES,SENATE", 60000, null, 0, 0, "2012-01-12T09:33:21-05:00"], [1183954, "92fcad2b-c630-4590-9369-1c78bc45e191", "Q4", "LIBERTY PARTNERS GROUP, LLC", 400275281, "AMERICAN COLLEGE OF RADIATION ONCOLOGY", 2011, "fourth_quarter", "MMM", "Medicare physicians payment and policy issues relating to radiation therapy.", "HOUSE OF REPRESENTATIVES,SENATE", 30000, null, 0, 0, "2012-01-12T09:35:22-05:00"], [1183960, "f282d1c7-33e7-4139-88f3-14e203ca9de6", "Q4", "LIBERTY PARTNERS GROUP, LLC", 400275281, "DAVITA, INC.", 2011, "fourth_quarter", "MMM", "End-stage renal disease reimbursement and policy, including issues relating to state-based helath insurance exchanges and patient protections for patients under the Affordable Care Act.", "HOUSE OF REPRESENTATIVES,SENATE", 20000, null, 0, 0, "2012-01-12T09:39:26-05:00"], [1183966, "1ff2b562-661e-4c10-942f-4dad4961fcd2", "Q4", "LIBERTY PARTNERS GROUP, LLC", 400275281, "PARTNERSHIP FOR QUALITY HOME HEALTHCARE", 2011, "fourth_quarter", "MMM", "Budget Control Act of 2011; Home health policy and reimbursement", "Centers For Medicare and Medicaid Services (CMS),Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE", 90000, null, 0, 0, "2012-01-12T09:44:28-05:00"], [1183967, "c1a8e018-ece2-45d7-bb5b-5416c6fc255d", "Q4", "LIBERTY PARTNERS GROUP, LLC", 400275281, "RADIATION THERAPY ALLIANCE INC", 2011, "fourth_quarter", "MMM", "Medicare physician payment and policy issues relating to radiation therapy", "Centers For Medicare and Medicaid Services (CMS),HOUSE OF REPRESENTATIVES,SENATE", 80000, null, 0, 0, "2012-01-12T09:45:29-05:00"], [1183968, "f99273f0-6e96-4769-ae2a-01348654a82c", "Q4", "LIBERTY PARTNERS GROUP, LLC", 400275281, "MCKESSON CORPORATION AND ITS AFFILIATE U.S. ONCOLOGY (FORMERLY US ONCOLOGY)", 2011, "fourth_quarter", "MMM", "Medicare physician payment and policy issues relating to oncology, including average sales price reimbursement for drugs and biologicals under Medicare.", "HOUSE OF REPRESENTATIVES,SENATE", 20000, null, 0, 0, "2012-01-12T09:47:30-05:00"], [1183969, "a07d8cf8-50eb-40d0-83c5-d020f612cd05", "Q4", "LIBERTY PARTNERS GROUP, LLC", 400275281, "VARIAN MEDICAL SYSTEMS", 2011, "fourth_quarter", "MMM", "Legislative and regulatory matters related to reimbursement for radiation oncology treatment", "HOUSE OF REPRESENTATIVES,SENATE", null, null, 0, 0, "2012-01-12T09:49:30-05:00"], [1183971, "ebed1a21-18e0-471b-bfce-b12442081575", "Q4", "CAPITAL STRATEGIES, INC.", 297556, "21ST CENTURY ONCOLOGY", 2011, "fourth_quarter", "MMM", "Medicare reimbursement", "Centers For Medicare and Medicaid Services (CMS),HOUSE OF REPRESENTATIVES,SENATE", 60000, null, 0, 0, "2012-01-12T09:53:31-05:00"], [1183975, "7d58293a-f1f1-47bd-930f-843f5e0138e5", "Q4", "C.A.R. CONSULTING SERVICES", 400715150, "PARTNERSHIP FOR QUALITY HOME HEALTHCARE", 2011, "fourth_quarter", "MMM", "Home health policy and reimbursement", "Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE", 125000, null, 0, 0, "2012-01-12T09:55:34-05:00"], [1184061, "eae468b2-f072-4e81-838f-ea3983814938", "Q4", "THEODOSIOU CONSULTANTS", 54621, "CONTOURMED", 2011, "fourth_quarter", "MMM", "S. 1217\nH.R. 2233\n\nThe Breast CancerPatient Equity Act of 2011", "HOUSE OF REPRESENTATIVES,SENATE", 30000, null, 0, 0, "2012-01-12T11:30:20-05:00"], [1184070, "0c294f46-3ee9-4b55-8f8c-e1b889216b6e", "Q4", "MCGUIREWOODS CONSULTING (A SUBSIDIARY OF MCGUIREWOODS LLP)", 24486, "BLUE CROSS BLUE SHEILD", 2011, "fourth_quarter", "MMM", "Medicare Advantage", "HOUSE OF REPRESENTATIVES,SENATE", 30000, null, 0, 0, "2012-01-12T11:39:24-05:00"], [1184082, "02bf801b-2328-455f-b5e2-eb89031f2699", "Q4", "THEODOSIOU CONSULTANTS", 54621, "THEODOSIOU CONSULTANTS", 2011, "fourth_quarter", "MMM", "S.1217\nH.R. 2233\nThe Breast Cancer Patient Equity Act (SGR)\nThe Sustainable Growth Rate", "HOUSE OF REPRESENTATIVES,SENATE", null, 105000, 0, 0, "2012-01-12T11:43:23-05:00"], [1184146, "509c8c26-e359-4842-ba6a-0a69707f0281", "Q4", "CAPITOL HILL CONSULTING GROUP", 72053, "COMMITTEE TO SAVE INDEPENDENT HME SUPPLIERS, LLC", 2011, "fourth_quarter", "MMM", "Durable medical supplies issues including payment reform; oxgyen supplies and competitive bidding", "HOUSE OF REPRESENTATIVES,SENATE", 30000, null, 0, 0, "2012-01-12T12:19:47-05:00"], [1184186, "79cb9aa5-7801-4c70-ba26-b0da301ce18b", "Q4", "KADESH & ASSOCIATES, LLC", 40011081, "GENENTECH INC", 2011, "fourth_quarter", "MMM", "Medicare Issues", "HOUSE OF REPRESENTATIVES,SENATE", 30000, null, 0, 0, "2012-01-12T12:36:03-05:00"], [1184226, "b6348da8-613c-464e-a0dc-6f2af74c653a", "Q4", "MEHLMAN CONSULTING, INC.", 284950, "HARDEN HEALTHCARE, LLC", 2011, "fourth_quarter", "MMM", "Medicare and Medicaid reimbursement cost-sharing issues affecting providers of long-term care, home health care, and hospice services.\nAccountable care organizations, fraud and abuse.\nBudget Control Act of 2011 (Became PL 112-25 on August 2, 2011) -- Implementation -- SEE CONTINUATION PAGE H.R. 3630, Temporary Payroll Tax Cut Continuation Act of 2011\n\nH.R. 3765, Temporary Payroll Tax Cut Continuation Act of 2011 (Became PL 112-78 on 12/23/11)", "Health & Human Services, Dept of (HHS),HOUSE OF REPRESENTATIVES,SENATE", 50000, null, 0, 0, "2012-01-12T12:57:20-05:00"], [1184239, "fc522e6d-e067-4050-853f-04d5ae144a9e", "Q4", "CAPITOL HILL CONSULTING GROUP", 72053, "SCAN HEALTHPLAN", 2011, "fourth_quarter", "MMM", "Special Needs Plans and Medicare Advantage Plans issues; CMS payment issues; health care reform legislation and regulations", "Centers For Medicare and Medicaid Services (CMS),HOUSE OF REPRESENTATIVES,SENATE", 30000, null, 0, 0, "2012-01-12T13:05:28-05:00"]], "truncated": false, "filtered_table_rows_count": 1232, "expanded_columns": [], "expandable_columns": [[{"column": "filing_uuid", "other_table": "lobbying_filings_raw", "other_column": "filing_uuid"}, "registrant_name"]], "columns": ["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"], "primary_keys": ["id"], "units": {}, "query": {"sql": "select 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 from lobbying_activities where \"filing_period\" = :p0 and \"filing_year\" = :p1 and \"issue_code\" = :p2 order by filing_year desc limit 101", "params": {"p0": "fourth_quarter", "p1": "2011", "p2": "MMM"}}, "facet_results": {"issue_code": {"name": "issue_code", "type": "column", "hideable": false, "toggle_url": "/lobbying/lobbying_activities.json?filing_period=fourth_quarter&filing_year=2011&issue_code=MMM", "results": [{"value": "MMM", "label": "MMM", "count": 1232, "toggle_url": "https://www.pawtectors.org/lobbying/lobbying_activities.json?filing_period=fourth_quarter&filing_year=2011", "selected": true}], "truncated": false}, "filing_year": {"name": "filing_year", "type": "column", "hideable": false, "toggle_url": "/lobbying/lobbying_activities.json?filing_period=fourth_quarter&filing_year=2011&issue_code=MMM", "results": [{"value": 2011, "label": 2011, "count": 1232, "toggle_url": "https://www.pawtectors.org/lobbying/lobbying_activities.json?filing_period=fourth_quarter&issue_code=MMM", "selected": true}], "truncated": false}, "filing_period": {"name": "filing_period", "type": "column", "hideable": false, "toggle_url": "/lobbying/lobbying_activities.json?filing_period=fourth_quarter&filing_year=2011&issue_code=MMM", "results": [{"value": "fourth_quarter", "label": "fourth_quarter", "count": 1232, "toggle_url": "https://www.pawtectors.org/lobbying/lobbying_activities.json?filing_year=2011&issue_code=MMM", "selected": true}], "truncated": false}}, "suggested_facets": [{"name": "filing_type", "toggle_url": "https://www.pawtectors.org/lobbying/lobbying_activities.json?filing_period=fourth_quarter&filing_year=2011&issue_code=MMM&_facet=filing_type"}, {"name": "is_termination", "toggle_url": "https://www.pawtectors.org/lobbying/lobbying_activities.json?filing_period=fourth_quarter&filing_year=2011&issue_code=MMM&_facet=is_termination"}, {"name": "received_date", "type": "date", "toggle_url": "https://www.pawtectors.org/lobbying/lobbying_activities.json?filing_period=fourth_quarter&filing_year=2011&issue_code=MMM&_facet_date=received_date"}], "next": "2011,1184239", "next_url": "https://www.pawtectors.org/lobbying/lobbying_activities.json?filing_period=fourth_quarter&filing_year=2011&issue_code=MMM&_next=2011%2C1184239&_sort_desc=filing_year", "private": false, "allow_execute_sql": true, "query_ms": 2201.5614609699696, "source": "Federal Register API & Regulations.gov API", "source_url": "https://www.federalregister.gov/developers/api/v1", "license": "Public Domain (U.S. Government data)", "license_url": "https://www.regulations.gov/faq"}