Comprehensive Care Payment Innovation Act of 2015

Site neutral payment issues; implementation of the Continuing Care Hospital; medical necessity to post-acute care reform; implementation of IMPACT Act of 2014 (P.L. 113-185); Protecting Integrity in Medicare Act of 2014 (H.R. 5780); draft Hospital Improvements for Payment Act of 2014; SGR and H.R. 2, Medicare Access and CHIP Reauthorization Act of 2015; H.R. 775/S. 539 , Medicare Access to Rehabilitation Services Act of 2015; Comprehensive Care for Joint Replacement (CCJR) Model Proposed Rule; Comprehensive Care Payment Innovation Act (H.R. 2502); Medicare Post-Acute Care Value-Based Purchasing Act (H.R. 3298); managed care related issues; AFIRM Act (S. 2368).

Client expense: Not reported · Firm income: $160,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE, White House Office

Site neutral payment issues; implementation of the Continuing Care Hospital; medical necessity to post-acute care reform; implementation of IMPACT Act of 2014 (P.L. 113-185); draft Hospital Improvements for Payment Act of 2014; H.R. 2, Medicare Access and CHIP Reauthorization Act of 2015; H.R. 775/S. 539 , Medicare Access to Rehabilitation Services Act of 2015; Comprehensive Care for Joint Replacement (CCJR) Model Proposed Rule; Comprehensive Care Payment Innovation Act (H.R. 2502); Medicare Post-Acute Care Value-Based Purchasing Act (H.R. 3298); managed care related issues; AFIRM Act (S. 2368).

Client expense: Not reported · Firm income: $160,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE, White House Office

2011 Budget Control Act -- Sequestration 21st Century Cures Initiative Appropriations Biosimilars Bipartisan Budget Act of 2015 hospital outpatient department site-neutral policy Chronic care Comprehensive Care Payment Innovation Act H.R. 2502 Consolidation of hospital pay for performance programs Critical Access Hospital Value�Based Purchasing Program E&M Site Neutral Establishing Beneficiary Equity in the Hospital Readmission Program Act of 2015 H.R.1343 Flexibility in Health IT Act of 2014 GPO safe harbor Health Information technology Helping Hospitals Improve Patient Care Act of 2016 H.R. 5273 Hospital Drug Shortages and pharmaceutical price spikes Hospital Payment Improvements Act of 2015 Hospital readmissions reduction program IMPACT Act of 2014 Implementation of Health Reform (PPACA) Implementation of the Medicare Access and CHIP Reauthorization Act (MACRA) Improving Health Information Technology Act, S. 2511 Increasing Competition in Pharmaceuticals Act, S. 2615 Issues Related to the Medicare & Medicaid Protection Act of 1987 that Regulate Group Purchasing Organizations Under HHS Medicare Accountable Care Organizations Medicare Data Access Medicare Delivery System Reform Medicare DSH Medicare hospital quality improvement program Medicare Physician Payment Reform Physician self-referral Rural Community Hospital Demonstration Extension Act S. 607 Telemedicine The Health Information Technology for Economic and Clinical Health Act (HITECH), Regarding Implementation of Act Trust IT Act of 2015 Veterans Access, Choice, and Accountability Act of 2016

Client expense: $260,000 · Firm income: Not reported

Site neutral payment issues; implementation of the Continuing Care Hospital; medical necessity to post-acute care reform; implementation of IMPACT Act of 2014 (P.L. 113-185); Protecting Integrity in Medicare Act of 2014 (H.R. 5780); draft Hospital Improvements for Payment Act of 2014; SGR and H.R. 2, Medicare Access and CHIP Reauthorization Act of 2015; H.R. 775/S. 539 , Medicare Access to Rehabilitation Services Act of 2015; Comprehensive Care for Joint Replacement (CCJR) Model Proposed Rule; Comprehensive Care Payment Innovation Act (H.R. 2502); Medicare Post-Acute Care Value-Based Purchasing Act (H.R. 3298); managed care related issues; AFIRM Act (S. 2368).

Client expense: Not reported · Firm income: $190,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE, White House Office

Site neutral payment issues; implementation of the Continuing Care Hospital; medical necessity to post-acute care reform; implementation of IMPACT Act of 2014 (P.L. 113-185); draft Hospital Improvements for Payment Act of 2014; H.R. 2, Medicare Access and CHIP Reauthorization Act of 2015; H.R. 775/S. 539 , Medicare Access to Rehabilitation Services Act of 2015; Comprehensive Care for Joint Replacement (CCJR) Model Proposed Rule; Comprehensive Care Payment Innovation Act (H.R. 2502); Medicare Post-Acute Care Value-Based Purchasing Act (H.R. 3298); managed care related issues; AFIRM Act (S. 2368).

Client expense: Not reported · Firm income: $190,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE, White House Office

GPO safe harbor Chronic care Critical Access Hospital Value�Based Purchasing Program Consolidation of hospital pay for performance programs Layered payment model demonstration Appropriations Implementation of Health Reform (PPACA) The Health Information Technology for Economic and Clinical Health Act (HITECH), Regarding Implementation of Act Issues Related to the Medicare & Medicaid Protection Act of 1987 that Regulate Group Purchasing Organizations Under HHS Medicare Delivery System Reform 2011 Budget Control Act -- Sequestration Implementation of the Medicare Access and CHIP Reauthorization Act (MACRA) Medicare Physician Payment Reform Observation Status "Two-Midnight" Rule Medicare DSH Medicare Data Access E&M Site Neutral Bipartisan Budget Act of 2015 hospital outpatient department site-neutral policy IMPACT Act of 2014 Medicare hospital quality improvement program Hospital readmissions reduction program Telemedicine Veterans Access, Choice, and Accountability Act of 2016 Comprehensive Care Payment Innovation Act H.R. 2502 Flexibility in Health IT Act of 2014 Hospital Payment Improvements Act of 2015 21st Century Cures Initiative Biosimilars Hospital Drug Shortages and pharmaceutical price spikes H.R. 1458: the Bundling and Coordinating Post-Acute Care (BACPAC) Act Medicare Accountable Care Organizations Health Information technology Trust IT Act of 2015

Client expense: $410,000 · Firm income: Not reported

Site neutral payment issues; implementation of the Continuing Care Hospital; medical necessity to post-acute care reform; implementation of IMPACT Act of 2014 (P.L. 113-185); Protecting Integrity in Medicare Act of 2014 (H.R. 5780); draft Hospital Improvements for Payment Act of 2014; H.R. 2, Medicare Access and CHIP Reauthorization Act of 2015; H.R. 775/S. 539 , Medicare Access to Rehabilitation Services Act of 2015; Comprehensive Care for Joint Replacement (CCJR) Model Proposed Rule; Comprehensive Care Payment Innovation Act (H.R. 2502); Medicare Post-Acute Care Value-Based Purchasing Act (H.R. 3298); managed care related issues.

Client expense: Not reported · Firm income: $150,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE, White House Office

Site neutral payment issues; implementation of the Continuing Care Hospital; medical necessity to post-acute care reform; implementation of IMPACT Act of 2014 (P.L. 113-185); Protecting Integrity in Medicare Act of 2014 (H.R. 5780); draft Hospital Improvements for Payment Act of 2014; SGR and H.R. 2, Medicare Access and CHIP Reauthorization Act of 2015; H.R. 775/S. 539 , Medicare Access to Rehabilitation Services Act of 2015; Comprehensive Care for Joint Replacement (CCJR) Model Proposed Rule; Comprehensive Care Payment Innovation Act (H.R. 2502); Medicare Post-Acute Care Value-Based Purchasing Act (H.R. 3298); managed care related issues.

Client expense: Not reported · Firm income: $150,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE, White House Office

GPO safe harbor Chronic care Appropriations: Baldrige Performance Excellence Program, AHRQ, CMMI, PCORI Implementation of Health Reform (PPACA) The Health Information Technology for Economic and Clinical Health Act (HITECH), Regarding Implementation of Act Issues Related to the Medicare & Medicaid Protection Act of 1987 that Regulate Group Purchasing Organizations Under HHS Medicare Delivery System Reform 2011 Budget Control Act -- Sequestration Medicare Physician Payment Reform Observation Status "Two-Midnight" Rule Medicare DSH Medicare Data Access E&M Site Neutral IMPACT Act of 2014 Medicare hospital quality improvement program Hospital readmissions reduction program CHIP Reauthorization (HR 5364 and S2461) Protecting the integrity of Medicare Act (Medicare/Medicaid waste, fraud and abuse) Telemedicine Veterans Access, Choice, and Accountability Act of 2016 Comprehensive Care Payment Innovation Act H.R. 2502 Flexibility in Health IT Act of 2014 Hospital Payment Improvements Act of 2015 21st Century Cures Initiative Biosimilars Hospital Drug Shortages and pharmaceutical price spikes H.R. 1458: the Bundling and Coordinating Post-Acute Care (BACPAC) Act Accountable Care Organizations Health Information technology Trust IT Act of 2015

Client expense: $350,000 · Firm income: Not reported

GPO safe harbor Chronic care Appropriations: Baldrige Performance Excellence Program, AHRQ, CMMI, PCORI Implementation of Health Reform (PPACA) The Health Information Technology for Economic and Clinical Health Act (HITECH), Regarding Implementation of Act Issues Related to the Medicare & Medicaid Protection Act of 1987 that Regulate Group Purchasing Organizations Under HHS Medicare Delivery System Reform 2011 Budget Control Act -- Sequestration Medicare Physician Payment Reform Observation Status "Two-Midnight" Rule Medicare DSH Medicare Data Access E&M Site Neutral IMPACT Act of 2014 Medicare hospital quality improvement program Hospital readmissions reduction program CHIP Reauthorization (HR 5364 and S2461) Protecting the integrity of Medicare Act (Medicare/Medicaid waste, fraud and abuse) Telemedicine Veterans Access, Choice, and Accountability Act of 2016 Comprehensive Care Payment Innovation Act H.R. 2502 Flexibility in Health IT Act of 2014 Hospital Payment Improvements Act of 2015 21st Century Cures Initiative Biosimilars Hospital Drug Shortages and pharmaceutical price spikes H.R. 1458: the Bundling and Coordinating Post-Acute Care (BACPAC) Act Accountable Care Organizations Health Information technology Trust IT Act of 2015

Client expense: $290,000 · Firm income: Not reported

GPO safe harbor Chronic care Appropriations: Baldrige Performance Excellence Program, AHRQ, CMMI, PCORI Implementation of Health Reform (PPACA) The Health Information Technology for Economic and Clinical Health Act (HITECH), Regarding Implementation of Act Issues Related to the Medicare & Medicaid Protection Act of 1987 that Regulate Group Purchasing Organizations Under HHS Medicare Delivery System Reform 2011 Budget Control Act -- Sequestration Medicare Physician Payment Reform Observation Status "Two-Midnight" Rule Medicare DSH Medicare Data Access E&M Site Neutral IMPACT Act of 2014 Medicare hospital quality improvement program Hospital readmissions reduction program CHIP Reauthorization (HR 5364 and S2461) Protecting the integrity of Medicare Act (Medicare/Medicaid waste, fraud and abuse) Telemedicine Veterans Access, Choice, and Accountability Act of 2016 Comprehensive Care Payment Innovation Act H.R. 2502 Flexibility in Health IT Act of 2014 Hospital Payment Improvements Act of 2014 21st Century Cures Initiative Biosimilars Hospital Drug Shortages H.R. 1458: the Bundling and Coordinating Post-Acute Care (BACPAC) Act

Client expense: $330,000 · Firm income: Not reported

Site neutral payment issues; implementation of the Continuing Care Hospital; medical necessity to post-acute care reform; H.R. 2994/S. 2553, IMPACT Act of 2014 (P.L. 113-185); Protecting Integrity in Medicare Act of 2014 (H.R. 5780); draft Hospital Improvements for Payment Act of 2014; H.R. 2, Medicare Access and CHIP Reauthorization Act of 2015; H.R. 775/S. 539 , Medicare Access to Rehabilitation Services Act of 2015; Comprehensive Care for Joint Replacement (CCJR) Model Proposed Rule; Comprehensive Care Payment Innovation Act (H.R. 2502); Medicare Post-Acute Care Value-Based Purchasing Act (H.R. 3298)

Client expense: Not reported · Firm income: $150,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE, White House Office

Site neutral payment issues; implementation of the Continuing Care Hospital; medical necessity to post-acute care reform; H.R. 2994/S. 2553, IMPACT Act of 2014 (P.L. 113-185); Protecting Integrity in Medicare Act of 2014 (H.R. 5780); draft Hospital Improvements for Payment Act of 2014; SGR and H.R. 2, Medicare Access and CHIP Reauthorization Act of 2015; H.R. 775/S. 539 , Medicare Access to Rehabilitation Services Act of 2015; Comprehensive Care for Joint Replacement (CCJR) Model Proposed Rule; Comprehensive Care Payment Innovation Act (H.R. 2502); Medicare Post-Acute Care Value-Based Purchasing Act (H.R. 3298)

Client expense: Not reported · Firm income: $150,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE, White House Office

GPO safe harbor Chronic care Appropriations: Baldrige Performance Excellence Program, AHRQ, CMMI, PCORI Implementation of Health Reform (PPACA) The Health Information Technology for Economic and Clinical Health Act (HITECH), Regarding Implementation of Act Issues Related to the Medicare & Medicaid Protection Act of 1987 that Regulate Group Purchasing Organizations Under HHS Medicare Delivery System Reform 2011 Budget Control Act -- Sequestration Medicare Physician Payment Reform Observation Status "Two-Midnight" Rule Medicare DSH Medicare Data Access E&M Site Neutral IMPACT Act of 2014 Medicare hospital quality improvement program Hospital readmissions reduction program CHIP Reauthorization (HR 5364 and S2461) Protecting the integrity of Medicare Act (Medicare/Medicaid waste, fraud and abuse) Telemedicine Veterans Access, Choice, and Accountability Act of 2016 Comprehensive Care Payment Innovation Act H.R. 2502 Flexibility in Health IT Act of 2014 Hospital Payment Improvements Act of 2015 21st Century Cures Initiative Biosimilars Hospital Drug Shortages and pharmaceutical price spikes H.R. 1458: the Bundling and Coordinating Post-Acute Care (BACPAC) Act Accountable Care Organizations Health Information technology Trust IT Act of 2015

Client expense: $128,997 · Firm income: Not reported

Site neutral payment issues; implementation of the Continuing Care Hospital; medical necessity to post-acute care reform; H.R. 2994/S. 2553, IMPACT Act of 2014 (P.L. 113-185); Protecting Integrity in Medicare Act of 2014 (H.R. 5780); draft Hospital Improvements for Payment Act of 2014; SGR and H.R. 2, Medicare Access and CHIP Reauthorization Act of 2015; H.R. 775/S. 539 , Medicare Access to Rehabilitation Services Act of 2015; Comprehensive Care for Joint Replacement (CCJR) Model Proposed Rule; Comprehensive Care Payment Innovation Act (H.R. 2502); Medicare Post-Acute Care Value-Based Purchasing Act (H.R. 3298)

Client expense: Not reported · Firm income: $150,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE, White House Office

Site neutral payment issues; implementation of the Continuing Care Hospital; medical necessity to post-acute care reform; H.R. 2994/S. 2553, IMPACT Act of 2014 (P.L. 113-185); Protecting Integrity in Medicare Act of 2014 (H.R. 5780); draft Hospital Improvements for Payment Act of 2014; H.R. 2, Medicare Access and CHIP Reauthorization Act of 2015; H.R. 775/S. 539 , Medicare Access to Rehabilitation Services Act of 2015; Comprehensive Care for Joint Replacement (CCJR) Model Proposed Rule; Comprehensive Care Payment Innovation Act (H.R. 2502); Medicare Post-Acute Care Value-Based Purchasing Act (H.R. 3298)

Client expense: Not reported · Firm income: $150,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE, White House Office

H.R. 1021, Protecting the Integrity of Medicare Act of 2015, all provisions H.R. 1190, Protecting Seniors' Access to Medicare Act of 2015, all provisions S. 141, Protecting Seniors' Access to Medicare Act of 2015, all provisions S. 843, Improving Access to Medicare Coverage Act of 2015, all provisions H.R. 2102, Medicare Diabetes Prevention Act of 2015, all provisions S. 1131, Medicare Diabetes Prevention Act of 2015, all provisions H.R. 976, Patient Access to Higher Quality Health Care Act of 2015, all provisions H.R. 2513, Promoting Access, Competition, and Equity Act of 2015 (PACE Act), all provisions S. 488, A bill to amend title XVIII of the Social Security Act to allow physician assistants, nurse practitioners, and clinical nurse specialists to supervise cardiac, intensive cardiac, and pulmonary rehabilitation programs, all provisions H.R. 1936, Improving the Integrity of Disability Evidence Act, all provisions H.R. 2519, Audiology Patient Choice Act of 2015, all provisions H.R. 3081, TELEmedicine for MEDicare Act of 2015 (TELE-MED Act of 2015), all provisions H.R. 2568, Fair Medical Audits Act of 2015, all provisions H.R. 3309, Further Flexibility in HIT Reporting and Advancing Interoperability Act (Flex-IT 2 Act), all provisions H.R. 270, Flexibility in Health IT Reporting (Flex-IT) Act of 2015, all provisions H.R. 3100, Medical Practice Freedom Act of 2015, all provisions H.R. 6, 21st Century Cures Act, all provisions H.R. 2502, Comprehensive Care Payment Innovation Act of 2015, all provisions H.R. 592, Pharmacy and Medically Underserved Areas Enhancement Act, all provisions H.R. 3220, Medicare Common Access Card Act of 2015, all provisions H.R. 1117, Creating Access to Residency Education Act of 2015, all provisions S. 1148, Resident Physician Shortage Reduction Act of 2015, all provisions H.R. 2, Medicare Access and CHIP Reauthorization Act of 2015, all provisions H.R. 1470, SGR Repeal and Medicare Provider Payment Modernization Act of 2015, provisions relating to physician payment and delivery reform S. 810, SGR Repeal and Medicare Provider Payment Modernization Act of 2015, provisions relating to physician payment and delivery reform H.R. 1295, Trade Preferences Extension Act of 2015, provisions relating to Medicare sequester H.R. 2146, Defending Public Safety Employees' Retirement Act, provisions relating to Medicare sequester S. 1020, Diagnostic Imaging Services Access Protection Act of 2015, all provisions Audit & Appeal Fairness Medicare program: Medicare Advantage market transparency/beneficiary and provider protections Medicare program: Protecting Access to Medicare Act (PAMA) implementation Medicare program; Merit-based incentive models Medicare program: Alternative payment models Medicare program: Independent Payment Advisory Board Repeal (IPAB) Medicare program: Medicare Physician Fee Schedule Medicare program: Meaningful Use, Certification, Interoperability Roadmap Medicare program: In-office Ancillary Services Exception Medicare program: Graduate Medical Education Medicare program: Electronic Health Records (EHR)/Meaningful Use (MU) Medicare program: Merit-based Incentive Payment System (MIPS) Medicare program: Two-Midnights Rule/Policy Medicare program: Alternative Payment Models Medicare program: Diabetes Medicare program: Sunshine Act/CME, reprints and medical textbooks Medicare program: Prescription Drug Diversion Medicare program: Medicare physician data Medicare program: Comprehensive Care for Joint Replacement (CCJR) Medicare program: Misvalued Codes Medicare program: Part B Drugs Medicare program: Chronic Care Medicare program: Sequestration Medicare program: Recovery Audit Contractors (RACs) Medicare program: Provider payments Medicare program: Local Coverage Decisions Medicare program: Enterprise Identity Management (EIDM) implementation Medicare program: Regulatory burdens Medicare program: Codes for drug abuse testing Medicare program: Physician Quality Reporting Program/Value-based Modifier/Physician Compare Medicare program: Diagnostic Coding Medicare and Medicaid programs: Nomination of Andrew Slavitt to be CMS Administrator Medicare and Medicaid programs: ICD-10 Medicare and Medicaid programs: Laboratory Developed Tests oversight and regulation Medicare and Medicaid programs: Medicare Access and CHIP Reauthorization Act (MACRA) implementation

GPO safe harbor Chronic care Appropriations: Baldrige Performance Excellence Program, AHRQ, CMMI, PCORI Implementation of Health Reform (PPACA) The Health Information Technology for Economic and Clinical Health Act (HITECH), Regarding Implementation of Act Issues Related to the Medicare & Medicaid Protection Act of 1987 that Regulate Group Purchasing Organizations Under HHS Medicare Delivery System Reform 2011 Budget Control Act -- Sequestration Medicare Physician Payment Reform Observation Status "Two-Midnight" Rule Medicare DSH Medicare Data Access E&M Site Neutral IMPACT Act of 2014 Medicare hospital quality improvement program Hospital readmissions reduction program CHIP Reauthorization (HR 5364 and S2461) Protecting the integrity of Medicare Act (Medicare/Medicaid waste, fraud and abuse) Telemedicine Veterans Access, Choice, and Accountability Act of 2016 Comprehensive Care Payment Innovation Act H.R. 2502 Flexibility in Health IT Act of 2014 Hospital Payment Improvements Act of 2015 21st Century Cures Initiative Biosimilars Hospital Drug Shortages and pharmaceutical price spikes H.R. 1458: the Bundling and Coordinating Post-Acute Care (BACPAC) Act Accountable Care Organizations Health Information technology Trust IT Act of 2015

Client expense: $104,031 · Firm income: Not reported

Comprehensive Care For Joint Replacement - CMS bundled payment program for total knee and total hip replacements Revisions to Payment and Policies Under the Physician Fee Schedule and Other Revisions to Part B for CY 2016 - Global payments, proposed quality measures, "incident to" billing, Merit-Based Incentive Payment System, Revisions to physician self-referral regulations HR 2502 - Comprehensive Care Payment Innovation Act - Bundled payments for integrated care under the Medicare program. HR 3309 - Flex-IT 2 ACT - Delay of Meaningful Use Stage III and other changes to the Electronic Health Records Incentive Program.

Client expense: Not reported · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Labor, Dept of (DOL), SENATE

GPO safe harbor Chronic care Appropriations: Baldrige Performance Excellence Program, AHRQ, CMMI, PCORI Implementation of Health Reform (PPACA) The Health Information Technology for Economic and Clinical Health Act (HITECH), Regarding Implementation of Act Issues Related to the Medicare & Medicaid Protection Act of 1987 that Regulate Group Purchasing Organizations Under HHS Medicare Delivery System Reform 2011 Budget Control Act -- Sequestration Medicare Physician Payment Reform Observation Status "Two-Midnight" Rule Medicare DSH Medicare Data Access E&M Site Neutral IMPACT Act of 2014 Medicare hospital quality improvement program Hospital readmissions reduction program CHIP Reauthorization (HR 5364 and S2461) Protecting the integrity of Medicare Act (Medicare/Medicaid waste, fraud and abuse) Telemedicine Veterans Access, Choice, and Accountability Act of 2016 Comprehensive Care Payment Innovation Act H.R. 2502 Flexibility in Health IT Act of 2014 Hospital Payment Improvements Act of 2014 21st Century Cures Initiative Biosimilars Hospital Drug Shortages H.R. 1458: the Bundling and Coordinating Post-Acute Care (BACPAC) Act

Client expense: $123,167 · Firm income: Not reported