Legislative Progress
Momentum (last 30 days)
0
score
0 actions · 0 new cosponsors · 0 votes
Speed vs cohort
45pct
8d open
vs 6,526 other HR bills in the 114th — cohort avg 56d
Pre-Claims Undermine Seniors' Health Act of 2016 or the PUSH Act of 2016 This bill delays the Medicare demonstration for pre-claim review of home health services and requires the Centers for Medicare & Medicaid Services (CMS) to report on such pre-claim review. Specifically, CMS shall delay or suspend the demonstration by the later of: (1) one year after either the bill's enactment or the demonstration's scheduled start-date, as applicable; or (2) six months after CMS submits its report.
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Filing registrants (12)
Referred to the Subcommittee on Health.
Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Congress.gov source codes: H11100, H11100-A
Introduced in House
Congress.gov source codes: 1000, Intro-H
Bills with similar content found using semantic analysis.
Sources: Congress.gov
2017 · third_quarter · Medicare/Medicaid
The Budget Control Act of 2011 (P.L. 112-25); The Patient Protection and Affordable Care Act (P.L. 111-148); The Health Care and Education Reconciliation Act of 2010 (P.L. 111-152); The American Taxpayer Relief Act of 2012 (P.L. 112-240); Legislative proposals put forth by the Administration pertaining to rehabilitation hospitals; The Bipartisan Budget Act of 2013; The Pathway for SGR Reform Act of 2013; The Protecting Access to Medicare Act of 2014 (P.L. 113-93); the IMPACT Act of 2014 (H.R. 4994); H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015; Medicare Post-Acute Value-Based Purchasing Act of 2015 (H.R. 3298); PUSH Act of 2016 (H.R. 6226); CY 2017 Home Health Prospective Payment System Rate Update; Home Health Value-Based Purchasing Model; and Home Health Quality Reporting Requirements (CMS-1648-P); CY 2018 Home Health Prospective Payment System Rate Update; Home Health Value Based Purchasing Model; and Home Health Quality Reporting Requirements (CMS-1672-P).
Client expense: Not reported · Firm income: $30,000
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2017 · third_quarter · Medicare/Medicaid
The Budget Control Act of 2011 (P.L. 112-25); The Patient Protection and Affordable Care Act (P.L. 111-148); The Health Care and Education Reconciliation Act of 2010 (P.L. 111-152); The American Taxpayer Relief Act of 2012 (P.L. 112-240); Legislative proposals put forth by the Administration pertaining to rehabilitation hospitals; The Bipartisan Budget Act of 2013; The Pathway for SGR Reform Act of 2013; The Protecting Access to Medicare Act of 2014 (P.L. 113-93); the IMPACT Act of 2014 (H.R. 4994); H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015; Medicare Post-Acute Value-Based Purchasing Act of 2015 (H.R. 3298); PUSH Act of 2016 (H.R. 6226); CY 2017 Home Health Prospective Payment System Rate Update; Home Health Value-Based Purchasing Model; and Home Health Quality Reporting Requirements (CMS-1648-P); CY 2018 Home Health Prospective Payment System Rate Update; Home Health Value Based Purchasing Model; and Home Health Quality Reporting Requirements (CMS-1672-P).
Client expense: Not reported · Firm income: $110,000
2017 · second_quarter · Medicare/Medicaid
The Budget Control Act of 2011 (P.L. 112-25); The Patient Protection and Affordable Care Act (P.L. 111-148); The Health Care and Education Reconciliation Act of 2010 (P.L. 111-152); The American Taxpayer Relief Act of 2012 (P.L. 112-240); Legislative proposals put forth by the Administration pertaining to rehabilitation hospitals; The Bipartisan Budget Act of 2013; The Pathway for SGR Reform Act of 2013; The Protecting Access to Medicare Act of 2014 (P.L. 113-93); the IMPACT Act of 2014 (H.R. 4994); H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015; Medicare Post-Acute Value-Based Purchasing Act of 2015 (H.R. 3298); PUSH Act of 2016 (H.R. 6226); CY 2017 Home Health Prospective Payment System Rate Update; Home Health Value-Based Purchasing Model; and Home Health Quality Reporting Requirements (CMS-1648-P).
Client expense: Not reported · Firm income: $10,000
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2017 · second_quarter · Medicare/Medicaid
The Budget Control Act of 2011 (P.L. 112-25); The Patient Protection and Affordable Care Act (P.L. 111-148); The Health Care and Education Reconciliation Act of 2010 (P.L. 111-152); The American Taxpayer Relief Act of 2012 (P.L. 112-240); Legislative proposals put forth by the Administration pertaining to rehabilitation hospitals; The Bipartisan Budget Act of 2013; The Pathway for SGR Reform Act of 2013; The Protecting Access to Medicare Act of 2014 (P.L. 113-93); the IMPACT Act of 2014 (H.R. 4994); H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015; Medicare Post-Acute Value-Based Purchasing Act of 2015 (H.R. 3298); PUSH Act of 2016 (H.R. 6226); CY 2017 Home Health Prospective Payment System Rate Update; Home Health Value-Based Purchasing Model; and Home Health Quality Reporting Requirements (CMS-1648-P).
Client expense: Not reported · Firm income: $20,000
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2017 · second_quarter · Medicare/Medicaid
Issues relating to home health care and hospice, including post-acute payment policy; H.R.2, the Medicare Access and CHIP Reauthorization Act of 2015; H.R.2029, Consolidated Appropriations Act of 2016, Division O, Title V Medicare and Medicaid Provisions; Issues related to Medicaid Managed Care Regulation; H.R.3298, Medicare Post-Acute Care Value-Based Purchasing Act of 2015; H.R.513, Sustaining Health Care Integrity and Fair Treatment Act of 2016; S.445, Home Health Care Planning and Improvement Act of 2017; H.R.6226, Pre-Claims Undermine Seniors Health Act of 2016; S.353, Preserve Access to Medicare Rural Home Health Services Act of 2017; H.R.1284, Medicare Patient Access to Hospice Act of 2017; H.R.1828, Rural Access to Hospice Act of 2017; S.870, the CHRONIC Care Act of 2017 and H.R.2663, Home Health Documentation and Program Improvement Act of 2017.
Client expense: Not reported · Firm income: $40,000
| Republican |
| TX |
| K. Michael Conaway | Republican | TX |
| Kenny Marchant | Republican | TX |
| Kevin Cramer | Republican | ND |
| Lamar Smith | Republican | TX |
| Louie Gohmert | Republican | TX |
| Lynn Jenkins | Republican | KS |
| Mac Thornberry | Republican | TX |
| Marsha Blackburn | Republican | TN |
| Michael C. Burgess | Republican | TX |
| Michael E. Capuano | Democratic | MA |
| Pete Sessions | Republican | TX |
| Scott R. Tipton | Republican | CO |
| Sean P. Duffy | Republican | WI |
| Sheila Jackson Lee | Democratic | TX |
| Stephen F. Lynch | Democratic | MA |
| William R. Keating | Democratic | MA |
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE
2017 · second_quarter · Health Issues
Issues relating to home health care and hospice, including post-acute payment policy; H.R.2, the Medicare Access and CHIP Reauthorization Act of 2015; H.R.2029, Consolidated Appropriations Act of 2016, Division O, Title V Medicare and Medicaid Provisions; Issues related to Medicaid Managed Care Regulation; H.R.3298, Medicare Post-Acute Care Value-Based Purchasing Act of 2015; H.R.513, Sustaining Health Care Integrity and Fair Treatment Act of 2016; S.445, Home Health Care Planning and Improvement Act of 2017; H.R.6226, Pre-Claims Undermine Seniors Health Act of 2016; S.353, Preserve Access to Medicare Rural Home Health Services Act of 2017; H.R.1284, Medicare Patient Access to Hospice Act of 2017; H.R.1828, Rural Access to Hospice Act of 2017; S.870, the CHRONIC Care Act of 2017 and H.R.2663, Home Health Documentation and Program Improvement Act of 2017.
Client expense: Not reported · Firm income: $40,000
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE
2017 · second_quarter · Medicare/Medicaid
The Budget Control Act of 2011 (P.L. 112-25); The Patient Protection and Affordable Care Act (P.L. 111-148); The Health Care and Education Reconciliation Act of 2010 (P.L. 111-152); The American Taxpayer Relief Act of 2012 (P.L. 112-240); Legislative proposals put forth by the Administration pertaining to rehabilitation hospitals; The Bipartisan Budget Act of 2013; The Pathway for SGR Reform Act of 2013; The Protecting Access to Medicare Act of 2014 (P.L. 113-93); The IMPACT Act of 2014 (H.R. 4994); H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015; Medicare Post-Acute Value-Based Purchasing Act of 2015 (H.R. 3298); PUSH Act of 2016 (H.R.6226); CY 2017 Home Health Prospective Payment System Rate Update; Home Health Value-Based Purchasing Model; and Home Health Quality Reporting Requirements (CMS-1648-P).
Client expense: Not reported · Firm income: $80,000
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2017 · first_quarter · Medicare/Medicaid
Issues relating to home health care and hospice, including post-acute payment policy; H.R.2, the Medicare Access and CHIP Reauthorization Act of 2015; H.R.2029, Consolidated Appropriations Act of 2016, Division O, Title V Medicare and Medicaid Provisions; Issues related to Medicaid Managed Care Regulation; H.R.3298, Medicare Post-Acute Care Value-Based Purchasing Act of 2015; H.R.513, Sustaining Health Care Integrity and Fair Treatment Act of 2016; S.445, Home Health Care Planning and Improvement Act of 2017; H.R.6226, Pre-Claims Undermine Seniors Health Act of 2016; S.353, Preserve Access to Medicare Rural Home Health Services Act of 2017; H.R.1284, Medicare Patient Access to Hospice Act of 2017; H.R.1828, Rural Access to Hospice Act of 2017.
Client expense: Not reported · Firm income: $40,000
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE
2017 · first_quarter · Health Issues
Issues relating to home health care and hospice, including post-acute payment policy; H.R.2, the Medicare Access and CHIP Reauthorization Act of 2015; H.R.2029, Consolidated Appropriations Act of 2016, Division O, Title V Medicare and Medicaid Provisions; Issues related to Medicaid Managed Care Regulation; H.R.3298, Medicare Post-Acute Care Value-Based Purchasing Act of 2015; H.R.513, Sustaining Health Care Integrity and Fair Treatment Act of 2016; S.445, Home Health Care Planning and Improvement Act of 2017; H.R.6226, Pre-Claims Undermine Seniors Health Act of 2016; S.353, Preserve Access to Medicare Rural Home Health Services Act of 2017; H.R.1284, Medicare Patient Access to Hospice Act of 2017; H.R.1828, Rural Access to Hospice Act of 2017.
Client expense: Not reported · Firm income: $40,000
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE
2017 · first_quarter · Medicare/Medicaid
The Budget Control Act of 2011 (P.L. 112-25); The Patient Protection and Affordable Care Act (P.L. 111-148); The Health Care and Education Reconciliation Act of 2010 (P.L. 111-152); The American Taxpayer Relief Act of 2012 (P.L. 112-240); Legislative proposals put forth by the Administration pertaining to rehabilitation hospitals; The Bipartisan Budget Act of 2013; The Pathway for SGR Reform Act of 2013; The Protecting Access to Medicare Act of 2014 (P.L. 113-93); The IMPACT Act of 2014 (H.R. 4994); H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015; Medicare Post-Acute Value-Based Purchasing Act of 2015 (H.R. 3298); PUSH Act of 2016 (H.R.6226); CY 2017 Home Health Prospective Payment System Rate Update; Home Health Value-Based Purchasing Model; and Home Health Quality Reporting Requirements (CMS-1648-P).
Client expense: Not reported · Firm income: $120,000
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2016 · fourth_quarter · Medicare/Medicaid
Oppose home health and hospice payment cuts and co-pays. Legislative and regulatory proposals affecting home care and hospice. Fostering Independence Through Technology Act (to be re-filed). S. 578/H.R. 1342, Home Health Care Planning Improvement Act. H.R. 5926/S. 3040, Labor/Health and Human Services/Education Appropriations, FY2017, provisions relating to Lifespan Respite Program, caregiver, and falls prevention matters. Recognition and payment for telehealth services under Medicare and Medicaid. Face to Face Physician Encounter Requirement. Medicare Home Health Rebasing Relief and Reassessment Act (to be re-filed). H.R. 2066, Telehealth Enhancement Act of 2015. H.R. 2948, Medicare Telehealth Parity Act. Home health rural add on payment. H.R. 1202, Medicare Patient Access to Hospice Act of 2015. S. 2389, Preserve Access to Medicare Rural Home Health Services Act of 2015. Value Based Purchasing and Bundling. S. 1650, Home Health Documentation and Program Improvement Act of 2015. Medicare reimbursement of advance care planning services. Appropriations for Family Caregiver Support Programs. H.R. 2208, Hospice Commitment to Accurate and Relevant Encounters Act. S. 1549, Care Planning Act of 2015. H.R. 1202/S. 1354, Medicare Patient Access to Hospice Act of 2015. H.R. 3298, Medicare Post-Acute Value-Based Purchasing Act of 2015. Chronic Care Management Proposals. Case Mix "Creep" Payment cuts Home Health Access Protection Act (draft legislation). S. 2368, Audit and Appeal Fairness, Integrity, and Reforms in Medicare (AFIRM) Act of 2015. Medicare Advantage hospice proposals. S. 2416, VERIFI Act. H.R. 2446, to amend the Social Security Act to require the use of electronic visit verification for Medicaid personal care services. H.R. 3119, Palliative Care and Hospice Education and Training Act. S. 2364, Medicare Home Health Flexibility Act of 2015. VA Home Care Services. Home Health Prior Authorization and Pre-Claim review. H.R. 4994 (Public Law 113-185), Improving Medicare Post-Acute Care Transformation (IMPACT) Act. H.R. 4111, Rural Healthcare Connectivity Act. H.R. 2646, Helping Families in Mental Health Crisis Act. H.R. 5799/S. 2786, Rural Access to Hospice Care Act. H.R. 6226, Pre-Claim Undermines Senior's Health (PUSH) Act. S. 2484, CONNECT for Health Care. H.R. 34, 21st Century Cures Act.
Client expense: $100,000 · Firm income: Not reported
Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, SENATE
2016 · fourth_quarter · Medicare/Medicaid
The Home Health Care Planning Improvement Act of 2015 (H.R. 1342, S. 578) The Care Planning Act (S. 1549), Palliative Care Hospice Education and Training Act (H.R. 3119, S.2748), Medicare Post-Acute Care Value-Based Purchasing Act of 2015 (H.R. 3298), Pre-Claims Undermine Seniors' Health Act (H.R. 6226), Home Health Documentation and Program Improvement Act (S. 15650)
Client expense: $15,562 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
2016 · fourth_quarter · Medicare/Medicaid
Issues related to Centers for Medicare & Medicaid Services policy and issues impacting Medicare/Medicare Advantage and related issues for home health and hospice; H.R.3298 - Medicare Post-Acute Care Value-Based Purchasing Act of 2015; H.R.6226 - PUSH Act of 2016 (Pre-Claims Undermine Seniors' Health Act)
Client expense: $80,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
2016 · fourth_quarter · Medicare/Medicaid
HR 3298 - Medicare Post-Acute Care Value-Based Purchasing Act HR 6226 - Pre-Claims Undermine Seniors Health Act S. 2108 - Preserving Patient Access to Post-Acute Hospital Care Act H.R. 4725 - Common Sense Savings Act of 2016 Implementation of PL 113-185 - Impact Act of 2014 Post acute payment and reform issues. CMS home health pre-claim review demonstration H.R. 6 - 21st Century Cures Act
Client expense: Not reported · Firm income: $60,000
Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2016 · fourth_quarter · Medicare/Medicaid
Matters pertaining to the Budget Control Act of 2011 (Pub. Law 112-25); Patient Protection and Affordable Care Act (Pub. Law 111-148); Health Care and Education Reconciliation Act of 2010 (Pub. Law 111-152); (Pub. Law 112-240); matters pertaining to physician payment policy under Protecting Access to Medicare Payment Act of 2014 (Pub. Law 113-93); H.R.4994 (Improving Medicare Post Acute Care Transformation Act of 2014); Medicare Access and CHIP Authorization Act of 2015; legislative proposals pertaining to rehabilitation hospitals and other post-acute care providers, including payment bundling; and healthcare/entitlement reform; Medicare Post-Acute Care Value-Based Purchasing Act of 2015 (H.R.3298); PUSH Act of 2016 (H.R.6226); CY 2017 Home Prospective Payment Proposed Rule; Medicare Post-Acute Value-Based Purchasing Act of 2015 (H.R. 3298).
Client expense: $370,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
2016 · fourth_quarter · Health Issues
Matters pertaining to the Budget Control Act of 2011 (Pub. Law 112-25); Patient Protection and Affordable Care Act (Pub. Law 111-148); Health Care and Education Reconciliation Act of 2010 (Pub. Law 111-152); (Pub. Law 112-240); matters pertaining to physician payment policy under Protecting Access to Medicare Payment Act of 2014 (Pub. Law 113-93); H.R.4994 (Improving Medicare Post Acute Care Transformation Act of 2014); Medicare Access and CHIP Authorization Act of 2015; legislative proposals pertaining to rehabilitation hospitals and other post-acute care providers, including payment bundling; and healthcare/entitlement reform; Medicare Post-Acute Care Value-Based Purchasing Act of 2015 (H.R.3298); PUSH Act of 2016 (H.R.6226); CY 2017 Home Prospective Payment Proposed Rule; Medicare Post-Acute Value-Based Purchasing Act of 2015 (H.R. 3298).
Client expense: $370,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
2016 · fourth_quarter · Health Issues
CY 2017 Home Health Prospective Payment System Proposed Rule; CMS Pre-Claim Review Demonstration Program; H.R. 5713 - Sustaining Healthcare Integrity and Fair Treatment Act of 2016; H.R. 6226 - Pre-Claim Undermines Seniors' Health (PUSH) Act; H.R. 3298 - Medicare Post-Acute Care Value-Based Purchasing Act.
Client expense: Not reported · Firm income: $40,000
Government targets: Centers For Medicare and Medicaid Services (CMS), Office of Management & Budget (OMB)
2016 · fourth_quarter · Medicare/Medicaid
CY 2017 Home Health Prospective Payment System Proposed Rule; CMS Pre-Claim Review Demonstration Program; H.R. 5713 - Sustaining Healthcare Integrity and Fair Treatment Act of 2016; H.R. 6226 - Pre-Claim Undermines Seniors' Health (PUSH) Act; H.R. 3298 - Medicare Post-Acute Care Value-Based Purchasing Act.
Client expense: Not reported · Firm income: $40,000
Government targets: Centers For Medicare and Medicaid Services (CMS), Office of Management & Budget (OMB)
2016 · fourth_quarter · Health Issues
Affordable Care Act implementation; H.R. 1021, the Protecting Integrity of Medicare Act; H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015; Issues related to H.R. 2029, Consolidated Appropriations Act of 2016, Division O, Title V Medicare and Medicaid Provisions; Issues related to Medicaid Managed Care Regulation; Issues related to H.R. 3298, Medicare Post-Acute Care Value-Based Purchasing Act of 2015; Issues related to H.R. 513, Sustaining Health Care Integrity and Fair Treatment Act of 2016; Issues related to H.R. 1342, Home Health Care Planning and Improvement Act of 2015; Issues related to H.R. 6226, Pre-Claims Undermine Seniors Health Act of 2016.
Client expense: Not reported · Firm income: $40,000
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE
2016 · fourth_quarter · Medicare/Medicaid
Issues relating to home health care and hospice, including post-acute payment policy; H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015; Issues related to H.R. 2029, Consolidated Appropriations Act of 2016, Division O, Title V Medicare and Medicaid Provisions; Issues related to Medicaid Managed Care Regulation; Issues related to H.R. 3298, Medicare Post-Acute Care Value-Based Purchasing Act of 2015; Issues related to H.R. 513, Sustaining Health Care Integrity and Fair Treatment Act of 2016; Issues related to H.R. 1342, Home Health Care Planning and Improvement Act of 2015; Issues related to H.R. 6226, Pre-Claims Undermine Seniors Health Act of 2016.
Client expense: Not reported · Firm income: $40,000
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Office of Management & Budget (OMB), SENATE
2016 · fourth_quarter · Medicare/Medicaid
The Budget Control Act of 2011 (P.L. 112-25); The Patient Protection and Affordable Care Act (P.L. 111-148); The Health Care and Education Reconciliation Act of 2010 (P.L. 111-152); The American Taxpayer Relief Act of 2012 (P.L. 112-240); Legislative proposals put forth by the Administration pertaining to rehabilitation hospitals; The Bipartisan Budget Act of 2013; The Pathway for SGR Reform Act of 2013; The Protecting Access to Medicare Act of 2014 (P.L. 113-93); The IMPACT Act of 2014 (H.R. 4994); H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015; Medicare Post-Acute Value-Based Purchasing Act of 2015 (H.R. 3298); PUSH Act of 2016 (H.R.6226); CY 2017 Home Health Prospective Payment System Rate Update; Home Health Value-Based Purchasing Model; and Home Health Quality Reporting Requirements (CMS-1648-P).
Client expense: Not reported · Firm income: $120,000
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2016 · fourth_quarter · Medicare/Medicaid
Medicare Advantage (risk adjustment, coding intensity, encounter data, dual-eligible members, reauthorization of chronic special need plans, and star ratings) ESRD Choice Act of 2016 (H.R. 5659) Medicaid managed care Section 1115 waivers Medicare Part D Creating High-Quality Results and Outcomes Necessary to Improve Chronic Care Act of 2016 (S. 3504) Pre-Claims Undermine Seniors Health Act of 2016 (H.R. 6226) Medicaid reform (block grants, per capita caps) Medicaid program integrity Fraud, waste, and abuse Medicaid and CHIP Reauthorization subregulatory guidance
Client expense: $1,140,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, Substance Abuse & Mental Health Services Administration (SAMHSA)
2016 · fourth_quarter · Medicare/Medicaid
H.R. 2513 "PACE Act of 2015" - Oppose efforts to repeal certain provisions relating to the limitation on the Medicare exception to the prohibition on certain physician referrals for hospitals and to transparency reports and reporting of physician ownership or investment interests. Bad Debt Payments to Hospitals - Lawmakers have proposed lowering the amount of Medicare Bad Debt payments to hospitals for Medicare beneficiaries who fail to pay their cost-sharing obligations for treatments provided by the hospital. Oppose any effort to lower such payments. Direct and Indirect Graduate Medical Education Payments - Lawmakers have proposed changes to the way that hospitals are reimbursed for the costs of training physicians and other medical professionals. Oppose any reductions to such payments. H.R. 663/S.332 "Rural Hospital Access Act of 2015" - Advocate for the extension the Medicare Dependent Hospital (MDH) and current Low-Volume Hospital (LVH) programs. Oppose any additional site neutral cuts. Oppose the proposal of lowering Medicare reimbursements to Inpatient Rehabilitation Facilities. Sequestration - against extending the Medicare Sequester and oppose Medicare sequester increase and extension as an offset. Price Transparency - advocate for meaningful price transparency for consumers by ensuring they have access to out of pocket price information. H.R. 5273 "Helping Hospitals Improve Patient Care Act of 2016" - Advocated for targeted, appropriate Hospital Outpatient Department under development language in the House Ways and Means package including LTCH provision. Advocated for Medicaid expansion and the role hospitals have in caring for patients in Medicaid populations. Part B Demo - Opposed administration's proposed Part B Drug Demo. Advocated for limits to CMMI Pilots. H.R. 6226 "Pre-Claims Undermine Seniors Health Act" - Support delay of pre-claim review for home health services. H.R. 1343/S. 688 "Establishing Beneficiary Equity in the Hospital Readmission Program Act of 2015" - SES risk adjustment for hospital payment and readmissions. H.R. 3298 "Medicare Post-Acute Care Value-Based Purchasing Act of 2015" - Provided comments on Medicare Post-Acute Care Value-Based Purchasing Act of 2015. Advocated for restoration of hospital Medicare cuts if Affordable Care Act is repealed.
Client expense: $730,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office
2016 · fourth_quarter · Medicare/Medicaid
Protecting the imputed floor policy for all-urban states, legislative proposals to require a field for unique device indicators on health insurance forms, resident caps for Medicare Graduate Medical Education program, legislation to alter Section 603 of the Bipartisan Budget Act of 2015, legislation to create a value-based purchasing program for post-acute providers, the 21st Century Cures Act. Medicaid coverage of mental health inpatient services, chronic care legislation, H.R. 6226, the Pre-Claims Undermine Seniors' Health Act, the Affordable Care Act.
Client expense: $50,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
2016 · fourth_quarter · Health Issues
Protecting the imputed floor policy for all-urban states, legislative proposals to require a field for unique device indicators on health insurance forms, resident caps for Medicare Graduate Medical Education program, legislation to alter Section 603 of the Bipartisan Budget Act of 2015, legislation to create a value based purchasing program for post acute providers, the 21st Century Cures Act. Medicaid coverage of mental health inpatient services, chronic care legislation, H.R. 6226, the Pre-Claims Undermine Seniors' Health Act, the Affordable Care Act.
Client expense: Not reported · Firm income: $40,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2016 · third_quarter · Medicare/Medicaid
The Home Health Care Planning Improvement Act of 2015 (H.R. 1342, S. 578) The Care Planning Act (S. 1549), Palliative Care Hospice Education and Training Act (H.R. 3119, S.2748), Medicare Post-Acute Care Value-Based Purchasing Act of 2015 (H.R. 3298), Pre-Claims Undermine Seniors' Health Act (H.R. 6226)
Client expense: $15,603 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2016 · third_quarter · Health Issues
Matters pertaining to the Budget Control Act of 2011 (Pub. Law 112-25); Patient Protection and Affordable Care Act (Pub. Law 111-148); Health Care and Education Reconciliation Act of 2010 (Pub. Law 111-152); (Pub. Law 112-240); matters pertaining to physician payment policy under Protecting Access to Medicare Payment Act of 2014 (Pub. Law 113-93); H.R.4994 (Improving Medicare Post Acute Care Transformation Act of 2014); Medicare Access and CHIP Authorization Act of 2015; legislative proposals pertaining to rehabilitation hospitals and other post-acute care providers, including payment bundling; and healthcare/entitlement reform; Medicare Post-Acute Care Value-Based Purchasing Act of 2015 (H.R.3298); PUSH Act of 2016 (H.R.6226); CY 2017 Home Prospective Payment Proposed Rule.
Client expense: $250,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
2016 · third_quarter · Medicare/Medicaid
Issues related to Centers for Medicare & Medicaid Services policy and issues impacting Medicare/Medicare Advantage and related issues for home health and hospice; H.R.3298 - Medicare Post-Acute Care Value-Based Purchasing Act of 2015; H.R.6226 - PUSH Act of 2016 (Pre-Claims Undermine Seniors' Health Act)
Client expense: $130,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
2016 · third_quarter · Medicare/Medicaid
Oppose home health and hospice payment cuts and co-pays. Legislative and regulatory proposals affecting home care and hospice. Fostering Independence Through Technology Act (to be re-filed). S. 578/H.R. 1342, Home Health Care Planning Improvement Act. H.R. 5926/S. 3040, Labor/Health and Human Services/Education Appropriations, FY2017, provisions relating to Lifespan Respite Program, caregiver, and falls prevention matters. Recognition and payment for telehealth services under Medicare and Medicaid. Face to Face Physician Encounter Requirement. Medicare Home Health Rebasing Relief and Reassessment Act (to be re-filed). H.R. 2066, Telehealth Enhancement Act of 2015. H.R. 2948, Medicare Telehealth Parity Act. Home health rural add on payment. H.R. 1202, Medicare Patient Access to Hospice Act of 2015. S. 2389, Preserve Access to Medicare Rural Home Health Services Act of 2015. Value Based Purchasing and Bundling. S. 1650, Home Health Documentation and Program Improvement Act of 2015. Medicare reimbursement of advance care planning services. Appropriations for Family Caregiver Support Programs. H.R. 2208, Hospice Commitment to Accurate and Relevant Encounters Act. S. 1549, Care Planning Act of 2015. H.R. 1202/S. 1354, Medicare Patient Access to Hospice Act of 2015. H.R. 3298, Medicare Post-Acute Value-Based Purchasing Act of 2015. Chronic Care Management Proposals. Case Mix "Creep" Payment cuts Home Health Access Protection Act (draft legislation). S. 2368, Audit and Appeal Fairness, Integrity, and Reforms in Medicare (AFIRM) Act of 2015. Medicare Advantage hospice proposals. S. 2416, VERIFI Act. H.R. 2446, to amend the Social Security Act to require the use of electronic visit verification for Medicaid personal care services. H.R. 3119, Palliative Care and Hospice Education and Training Act. S. 2364, Medicare Home Health Flexibility Act of 2015. VA Home Care Services. Home Health Prior Authorization and Pre-Claim review. H.R. 4994 (Public Law 113-185), Improving Medicare Post-Acute Care Transformation (IMPACT) Act. H.R. 4111, Rural Healthcare Connectivity Act. H.R. 2646, Helping Families in Mental Health Crisis Act. H.R. 5799/S. 2786, Rural Access to Hospice Care Act. H.R. 6226, Pre-Claim Undermines Senior's Health (PUSH) Act. S. 2484, CONNECT for Health Care.
Client expense: $110,000 · Firm income: Not reported
Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, SENATE
2016 · third_quarter · Medicare/Medicaid
HR 3298 - Medicare Post-Acute Care Value-Based Purchasing Act HR 6226 - Pre-Claims Undermine Seniors Health Act S. 2108 - Preserving Patient Access to Post-Acute Hospital Care Act S. 3107 - a bill to provide for a temporary exception to the application of the Medicare long-term care hospital site neutral provisions for certain spinal cord specialty hospitals H.R. 4725 - Common Sense Savings Act of 2016 Implementation of PL 113-185 - Impact Act of 2014 Post acute payment and reform issues. CMS home health pre-claim review demonstration
Client expense: Not reported · Firm income: $60,000
Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2016 · third_quarter · Medicare/Medicaid
CY 2017 Home Health Prospective Payment System Proposed Rule; CMS Pre-Claim Review Demonstration Program; H.R. 5713 - Sustaining Healthcare Integrity and Fair Treatment Act of 2016; H.R. 6226 - Pre-Claim Undermines Seniors' Health (PUSH) Act; H.R. 3298 - Medicare Post-Acute Care Value-Based Purchasing Act.
Client expense: Not reported · Firm income: $40,000
Government targets: Centers For Medicare and Medicaid Services (CMS), Office of Management & Budget (OMB)
2016 · third_quarter · Health Issues
CY 2017 Home Health Prospective Payment System Proposed Rule; CMS Pre-Claim Review Demonstration Program; H.R. 5713 - Sustaining Healthcare Integrity and Fair Treatment Act of 2016; H.R. 6226 - Pre-Claim Undermines Seniors' Health (PUSH) Act; H.R. 3298 - Medicare Post-Acute Care Value-Based Purchasing Act.
Client expense: Not reported · Firm income: $40,000
Government targets: Centers For Medicare and Medicaid Services (CMS), Office of Management & Budget (OMB)
2016 · third_quarter · Medicare/Medicaid
The Budget Control Act of 2011 (P.L. 112-25); The Patient Protection and Affordable Care Act (P.L. 111-148); The Health Care and Education Reconciliation Act of 2010 (P.L. 111-152); The American Taxpayer Relief Act of 2012 (P.L. 112-240); Legislative proposals put forth by the Administration pertaining to rehabilitation hospitals; The Bipartisan Budget Act of 2013; The Pathway for SGR Reform Act of 2013; The Protecting Access to Medicare Act of 2014 (P.L. 113-93); The IMPACT Act of 2014 (H.R. 4994); H.R. 2, the Medicare Access and CHIP Reauthorization Act of 2015; Medicare Post-Acute Value-Based Purchasing Act of 2015 (H.R. 3298); PUSH Act of 2016 (H.R.6226); CY 2017 Home Health Prospective Payment System Rate Update; Home Health Value-Based Purchasing Model; and Home Health Quality Reporting Requirements (CMS-1648-P).
Client expense: Not reported · Firm income: $120,000
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2016 · third_quarter · Medicare/Medicaid
H.R. 2513 "PACE Act of 2015" - Oppose efforts to repeal certain provisions relating to the limitation on the Medicare exception to the prohibition on certain physician referrals for hospitals and to transparency reports and reporting of physician ownership or investment interests. Bad Debt Payments to Hospitals - Lawmakers have proposed lowering the amount of Medicare Bad Debt payments to hospitals for Medicare beneficiaries who fail to pay their cost-sharing obligations for treatments provided by the hospital. Oppose any effort to lower such payments. Direct and Indirect Graduate Medical Education Payments - Lawmakers have proposed changes to the way that hospitals are reimbursed for the costs of training physicians and other medical professionals. Oppose any reductions to such payments. H.R. 663/S.332 "Rural Hospital Access Act of 2015" - Advocate for the extension the Medicare Dependent Hospital (MDH) and current Low-Volume Hospital (LVH) programs. Oppose any additional site neutral cuts. Oppose the proposal of lowering Medicare reimbursements to Inpatient Rehabilitation Facilities. Sequestration - against extending the Medicare Sequester and oppose Medicare sequester increase and extension as an offset. Price Transparency - advocate for meaningful price transparency for consumers by ensuring they have access to out of pocket price information. H.R. 5273 "Helping Hospitals Improve Patient Care Act of 2016" - Advocated for targeted, appropriate Hospital Outpatient Department under development language in the House Ways and Means package including LTCH provision. Advocated for Medicaid expansion and the role hospitals have in caring for patients in Medicaid populations. Part B Demo - Opposed administration's proposed Part B Drug Demo. H.R. 6226 "Pre-Claims Undermine Seniors Health Act" - Support delay of pre-claim review for home health services. Hospital Stars Rating - Support for delay in the CMS Hospitals Stars Program data release. DSH/S-10 - Advocate for delay and reform of the Administration's DSH/S-10 proposal. H.R. 1343/S. 688 "Establishing Beneficiary Equity in the Hospital Readmission Program Act of 2015" - SES risk adjustment for hospital payment and readmissions. Stark - Provided comments to Senate Finance Committee regarding reform of Stark physician self-referral law and Medicare anti-kickback statute. H.R. 3298 "Medicare Post-Acute Care Value-Based Purchasing Act of 2015" - Provided comments on Medicare Post-Acute Care Value-Based Purchasing Act of 2015.
Client expense: $660,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, White House Office