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Value in Health Care Act of 2021
Legislative Progress
Momentum (last 30 days)
0
score
0 actions · 0 new cosponsors · 0 votes
Speed vs cohort
43pct
1d open
vs 9,698 other HR bills in the 117th — cohort avg 63d
Value in Health Care Act of 2021 This bill makes a series of changes to certain methodologies and components used in the Medicare Shared Savings Program. The program enables accountable care organizations (ACOs) to receive payments for savings stemming from care coordination and management. Among other changes, the bill requires the Centers for Medicare & Medicaid Services to increase the shared savings rate for participating ACOs, as specified, and to establish a program that assists ACOs with start-up and operational costs of participation. The bill also extends certain incentive payments for health professionals who participate in eligible alternative payment models. The Government Accountability Office must report on health outcomes and racial disparities among beneficiaries who receive care from providers under alternative payment models compared to beneficiaries who receive care from providers under the traditional fee-for-service system.
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Filing registrants (25)
Referred to the Subcommittee on Health.
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.
Introduced in House
Congress.gov source codes: 1000, Intro-H
Bills with similar content found using semantic analysis.
Sources: Congress.gov
2022 · second_quarter · Health Issues
Value in Healthcare Act HR.4587 Accountable Care in Rural America Act H.R.3746 ACO Assignment Improvement Act of 2021 H.R.6308 Promoting Health Care Quality Act of 2022 H.R.8201 Legislation related to drug prices, telehealth, and accountable care
Client expense: $35,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2022 · third_quarter · Health Issues
Value in Healthcare Act HR.4587 Accountable Care in Rural America Act H.R.3746 ACO Assignment Improvement Act of 2021 H.R.6308 Promoting Health Care Quality Act of 2022 H.R.8201 Legislation related to drug prices, telehealth, and accountable care
Client expense: $120,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2022 · second_quarter · Medicare/Medicaid
H.R. 4014, Physician Shortage GME Cap Flex Act of 2021, provisions relating to Graduate Medical Education S. 2094, Physician Shortage GME Cap Flex Act of 2021, provisions relating to Graduate Medical Education H.R. 1332, Telehealth Modernization Act, all provisions S. 368, Telehealth Modernization Act, all provisions H.R. 4058, Telemental Health Care Access Act of 2021, all provisions S. 2061, Telemental Health Care Access Act of 2021, all provisions H.R. 3173, Improving Seniors Timely Access to Care Act of 2021, provisions relating to Prior Authorization and attachment standards S. 3018, Improving Seniors Timely Access to Care Act of 2021, provisions relating to Prior Authorization and attachment standards H.R. 7995, Getting Over Lengthy Delays in Care As Required by Doctors (GOLD CARD) Act of 2022, all provisions H.R. 3259, Non-Opioids Prevent Addiction In the Nation (NO PAIN) Act, all provisions S. 586, Non-Opioids Prevent Addiction In the Nation (NO PAIN) Act, all provisions H.R. 4587, Value in Health Care Act of 2021, all provisions H.R. 7213, Equitable Community Access to Pharmacist Services Act, all provisions S. 748, Medicare Sequester Relief Act, all provisions H.R. 2903, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act, all provisions S. 1512, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act, all provisions H.R. 2256, Resident Physician Shortage Reduction Act, all provisions S. 834, Resident Physician Shortage Reduction Act, all provisions H.R. 1218, Data Mapping to Save Moms Lives Act, all provisions S. 198, Data Mapping to Save Moms Lives Act, all provisions H.R. 3407, Mothers and Offspring Mortality and Morbidity Awareness (MOMMAs) Act, all provisions S. 411, Mothers and Offspring Mortality and Morbidity Awareness (MOMMAs) Act, all provisions H.R. 3441, Substance Use Disorder Workforce Act, all provisions S. 1438, Opioid Workforce Act of 2021, all provisions H.R. 955, Medicaid Reentry Act of 2021, all provisions S. 285, Medicaid Reentry Act of 2021, all provisions H.R. 2654, Chiropractic Medicare Coverage Modernization Act of 2021, all provisions H.R. 6020, Supporting Medicare Providers Act of 2021, all provisions S. 3314, Supporting Medicare Providers Act of 2021, all provisions H.R. 6311, Comprehensive Addiction Resources Emergency Act of 2021, all provisions S. 3418, Comprehensive Addiction Resources Emergency Act of 2021, all provisions H.R. 3, Elijah E. Cummings Lower Drug Costs Now Act, all provisions H.R. 19, Lower Costs, More Cures Act of 2021, all provisions S. 801, Connected Maternal Online Monitoring Act, all provisions H.R. 1738, Stabilize Medicaid and CHIP Coverage Act, all provisions H.R. 1025, Kids Access to Primary Care Act of 2021, all provisions H.R. 66, Comprehensive Access to Robust Insurance Now Guaranteed (CARING) for Kids Act, all provisions S. 610, Protecting Medicare and American Farmers from Sequester Cuts Act, all provisions H.R. 6000, Cures 2.0 Act, all provisions H.R. 4043, Ensuring Patient Access to Critical Breakthrough Products Act of 2021, all provisions S. 2416, New Opportunities for Value that Extend Lives (NOVEL) Act of 2021, all provisions H.R. 7666, Restoring Hope for Mental Health and Well-Being Act of 2022, all provisions H.R. 3746, Accountable Care in Rural America Act, all provisions H.R. 4755, Seniors Chronic Care Management Improvement Act of 2021, all provisions H.R. 6308, ACO Assignment Improvement Act of 2021, all provisions H.R. 1868, To prevent across-the-board direct spending cuts, and for other purposes, all provisions H.R. 315, Medicare Sequester COVID Moratorium Act, all provisions H.R. 6048, Medicare Stability for Patients and Providers Act, all provisions H.R. 3348, SOS: Sustaining Outpatient Services Act, all provisions H.R. 366, Protecting Access to Post-COVID-19 Telehealth Act of 2021, all provisions H.R. 2166, Ensuring Parity in MA and PACE for Audio-Only Telehealth Act of 2021, all provisions H.R. 2228, Rural Behavioral Health Access Act of 2021, all provisions H.R. 3447, Permanency for Audio-Only Telehealth Act, all provisions H.R. 7051, Access to Prescription Digital Therapeutics Act of 2022, all provisions S. 3791, Access to Prescription Digital Therapeutics Act of 2022, all provisions H.R. 7878, Kidney Health Connect Act of 2022, all provisions S. 4307, Kidney Health Connect Act of 2022, all provisions H.R. 6202, Telehealth Extension Act of 2021, all provisions S. 987, CARA 3.0 Act of 2021, all provisions H.R. 1438, Opioid Workforce Act of 2021, all provisions H.R. 925, Data to Save Moms Act, all provisions H.R. 7475, Mamas First Act, all provisions H.R. 3746, Accountable Care in Rural America Act, all provisions H.R. 4587, Value in Health Care Act of 2021, all provisions H.R. 3, Elijah E. Cummings Lower Drug Costs Now Act, all provisions H.R. 3614, Menstrual Equity For All Act of 2021, provisions related to menstrual products coverage in Medicaid Medicare program: Physician Payment and Delivery Reform Medicare program: Impending Medicare payment cuts Medicare program: Medicare Evaluation and Management/budget neutrality Medicare program: Statutory PAYGO/Sequester Relief Medicare program: Accountable Care Organizations/specialty care Medicare program: Alternative Payment Models Medicare program: AMA Recovery Plan for Americas Physicians/payment reform Medicare program: Global and Professional Direct Contracting alternative payment model/REACH ACOs Medicare program: Appropriate Use Criteria and Prior Authorization Medicare program: Medicare Advantage/prior authorization regulation Medicare program: Automatic blood pressure measurement devices/coverage Medicare program: Merit-based Incentive Payment System (MIPS) Value Pathways (MVPs) Medicare program: MIPS/Promoting Interoperability/Cost/Improvement Activities Medicare program: MIPS/data sharing/transparency Medicare program: MACRA physician burdens Medicare program: Quality Payment Program Medicare program: Health IT burden Medicare program: Public Health Emergency COVID-19 /Accelerated and Advance Payments Medicare program: Primary Care First models Medicare program: Medicare Shared Savings Program (MSSP) Medicare program: Modifier 25 Medicare program: Split/shared billing Medicare program: Interoperability/data blocking/HIPAA Medicare program: Coding Medicare program: Provider compliance/Regulatory relief Medicare program: Provider Enrollment, Chain, and Ownership System (PECOS) Enrollment/Revalidation Medicare program: Open Payments Medicare program: Prescription drug pricing/Pharmacy Benefits Managers Medicare program: Step Therapy Medicare and Medicaid programs: Medicare Access and Chip Reauthorization Act (MACRA)/implementation Medicare and Medicaid programs: MACRA Oversight Medicaid program: Improving Access to Physical and Mental Health Care for Children and Youth Under Medicaid and CHIP draft Medicare and Medicaid programs: Health Equity Medicaid program: Maternal Mortality Medicaid program: Uninsured and healthcare coverage/COVID-19 Medicaid program: Special Enrollment Period Medicaid program: Sickle Cell Disease
2022 · fourth_quarter · Medicare/Medicaid
Physician Fee Schedule conversion factor E/M PPS policy changes HR 4587 Value in Health Care Act Issues related to physician payment cuts, including APM bonuses; Telehealth issues related to COVID-19; H.R. 2617, Consolidated Appropriations Act, 2023 - increasing Medicare Physician Fee Schedule payments and extending all Medicare telehealth flexibilities extended in the Consolidated Appropriations Act of 2022 through December 31, 2024; Telehealth issues related to COVID-19; S. 368/H.R. 1332, Telehealth Modernization Act S.3799, PREVENT Pandemics Act; Mental health legislative workstream.
Client expense: Not reported · Firm income: $40,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2022 · fourth_quarter · Health Issues
HR 4587--Value in Health Care Act--Extension of 5% Advanced Alternative Payment Models Bonus, Freeze on current AAPM thresholds S. 5249--Preserving Patient Access to Value Based Care Act--Extension of 5% Advanced Alternative Payment Models Bonus, Freeze on current Advanced Alternative Payment Models thresholds HR 2617--Consolidated Appropriations Act of 2023--Medicare physician payment, Advanced Alternative Payment Models bonus payments, Freeze on AAPM thresholds, Telehealth extension, Hospital at Home extension, Medicaid Federal Medical Assistance Percentages for Puerto Rico, US Territories Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH)--benchmark retrospective trend adjustment, risk adjustment, quality Medicare and Medicaid programs--efficiency, equity, workforce, access to healthcare National Provider Directory--provider directory information Dually eligible beneficiaries--coverage for dual eligibles
Client expense: $150,000 · Firm income: Not reported
| Republican |
| OH |
| Bradley Scott Schneider | Democratic | IL |
| Brendan F. Boyle | Democratic | PA |
| Brian Higgins | Democratic | NY |
| Brian K. Fitzpatrick | Republican | PA |
| Carol D. Miller | Republican | WV |
| Chrissy Houlahan | Democratic | PA |
| Cynthia Axne | Democratic | IA |
| Daniel Meuser | Republican | PA |
| Daniel T. Kildee | Democratic | MI |
| Darin LaHood | Republican | IL |
| Darren Soto | Democratic | FL |
| Derek Kilmer | Democratic | WA |
| Don Bacon | Republican | NE |
| Dusty Johnson | Republican | SD |
| Earl Blumenauer | Democratic | OR |
| Glenn Grothman | Republican | WI |
| J. Luis Correa | Democratic | CA |
| Jefferson Van Drew | Republican | NJ |
| Jimmy Panetta | Democratic | CA |
| Joseph D. Morelle | Democratic | NY |
| Josh Gottheimer | Democratic | NJ |
| Kat Cammack | Republican | FL |
| Kim Schrier | Democratic | WA |
| Marie Newman | Democratic | IL |
| Marilyn Strickland | Democratic | WA |
| Markwayne Mullin | Republican | OK |
| Mike Quigley | Democratic | IL |
| Mikie Sherrill | Democratic | NJ |
| Nanette Diaz Barragán | Democratic | CA |
| Raja Krishnamoorthi | Democratic | IL |
| Ron Kind | Democratic | WI |
| Sanford D. Bishop, Jr. | Democratic | GA |
| Susan Wild | Democratic | PA |
| Suzan K. DelBene | Democratic | WA |
| Terri A. Sewell | Democratic | AL |
| Thomas R. Suozzi | Democratic | NY |
| William R. Keating | Democratic | MA |
Client expense: $4,550,000 · Firm income: Not reported
Government targets: Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
2022 · fourth_quarter · Medicare/Medicaid
Support H.R. 315,Medicare Sequester COVID Moratorium Act, a bill to amend the Coronavirus Aid, Relief, and Economic Security Act to extend the temporary suspension of Medicare sequestration; Support H.R. 1332 and S.368,Telehealth Modernization Act, a bill to amend title XVIII of the Social Security Act to make permanent certain telehealth flexibilities under the Medicare program related to the COVID-19 public health emergency; Discussion with the Center for Medicare and Medicaid Innovation (CMMI) about the Radiation Oncology Alternative Payment Model; Support H.R. 1868, a bill that, among other health care provisions, would eliminate the 2% across-the-board cut to all Medicare payments, known as sequestration, until the end of 2021; Support H.R. 2455, The Resetting the Impact Act (TRIA), a bill to amend the IMPACT Act of 2014 to reset data collection and the development of a payment system technical prototype for post-acute care providers under the Medicare program to take into account the effects of COVID-19; Support H.R. 3173/ S.3018, Improving Seniors Timely Access to Care Act of 2021, a bill to amend title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans, and for other purposes; Support H.R. 1887/ S. 4009, Rural Hospital Support Act, a bill to make permanent the Medicare Dependent Hospital (MDH) and Low-volume Adjustment programs and rebases the MDH and Sole Community Hospital programs; Support relief for Medicare advanced payments; Discussion with CMMI about the priorities for alternative payment models; Support HR 4587, Value in Health Care Act of 2021, a bill to direct the Secretary of Health and Human Services to revise certain regulations in relation to the Medicare shared savings program and other advanced alternative payment arrangements to encourage participation in such program, and for other purposes; Support HR 3746, Accountable Care in Rural America Act, a bill to amend title XVIII of the Social Security Act to improve the benchmarking process for the Medicare Shared Savings Program; Support H.R. 5425/ S. 1988, Protecting Rural Telehealth Access Act, a bill to amend title XVIII of the Social Security Act to protect access to telehealth services under the Medicare program; Letter asking Congress to address two important issues by the end of the year: an extension of the moratorium on Medicare sequester cuts, as well as preventing the Statutory Pay-As-You-Go (PAYGO) sequester from taking effect; Letter urging Congress to remove the reductions to the Medicaid disproportionate share hospital (DSH) program and uncompensated care pools from the Build Back Better Act; Support H.R. 5674/ S. 3061Medicare Mental Health Inpatient Equity Act of 2021, a bill to amend title XVIII of the Social Security Act to eliminate the 190-day lifetime limit on inpatient psychiatric hospital services under the Medicare Program; Letter to the HHS secretary asking for PHE extension and urging HHS to extend the declaration for at least 90 days; Letter to the HHS secretary asking to renew the COVID-19 PHE; Letter to CMS urging changes to MA prior authorization requirements for PHE; Letter expressing our disappointment that Congress is adjourning for April recess without addressing the needs of hospitals and health systems and urging Congress to act to ensure health care providers have the critical relief, including but not limited to extending the Medicare sequester relief, adding more PRF dollars, and providing flexibility in the repayment terms for Medicare accelerated and advance repayments; Provide comments in response to the (CMS) request for information regarding access to coverage and care in the Medicaid and Childrens Health Insurance Program (CHIP) programs. The critical components for a comprehensive access and coverage strategy for Medicaid and CHIP should include: Robust outreach and enrollment efforts to secure and maintain coverage for eligible individuals and families, as well as ensure beneficiary knowledge of how to use this coverage, Standards to ensure timely and equitable access to quality care, and Provider payments that are sufficient to enable beneficiaries' access to quality care; Provide comments in response to the Department of Homeland Securitys (DHS) proposed rule to codify standards and clarify policies that govern public charge determinations. Public charge determinations assess how likely it is that an individual will become dependent on government assistance (public benefits) for support and subsistence. These policy clarifications are intended to help immigrants and their family members better understand when the use of certain public benefits could impact their future immigration status and address the chilling effects of the now-repealed 2019 public charge final rule. The AHA supports DHSs efforts to clarify policies regarding how public charge determinations are made to help reverse the damaging effects of the repealed 2019 public charge rule; A bill to amend title XIX of the Social Security Act to expand the availability of mental, emotional, and behavioral health services under the Medicaid program; Letter urging Congress to halt further cuts to hospital payments. Need to stop a harmful Medicare payment cut to providers that will go into effect July 1 without congressional action. Specifically, a 1% Medicare sequester cut took effect April 1, and that cut will increase to 2% on July 1 if Congress does not act. This will result in billions of dollars being cut from hospitals and health systems by the end of the year; Submitted comment letter regarding Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2023 and Updates to the IRF Quality Reporting Program. We note that the proposed IRF PPS labor-related share would only modestly shift upward from 72.9% in FY 2022 to 73.2% in FY 2022. AHA is concerned that these changes neither align regarding massive cost growth in recent months and years; Provide Comments on the Medicare Program - Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities and Updates to the Quality Reporting Program and Value-Based Purchasing Program for Federal Fiscal Year 2023 which stated the Proposed FY 2023 Payment Update warrants closer examination and we urge CMS to discuss in the final rule how the agency will account for these increased costs. The timing of this proposed net decrease in payments could not be worse, given the well-documented impact of the COVID-19 public emergency (PHE) on the SNF and nursing home field; Letter sent to the bipartisan, bicameral Leadership of the House and Senate, urging Congress to act to prevent further Medicare sequester cuts scheduled to take effect on July 1; Submitted comment letter about inpatient and long-term care hospital prospective payment system proposed rule for fiscal year 2023. Concerned that CMS is proposing policies and payment adjustment that do not take into account the current the COVID-19 public health emergency (PHE) and its atypical market forces and pandemic-driven aberrations affecting the utilization and cost of providing LTCH services. Specifically, we are concerned by proposals for an inadequate market basket update and an untenable spike in the high-cost outlier threshold; Letter urges Congress to call on CMS to make changes to the hospital inpatient prospective payment system (IPPS) proposed rule for fiscal year (FY) 2023 in order to ensure that Medicare payments for acute care services more accurately reflect the cost of providing hospital care to patients and communities; Support the bipartisan Dear Colleague letters that ask CMS to make critical changes to the hospital inpatient prospective payment system proposed rule for fiscal year (FY) 2023 to more accurately reflect the cost of providing hospital care to patients; Support HR 8487/ S 3173 Improving Seniors Timely Access to Care Act of 2022, a bill to amend title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans; Support HR 8747 Assistance for Rural Community Hospitals Act of 2022 or the ARCH Act of 2022, a bill to amend title XVIII of the Social Security Act to extend Medicare-dependent hospital and Medicare low-volume hospital payments; Oppose HR 1330/ S 4130 Patient Access to Higher Quality Health Care Act of 2022, a bill to repeal changes made by health care reform laws to the Medicare exception to the prohibition on certain physician referrals for hospitals, and for other purposes; Support HR 8188/ S4449 Saving Access to Laboratory Services Act, a bill to amend title XVIII of the Social Security Act to improve the accuracy of market-based Medicare payment for clinical diagnostic laboratory services, to reduce administrative burdens in the collection of data, and for other purposes; Letter urged Congress to prevent the Statutory Pay-As-You-Go Act of 2010 (Statutory PAYGO) sequester from taking effect at the end of this session of Congress. Failure to waive Statutory PAYGO sequester cuts would result in $38 billion in Medicare cuts in fiscal year 2023 which would have a devastating impact on the health care field, destabilizing health care access; Letter expressing opportunities to increase participation, enhance efficacy of Medicare Access and CHIP Reauthorization Act (MACRA) programs, and further transition our health care system from volume to value; Letter to provide feedback on the cybersecurity policy proposals released in Senator Warner report. Hospitals and health systems have prioritized protecting patients and defending their networks from cyberattacks. However, they need support from the federal government as the field continues to face targets from sophisticated cyber adversaries and nation-states; Letter to leadership encouraging Congress to take steps to provide relief to those seeking and administering behavioral health care; Support HR 7744, Building Americas Health Care Workforce Act, a bill to amend title XI of the Social Security Act to extend beyond the COVID-19 emergency period, with certain modifications, the Emergency Declaration Blanket Waiver relating to training and certification of nurse aides to alleviate burdens imposed on staff of skilled nursing facilities and nursing facilities.
Client expense: $6,950,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), SENATE
2022 · fourth_quarter · Health Issues
Affordable prescription drugs; 340B Drug pricing program; Health care privacy; Patient privacy issues; Issues related to the American Rescue Plan Act, PL 117-2; Issues related to expanding health care coverage, including in non-Medicaid expansion states; Issues related to improving social determinants of health; Issues related to extending and expanding flexibilities for virtual care; Financial support for providers for diagnosis and treatment related to COVID-19, coverage of COVID-19 related conditions, access to PPE and other materials and equipment related to the treatment of patients with COVID-19, including funding for the Provider Relief Fund; Issues related to affordable health care coverage; H.R. 2228 - Rural Behavioral Health Access Act; Issues related to drug pricing; Issues related to Bipartisan Infrastructure Framework; Issues related to telehealth; Efforts to extend Medicare sequester delay, including H.R.1868; Issues related to Medicare policy on virtual care; Issues related to vaccine mandates; S. 168/H.R. 708 - Temporary Reciprocity to Ensure Access to Treatment (TREAT) Act; S. 346/H.R. 959 - Black Maternal Health Momnibus Act; S. 773/H.R. 3203 - Legislation related to 340B eligibility; S. 834/H.R. 2256 - Resident Physician Shortage Reduction Act; S. 834/H.R. 2256 - Healthcare Workforce Resilience Act; S. 368/H.R. 1332 - Telehealth Modernization Act ; S. 1512/H.R. 2903 - CONNECT for Health Act; S. 1988 - Protecting Rural Telehealth Access Act; H.R. 3 - Elijah E. Cummings Lower Drug Costs Now Act; S.773/H.R. 3203 - A bill to enable certain hospitals that were participating in or applied for the drug discount program under section 340B of the Public Health Service Act prior to the COVID-19 public health emergency to temporarily maintain eligibility for such program; H.R. 4943 - Childrens Mental Health Infrastructure Act; H.R. 4944 - Helping Kids Cope Act; H.R. 5376 - Build Back Better Act; H.R. 1667 - Dr. Lorna Breen Health Care Provider Protection Act; Issues related to workforce retention; H.R. 2471 - Consolidated Appropriations Act (FY 2022 Omnibus); H.R. 7007 - Covid-19 Supplemental Appropriations Act; H.R. 7053/S. 3792 - Hospital Inpatient Services Modernization Act; issues related to the Acute Hospital Care at Home (AHCAH) waiver; H.R. 4407/S. 1568 - Technical Reset to Advance the Instruction of Nurses (TRAIN) Act; S. 3493 - Telehealth Extension and Evaluation Act; H.R. 6202 - Telehealth Extension Act; H.R. 5376 - Inflation Reduction Act (Public Law 117-169); H.R. 6833 - Continuing Resolution; H.R. 2617 - Consolidated Appropriations Act, 2023; Issues related to adequate financing for hospitals and providers; H.R. 4040 - Advancing Telehealth Beyond COVID-19 Act; Issues related to extending the Medicare Dependent Hospital and Low Volume Hospital programs; Issues related to extending bonus payments for Advanced Alternative Payment models; H.R. 4587 - Value in Health Care Act; Issues related to coding and coverage of spiritual care through chaplain services; Issues related to value-based care programs, including the Bundled Payments for Care Improvement (BPCI) Advanced Model; Issues related to data and quality measure reporting and eligibility for corresponding reimbursements; Issues related to prior authorization; H.R. 3173 - Improving Seniors Timely Access to Care Act; Issues related to Rural Emergency Hospital designation; Issues related to safety net hospital reimbursements.
Client expense: $310,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2022 · fourth_quarter · Medicare/Medicaid
Issues related to Medicare and Medicaid coverage and Medicaid disproportionate share program; Financial support for providers for diagnosis and treatment related to COVID-19; coverage of COVID-19 related conditions; access to PPE and other materials and equipment related to the treatment of patients with COVID-19, including funding for the Provider Relief Fund; PL 117-2; Issues related to Bipartisan Infrastructure Framework; Issues related to telehealth; Efforts to extend Medicare sequester delay, including H.R.1868; Issues related to Medicare policy on virtual care; Childrens Health Graduate Medical Education; issues related to drug pricing; Issues related to hospital DSH eligibility; Issues related to Home and Community Based Services (HCBS); Medicaid waiver-related issues; Childrens transplant program issues; S. 346/H.R. 959 - Black Maternal Health Momnibus Act; S.773/H.R. 3203 - legislation to enable certain hospitals that were participating in or applied for the drug discount program under section 340B of the Public Health Service Act prior to the COVID-19 public health emergency to temporarily maintain eligibility for such program; S. 834/H.R. 2256 - Resident Physician Shortage Reduction Act; S. 1024/H.R. 2255 - Healthcare Workforce Resilience Act; S. 368/H.R. 1332 - Telehealth Modernization Act; S. 1512/H.R. 2903 - CONNECT for Health Act ; S. 1988 - Protecting Rural Telehealth Access Act; H.R. 3 - Elijah E. Cummings Lower Drug Costs Now Act; H.R. 5376 - Build Back Better Act; H.R. 2617 - Consolidated Appropriations Act, 2023; Efforts to delay statutory PAYGO payment reductions; Efforts to offset physician payment reductions; Efforts to improve hospital reimbursement; Issues related to cuts to Medicaid DSH; Issues related to cuts to uncompensated care pools; Issues related to hospital at home programs; H.R. 2471 - Consolidated Appropriations Act (FY 2022 Omnibus); H.R. 7007 - Covid-19 Supplemental Appropriations Act; H.R. 7053/S. 3792 - Hospital Inpatient Services Modernization Act; issues related to the Acute Hospital Care at Home (AHCAH) waiver; S. 3493 - Telehealth Extension and Evaluation Act; H.R. 6202 - Telehealth Extension Act; H.R. 5376 - Inflation Reduction Act (Public Law 117-169); H.R. 6833 - Continuing Resolution; Issues related to adequate financing for hospitals and providers; H.R. 4040 - Advancing Telehealth Beyond COVID-19 Act; Issues related to extending the Medicare Dependent Hospital and Low Volume Hospital programs; Issues related to extending bonus payments for Advanced Alternative Payment models; H.R. 4587 - Value in Health Care Act; Issues related to coding and coverage of spiritual care through chaplain services; Issues related to value-based care programs, including the Bundled Payments for Care Improvement (BPCI) Advanced Model; Issues related to data and quality measure reporting and eligibility for corresponding reimbursements; Issues related to prior authorization; H.R. 3173 - Improving Seniors Timely Access to Care Act; Issues related to Rural Emergency Hospital designation; Issues related to safety net hospital reimbursements.
Client expense: $310,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2022 · fourth_quarter · Medicare/Medicaid
Medicare PAYGO Sequestration - (H.R 2617) - Supported inclusion of provisions in the Consolidated Appropriations Act to prevent 4% Medicare payment reductions due to sequestration required by statutory PAYGO requirements. Medicare Physician Reimbursement (H.R. 2617; H.R. 8800) - Supported legislation that would ease pending reimbursement cuts through the physician fee schedule conversion factor. Health Care Workforce (S.834/H.R. 2256; S. 1438/H.R. 3441; H.R. 2617) - Supported legislation to increase the number of Medicare-supported Graduate Medical Education slots. Advanced Alternative Payment Model (APM) Bonus Payment (H.R. 4587; H.R. 2617) - Supported passage of legislation to extend the APM bonus payments. Telehealth (H.R. 2617; H.R. 4040; S. 1512/H.R. 2903)- Advocated for Congress to extend or make permanent flexibilities related to distant site and geographic limitations, expanding the provider types and services available to be reimbursed by Medicare. Acute Hospital Care at Home Model (H.R. 2617; S. 3792/H.R. 7053) Supported passage of legislation to extend the Acute Hospital Care at Home Model beyond the end of the declared Public Health Emergency. Rural Health Care Extenders (H.R. 2617) - Supported extension of Medicare Dependent Hospital program and Medicare Low-Volume Adjustment. Mental and Behavioral Health (S. 4747; H.R. 7236; H.R. 2617) - Supported passage of legislation to better support access to mental and behavioral health needs for children and adults. Supported passage of the Improving Seniors' Timely Access to Care Act (S.3018/ H.R.3173). Supported passage of the Preserving Access to Home Infusion Act (H.R. 5067/S. 2652).
Client expense: $250,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
2022 · fourth_quarter · Health Issues
HR 4587--Value in Health Care Act--Extension of 5% AAPM Bonus, Freeze on current AAPM thresholds S. 5249--Preserving Patient Access to Value Based Care Act--Extension of 5% AAPM Bonus, Freeze on current AAPM thresholds HR 2617--Consolidated Appropriations Act of 2023--Medicare physician payment, AAPM bonus payments, Freeze on AAPM thresholds, Telehealth extension, Hospital at Home extension, Medicaid FMAP for Puerto Rico, US Territories
Client expense: $150,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2022 · fourth_quarter · Medicare/Medicaid
Actions by the Health Resources and Services Administration to redesignate health professional shortage areas, in relation to 86 FR 35808 S. 3792/H.R.7053 - the Hospital Inpatient Services Modernization Act - all provisions. H.R. 5883 - The Rural Health Fairness in Competition Act - all provisions. S. 4009 The Rural Hospital Support Act - all provisions. & H.R 8747- the The Assistance for Rural Community Hospitals (ARCH) Act - all provisions. H.R.4587 - The Value in Health Care Act of 2021 - all provisions. H.R. 3173/S.3018 - The Improving Seniors' Timely Access to Care Act of 2021 - All Provisions. Extending flexibilities to hospitals made possible by the public health emergency, including the critical access hospita 96-hour average length of stay condition of participation and 96-hour condition of payment rule, the skilled nursing facility 3-day rule, and Medicare telehealth flexibilities.
Client expense: $40,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2022 · fourth_quarter · Health Issues
Actions by the Health Resources and Services Administration to redesignate health professional shortage areas, in relation to 86 FR 35808 S. 3792/H.R.7053 - the Hospital Inpatient Services Modernization Act - all provisions. H.R. 5883 - The Rural Health Fairness in Competition Act - all provisions. S. 4009 The Rural Hospital Support Act - all provisions. & H.R 8747- the The Assistance for Rural Community Hospitals (ARCH) Act - all provisions. H.R.4587 - The Value in Health Care Act of 2021 - all provisions. H.R. 3173/S.3018 - The Improving Seniors' Timely Access to Care Act of 2021 - All Provisions. Extending flexibilities to hospitals made possible by the public health emergency, including the critical access hospita 96-hour average length of stay condition of participation and 96-hour condition of payment rule, the skilled nursing facility 3-day rule, and Medicare telehealth flexibilities.
Client expense: $40,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2022 · fourth_quarter · Medicare/Medicaid
S.3792/H.R.7053, Hospital Inpatient Services Modernization Act H.R.4587, Value in Health Care Act Issues related to Statutory PAYGO Sequester Relief, in general Issues related to per diem payment and patient discharge/backlog concerns, in general Issues related to Physician Fee Schedule cuts, in general Issues related to the Medicare Access and CHIP Reauthorization Act (MACRA), in general Issues related to telehealth services and behavioral health access, in general
Client expense: $28,902 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2022 · fourth_quarter · Health Issues
Specific lobbying issues: Supporting S.3792/H.R.7053, Hospital Inpatient Services Modernization Act Supporting H.R.4587, Value in Health Care Act Issues related to Statutory PAYGO Sequester Relief, in general Issues related to per diem payment and patient discharge/backlog concerns, in general Issues related to the Medicare Access and CHIP Reauthorization Act (MACRA), in general Issues related to Physician Fee Schedule cuts, in general Issues related to telehealth services and behavioral health access, in general
Client expense: $28,902 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2022 · fourth_quarter · Health Issues
S. 4750, Restore Protections for Dialysis Patients Act, provisions related to commercial health coverage. H.R. 4587, Value in Health Care Act, provisions related to Accountable Care Organizations. S. 3018/H.R. 3173, Improving Seniors Timely Access to Care Act of 2021, provisions related to Medicare Advantage. Veterans Care Coordination, Health equity issues, COVID transition & the Public Health Emergency.
Client expense: $720,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
2022 · fourth_quarter · Medicare/Medicaid
H.R. 8800, Supporting Medicare Providers Act of 2022, all provisions H.R. 3434, Territories Health Equity Act of 2021, all provisions H.R. 4406, Supporting Medicaid in the U.S. Territories Act of 2021, all provisions H.R. 1332, Telehealth Modernization Act, all provisions S. 368, Telehealth Modernization Act, all provisions H.R. 2903, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2021, all provisions S. 1512, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2021, all provisions H.R. 366, Protecting Access to Post-COVID-19 Telehealth Act of 2021, all provisions H.R. 7051, Access to Prescription Digital Therapeutics Act of 2022, provisions relating to COVID-19 flexibilities, and telemental health S. 3791, Access to Prescription Digital Therapeutics Act of 2022, provisions relating to COVID-19 flexibilities, and telemental health S. 610, Protecting Medicare and American Farmers from Sequester Cuts Act, all provisions H.R. 4040, Advancing Telehealth Beyond COVID-19 Act of 2022, all provisions H.R. 2654, Chiropractic Medicare Coverage Modernization Act of 2021, all provisions H.R. 7213, Equitable Community Access to Pharmacist Services Act, all provisions H.R. 6087, Improving Access to Workers Compensation for Injured Federal Workers Act of 2022, all provisions H.R. 5067, Preserving Patient Access to Home Infusion Act, provisions relating to scope of practice S. 2652, Preserving Patient Access to Home Infusion Act, provisions relating to scope of practice H.R. 8812, Improving Care and Access to Nurses (I CAN) Act, all provisions S. 5212, Improving Care and Access to Nurses (I CAN) Act, all provisions H.R. 9577, Increasing Mental Health Options Act of 2022, all provisions S. 5272, Increasing Mental Health Options Act of 2022, all provisions H.R. 3173, Improving Seniors Timely Access to Care Act of 2021, all provisions S. 3018, Improving Seniors Timely Access to Care Act of 2021, all provisions H.R. 8487, Improving Seniors' Timely Access to Care Act of 2022, all provisions H.R. 3259, Non-Opioids Prevent Addiction In the Nation (NOPAIN) Act, all provisions S. 586, Non-Opioids Prevent Addiction In the Nation (NOPAIN) Act, all provisions H.R. 1438, Opioid Workforce Act of 2021, all provisions S. 1438, Opioid Workforce Act of 2021, all provisions H.R. 3441, Substance Use Disorder Workforce Act, all provisions H.R. 3407, Mothers and Offspring Mortality and Morbidity Awareness (MOMMAs) Act, provisions relating to Medicaid and CHIP, and maternal and infant mortality S. 411, Mothers and Offspring Mortality and Morbidity Awareness (MOMMAs) Act, provisions relating to Medicaid and CHIP, and maternal and infant mortality H.R. 925, Data to Save Moms Act, all provisions H.R. 959, Black Maternal Health Momnibus Act of 2021, all provisions S. 346, Black Maternal Health Momnibus Act of 2021, all provisions H.R. 3746, Accountable Care in Rural America Act, all provisions H.R. 4587, Value in Health Care Act of 2021, all provisions H.R. 4755, Seniors Chronic Care Management Improvement Act of 2021, all provisions H.R. 6308, ACO Assignment Improvement Act of 2021, all provisions S. 5249, Preserving Patient Access to Value-Based Care Act, all provisions H.R. 8879, Inpatient Psychiatric Facility Improvement Act, all provisions H.R. 8878, To amend title XVIII of the Social Security Act to ensure adequate coverage of outpatient mental health services under the Medicare program, all provisions H.R. 432, Mental Health Access Improvement Act of 2021, all provisions H.R. 8910, Behavioral Health Integration Awareness Act of 2022, all provisions H.R. 8884, Medicare Opioid Use Disorder Outreach Act, all provisions H.R. 8890, Physician Wellness Program Act of 2022, all provisions H.R. 3, Elijah E. Cummings Lower Drug Costs Now Act, all provisions H.R. 19, Lower Costs, More Cures Act of 2021, all provisions H.R. 4058, Telemental Health Care Access Act of 2021, all provisions S. 2061, Telemental Health Care Access Act of 2021, all provisions S. 801, Connected Maternal Online Monitoring Act, all provisions H.R. 1738, Stabilize Medicaid and CHIP Coverage Act, all provisions H.R. 1025, Kids Access to Primary Care Act of 2021, all provisions H.R. 2256, Resident Physician Shortage Reduction Act of 2021, all provisions S. 834, Resident Physician Shortage Reduction Act of 2021, all provisions H.R. 7995, Getting Over Lengthy Delays in Care As Required by Doctors (GOLD CARD) Act of 2022, all provisions H.R. 955, Medicaid Reentry Act of 2021, all provisions S. 285, Medicaid Reentry Act of 2021, all provisions H.R. 4128, Verifying Accurate Leading-edge IVCT Development (VALID) Act of 2021, all provisions S. 2209, Verifying Accurate Leading-edge IVCT Development (VALID) Act of 2021, all provisions H.R. 6000, Cures 2.0 Act, all provisions H.R. 4043, Ensuring Patient Access to Critical Breakthrough Products Act of 2021, all provisions S. 2416, New Opportunities for Value that Extend Lives (NOVEL) Act of 2021, all provisions S. 2938, Bipartisan Safer Communities Act, all provisions H.R. 8594, Restore Protections for Dialysis Patients Act, all provisions S. 4750, Restore Protections for Dialysis Patients Act, all provisions H.R. 4014, Physician Shortage GME Cap Flex Act of 2021, all provisions S. 2094, Physician Shortage GME Cap Flex Act of 2021, all provisions H.R. 9378, Sunshine Act of 2022, all provisions H.R. 6576, Small Practice, Underserved, and Rural Support Program (SURS) Extension Act of 2022, all provisions Medicare program: Medicare and CHIP Reauthorization Act (MACRA) broad reform Medicare program: MACRA implementation Medicare program: MACRA burdens Medicare program: 21st Century Cures Act implementation Medicare program: Enhancing the Mental Health Workforce Medicare program: Improvement to Medicare Inpatient Psychiatric Facility Improvement Act Medicare program: Medicare program improvement/Physician Services and Education Medicare program: Accountable Care Organizations Medicare program: Medicare Economic Index (MEI)/inflation updates Medicare program: 2% Medicare sequester moratorium Medicare program: 4.5% payment rates reduction Medicare program: Medicare Physician Fee Schedule Conversion Factor/3% increase extension Medicare program: Global and Professional Direct Contracting alternative payment model/REACH ACOs Medicare program: Medicare physician payment Medicare program: Merit-based Incentive Payment Program (MIPS) improvement Medicare program: Alternative Payment Models (APMs) Medicare program: Medicare Physician Payment Reform/primary care/specialties Medicare program: Provider Enrollment, Chain, and Ownership System (PECOS)/Revalidation Medicare program: Recovery plan for Americas Physicians Medicare program: Physician-Owned Hospitals/Medicare Moratorium Medicare program: Health IT burdens Medicare program: EHR certification Medicare program: Provider Compliance/Regulatory Relief Medicare program: Quality Payment Program/physician burdens Medicare program: National provider directory Medicare program: Self-measured blood pressure (SMBP) devices/benefit category Medicare program: Information blocking Medicare program: Coding Medicare program: Skilled nursing facilities (SNF) Medicare and Medicaid programs: Cybersecurity Medicare and Medicaid programs: Puerto Rico/Medicaid caps/FMAP Medicaid program: Improving Access to Physical and Mental Health Care for Children and Youth Under Medicaid and CHIP Medicaid program: Ensuring Access to Telemental Health Services Medicaid program: Ensuring Access to Telemental Health Services Medicaid program: Enhancing the Mental Health Workforce Medicaid program: Improving Integration, Coordination, and Access to Care Medicaid program: Maternal mortality and morbidity/Equity
Client expense: $5,060,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Medicare Payment Advisory Commission (MedPAC), SENATE, White House Office
2022 · fourth_quarter · Health Issues
H.R.4587 Value in Health Care Act S.5249 Preserving Patient Access to Value-Based Care Act H.R.2617 Consolidated Appropriations Act, 2023 Legislation and regulation related to Medicare physician payment, Medicare Shared Savings Program, ACO Reach, value-based care incentives, telehealth, and accountable care
Client expense: $128,652 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2022 · fourth_quarter · Medicare/Medicaid
HR 366 Authorize HHS Secretary to waive or modify application of Medicare requirements with respect to telehealth services during any emergency period. HR 955 and S 285 To allow for medical assistance under Medicaid for inmates during 30-day period preceding release from a public institution. HR 1332 and S 368 Amends title XVIII of the Social Security Act to make permanent certain telehealth flexibilities under the Medicare program related to the COVID-19 public health emergency. HR 1349 To provide for the conversion of certain accelerated and advance payments to grants under parts A and B of the Medicare program. S 834 To create an additional 14,000 Medicare-supported residency slots over seven years. HR 2166 To require the inclusion of certain audio-only diagnoses in the determination of risk adjustment for Medicare Advantage plans and PACE programs. HR 3371 To improve access to home health care furnished by telehealth amid PHEs. HR 3589 Medicare AAP loan repayment delay HR 3746 To improve the benchmarking process for the Medicare Shared Savings Program. S. 368 Amends title XVIII of the Social Security Act to make permanent certain telehealth flexibilities under the Medicare program related to the COVID-19 public health emergency. HR 4587 To direct HHS to revise certain regulations in relation to the Medicare shared savings program and other advanced alternative payment arrangements to encourage program participation. S. 2622 To provide for Medicaid coverage of comprehensive tobacco cessation services. HR 5514 To improve extended care services by providing Medicare beneficiaries with an option for cost effective home-based extended care. S 3018 To establish requirements with respect to the use of prior authorization under Medicare Advantage plans. Oppose Medicare sequester. S. 3593 To extend certain telehealth services covered by Medicare and to evaluate the impact of telehealth services on Medicare beneficiaries HR 7573 To extend certain telehealth services covered by Medicare and to evaluate the impact of telehealth services on Medicare beneficiaries HR 4407/S 1568 To modify the methodology and application of Medicare Advantage nursing and allied health education payments for hospitals HR 4040 To extend telehealth flexibilities under the Medicare program HR 5370 To establish a CMS demo for medically tailored meals for Medicare beneficiaries. HR 8487 To establish requirements with respect to the use of prior authorization under Medicare Advantage plans. HR 8800 To extend certain increases in payments for physicians services under the Medicare program through 2023
Client expense: $200,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Medicare Payment Advisory Commission (MedPAC), SENATE
2022 · fourth_quarter · Medicare/Medicaid
H.R. 2256/S. 834 - Resident Physician Shortage Reduction Act H.R. 2903/S. 1512 - CONNECT for Health Act H.R. 4323/S. 2069 - Excellence in Mental Health and Addiction Treatment Act H.R.3345 - Helping MOMS Act H.R.4587 - Value in Health Care Act of 2021 H.R.7053/S. 3792 - Hospital Inpatient Services Modernization Act Issues related to Section 203 of the Consolidated Appropriations Act of 2021 Issues related to the Families First Coronavirus Response Act Issues related to the Medicare Accelerated and Advance Payment (AAP) programs Issues related to the Medicare sequester S.748 - Medicare Sequester Relief Act
Client expense: $490,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE, White House Office
2022 · fourth_quarter · Medicare/Medicaid
Post-acute and home health care payments; Telehealth policy; Tele-home health; Value based health care; Medicare Payment Policy; Medicare Shared Savings Program; Sequestration; Home Health and Home Based Care; Health Equity; Social Determinants of Health; Workforce; H.R. 4587 - The Value in Health Care Act; H.R. 4449 - Pathways to Health Careers Act; S. 4067 - John Lewis Equality in Medicare and Medicaid Treatment Act; H.R. 5067/S. 2652 - Preserving Patient Access to Home Infusion Act; H.R. 8581/S. 4605 - Preserving Access to Home Health Act; H.R. 5514/S. 2562 - Choose Home Care Act; Antibiotics infused in home setting; S. 2565 - Expanding Access to Palliative Care Act; PAYGO sequester cuts; Physician fee schedule; Home health cuts; Home health; Telehealth waivers; 340B OPPS payment restoration; APM Bonus Extensions; S.4449/H.R.8188 - Saving Access to Laboratory Services Act.
Client expense: Not reported · Firm income: $40,000
2022 · fourth_quarter · Medicare/Medicaid
HR 3173/S 3018: Seniors Timely Access to Care Act : Medicare Advantage Prior Authorization Reform. HR 8800 Supporting Medicare Providers Act of 2022: Stops the 2023 Medicare Fee Schedule Payment cuts of 4.42%. RFI (Bera, Bucshon) on Medicare Payment Reform. HR 7995: The GOLD CARD Act of 2022: Medicare Advantage Prior Authorization Reform. HR 4587 Value in Health Care Act to Improve the Medicare APM Programs and extend the APM/ACO 5% incentive payments. S 150: Ensuring Parity in Medicare Advantage for Audio-only Telehealth Act. CMS-0057-P; RIN 0938-AU87: Advancing Interoperability and Improving Prior Authorization Processes for Medicare Advantage Organizations, Medicaid Managed Care Plans. State Medicaid Agencies, Childrens Health Insurance Program (CHIP) Agencies, and CHIP Managed Care Entities, Issuers. CMS 9899-P; RIN 0938-AU97: Patient Protection and Affordable Care Act HHS Notice of Benefit and Payment Parameters (NBPP) for 2024. CMS File Code 1770-P; Medicare and Medicaid Programs; CY 2023 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment Policies. Medicare Shared Savings Program Requirements. Covid-19 Provider Relief Fund Distribution and Reporting Requirements. No Surprise Act Final Rule: HHS 45 CFR Part 149; CMS-9909-F and CMS 9908-F; RIN 0938-AU62 and RIN 0938-AU63. Requirements Related to Surprise Billing.
Client expense: $55,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
2022 · fourth_quarter · Health Issues
Consolidated Appropriations Act, 2023 (Pub. L. 117-328); Area Wage Index for Post-Acute Providers; Medicare Sequestration; PAYGO Sequestration; Preserving Access to Home Health Act (H.R. 8581/S. 4605); Hospital Inpatient Services Modernization Act (H.R. 7053/S. 3792); Building Americas Health Care Workforce Act (H.R. 7744); Supporting Medicare Providers Act (H.R. 8800); Improving Seniors Timely Access to Care Act (H.R. 3173/S. 3018); Restoring Hope for Mental Health and Well-Being Act of 2022 (H.R. 7666); Improving Trauma Systems and Emergency Care Act (H.R. 8163/S. 3566); Safety from Violence for Healthcare Employees Act (H.R. 7961); Advancing Telehealth Beyond COVID-19 Act (H.R. 4040); ALTO Reauthorization Act (H.R. 4846/S. 2538); Value in Health Care Act (H.R. 4587); Mental Health Justice Act of 2022 (H.R. 8542/S. 515); Contract Year 2024 Policy and Technical Changes to the Medicare Advantage Program (CMS-4201-P); Programs; Advancing Interoperability and Improving Prior Authorization Processes for Medicare Advantage Organizations (CMS-0057-P); Hospital IPPS and ASC Rule (CMS-1773-FC); CY 2023 Physician Fee Schedule (CMS-1770-F); CY 2023 Home Health PPS (CMS-1766-F); Implementing Certain Provisions of the CSA 2021 (CMS-4199-F); Hospital IPPS Rule (CMS-1771-F).
Client expense: $40,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2022 · fourth_quarter · Health Issues
Inclusion of Section 4 of the Value in Health Care Act (H.R. 4587) in the FY2023 Consolidated Appropriations Act (H.R. 2617), extending the Advanced Payment Model incentive payments and allowing CMS to adjust qualifying thresholds FY2023 Consolidated Appropriations Act (H.R. 2617); Labor-HHS-Education Appropriations bill-- 340(B) drug reimbursement; reduction/elimination of 4% Statutory PAYGO sequester; Medicare graduate medical education (GME) positions; extension of Medicare telehealth program.
Client expense: Not reported · Firm income: $50,000
2022 · fourth_quarter · Budget/Appropriations
FY2023 Consolidated Appropriations Act (H.R. 2617); H.Rept. 117-388, S.Rept____, FY23 Defense Appropriations Bill, funding for advanced trauma and public health training for the National Guard and for international partners FY2023 Consolidated Appropriations Act (H.R. 2617); S.Rept._____ FY23 Labor-HHS-Education Appropriations Bill, community project funding for cancer lab equipment, and school-based health centers. Inclusion of Section 4 of the Value in Health Care Act (H.R. 4587) in the FY2023 Consolidated Appropriations Act (H.R. 2617), extending the Advanced Payment Model incentive payments and allowing CMS to adjust qualifying thresholds FY2023 Consolidated Appropriations Act (H.R. 2617); Labor-HHS-Education Appropriations bill-- 340(B) drug reimbursement; reduction/elimination of 4% Statutory PAYGO sequester; Medicare graduate medical education (GME) positions; extension of Medicare telehealth program.
Client expense: Not reported · Firm income: $50,000
2022 · fourth_quarter · Medicare/Medicaid
TRAIN Act (S. 1568/H.R. 4407) to stop cuts to nursing and allied health programs Safety from Violence for Healthcare Employees (SAVE) Act (H.R. 7961) to protect healthcare workers. Sequestration relief Rural hospital policies (Rural Health Clinic payment - H.R. 1868; Rural Hospital Closure Relief Act H.R. 1639/S.644; Rural and Underserved Small Hospital Protection Act/RUSH Act (H.R. 1885); Rural America Health Corps Act (S. 924/H.R. 2130); Rural America Health Corps Act S.54); Rural Hospital Support Act (S. 4009) and the Assistance for Rural Community Hospitals (ARCH) Act (H.R. 8747) to extend the MDH and LVA programs) Hospital Inpatient Services Modernization Act (S. 3792/H.R. 7053) Value in Health Care Act (H.R. 4587) Graduate Medical Education (GME) funding (Resident Physician Shortage Reduction Act of 2021 S. 834/H.R. 2256); Opioid Workforce Act S. 1438/ Substance Use Disorder Workforce Act H.R. 3441 Telehealth flexibilities and payment (Telehealth Extension Act - H.R. 6202; TREAT Act - S. 168/H.R. 708; Telehealth Modernization Act - S. 368/H.R. 1332; TREATS Act - S. 340; CONNECT for Health Act S. 1512/H.R. 2903; Ensuring Parity in MA and PACE for Audio-Only Telehealth Act S. 150/H.R. 2166) Resetting the Impact (TRIA) Act of 2021 H.R. 2455 Technical Reset to Advance the Instruction of Nurses (TRAIN) Act Value in Healthcare Act (H.R. 4587) Improving Seniors Timely Access to Care Act (S. 3018/H.R. 3173) Annual Prospective Payment System Rules
Client expense: $200,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2022 · fourth_quarter · Medicare/Medicaid
H.R. 2471 Consolidated Appropriations Act of 2022, all provisions related to hospital and health care related payments and policies, including telehealth, Maternal Health and hospital eligibility for the 340B drug discount program, and funds to support biomedical research, education and workforce development H.R. 7053 Hospital Inpatient Services Modernization Act, all provisions S. 3792 Hospital Inpatient Services Modernization Act, all provisions H.R. 4587 Value in Health Care Act of 2021, all provisions S. 801 Connected MOM Act, all provisions Review and Completion of Provider Relief Fund Phase Four COVID-19 Payments to Hospitals Review and Completion of FEMA COVID-19 Related Payments to Hospitals H.R. 5376 Build Back Better Act. All provisions related to Medicare, Medicaid, Affordable Care Act, hospitals and health care workforce support and development. Remote Patient Monitoring of Expectant Mothers - Expanded Medicaid Coverage/Demonstration Proposed Smoking Cessation Demonstration Program for Medicare Beneficiaries. Consolidated Appropriations Act, 2023 P.L. 117-328. All provisions related to Medicare, Medicaid, Biomedical Education and Research.
Client expense: $175,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), SENATE, White House Office
2022 · fourth_quarter · Health Issues
H.R. 2471 Consolidated Appropriations Act of 2022, all provisions related to hospital and health care related payments and policies, including telehealth, Maternal Health and hospital eligibility for the 340B drug discount program, and funds to support biomedical research, education and workforce development. H.R. 7053 Hospital Inpatient Services Modernization Act, all provisions S. 3792 Hospital Inpatient Services Modernization Act, all provisions H.R. 4587 Value in Health Care Act of 2021, all provisions S. 801 Connected MOM Act, all provisions Review and Completion of Provider Relief Fund Phase Four COVID-19 Payments to Hospitals Review and Completion of FEMA COVID-19 Related Payments to Hospitals Development of U.S. Facilities to Manufacture Personal Protective Equipment and Other Medical Supplies. H.R. 5376 Build Back Better Act. All provisions related to Medicare, Medicaid, Affordable Care Act, hospitals and health care workforce support and development. H.R. 3684 Infrastructure Investment and Jobs Act. All provisions. H.R. 7961 Safety from Violence for Health Employees Act of 2022, All Provision Remote Patient Monitoring of Expectant Mothers - Expanded Medicaid Coverage/Demonstration Consolidated Appropriations Act, 2023 P.L. 117-328. All provisions related to Medicare, Medicaid, Biomedical Education and Research.
Client expense: $175,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), SENATE, White House Office
2022 · fourth_quarter · Medicare/Medicaid
Hospital At Home, extension of waivers and expansion of policy to include observation level patients to be treated remotely Strengthen Kids Mental Health Now Act, HR7236 Helping Kids Cope Act, HR4944 Advancing Telehealth Beyond Covid-19 HR 4040 Behavioral/Mental health parity, equal coverage LCSW & Marriage & Family Therapists, extend Medicare coverage, HR432 Enforcement of Mental Health Parity and Addiction Equity Act of 2008 Addiction Treatment Act, X waivers, HR1384 ACA subsidies Outpatient Proposed Rule - 340B Program Preserving Access to Home Health Act HR 8581 S4605 Home Health Care cuts, request a reduction in cuts Supporting Medicare Providers Act of 2022 HR3020 S3314 Extend Medicare Access and CHIP Reauthorization HR4587 Improving Seniors Timesly Access to Care Act HR3173 Value Based Care - alternative payment models Discuss CMMI models with administration.
Client expense: $211,558 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2022 · fourth_quarter · Health Issues
Inclusion of Section 4 of the Value in Health Care Act (H.R. 4587) in the FY2023 Consolidated Appropriations Act (H.R. 2617), extending the Advanced Payment Model incentive payments and allowing CMS to adjust qualifying thresholds.
Client expense: Not reported · Firm income: $20,000
Government targets: HOUSE OF REPRESENTATIVES
2022 · fourth_quarter · Budget/Appropriations
FY2023 Consolidated Appropriations Act (H.R. 2617); H. Rept. 117-388, S.Rept.____ FY23 Defense Appropriations Bill, funding for advanced trauma and public health training for the National Guard and for international partners FY2023 Consolidated Appropriations Act (H.R. 2617); S.Rept._____ FY23 Labor-HHS-Education Appropriations Bill, community project funding for cancer lab equipment and school-based health centers. Inclusion of Section 4 of the Value in Health Care Act (H.R. 4587) in the FY2023 Consolidated Appropriations Act (H.R. 2617), extending the Advanced Payment Model incentive payments and allowing CMS to adjust qualifying thresholds.
Client expense: Not reported · Firm income: $20,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2022 · fourth_quarter · Health Issues
Consolidated Appropriations Act, 2023 (Pub. L. 117-328); Area Wage Index for Post-Acute Providers; Medicare Sequestration; PAYGO Sequestration; Preserving Access to Home Health Act (H.R. 8581/S. 4605); Hospital Inpatient Services Modernization Act (H.R. 7053/S. 3792); Building Americas Health Care Workforce Act (H.R. 7744); Supporting Medicare Providers Act (H.R. 8800); Improving Seniors Timely Access to Care Act (H.R. 3173/S. 3018); Restoring Hope for Mental Health and Well-Being Act of 2022 (H.R. 7666); Improving Trauma Systems and Emergency Care Act (H.R. 8163/S. 3566); Safety from Violence for Healthcare Employees Act (H.R. 7961); Advancing Telehealth Beyond COVID-19 Act (H.R. 4040); ALTO Reauthorization Act (H.R. 4846/S. 2538); Value in Health Care Act (H.R. 4587); Mental Health Justice Act of 2022 (H.R. 8542/S. 515); Contract Year 2024 Policy and Technical Changes to the Medicare Advantage Program (CMS-4201-P); Programs; Advancing Interoperability and Improving Prior Authorization Processes for Medicare Advantage Organizations (CMS-0057-P); Hospital IPPS and ASC Rule (CMS-1773-FC); CY 2023 Physician Fee Schedule (CMS-1770-F); CY 2023 Home Health PPS (CMS-1766-F); Implementing Certain Provisions of the CSA 2021 (CMS-4199-F); Hospital IPPS Rule (CMS-1771-F).
Client expense: Not reported · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
2022 · fourth_quarter · Health Issues
Consolidated Appropriations Act, 2023 (Pub. L. 117-328); Area Wage Index for Post-Acute Providers; Medicare Sequestration; PAYGO Sequestration; Preserving Access to Home Health Act (H.R. 8581/S. 4605); Hospital Inpatient Services Modernization Act (H.R. 7053/S. 3792); Building Americas Health Care Workforce Act (H.R. 7744); Supporting Medicare Providers Act (H.R. 8800); Improving Seniors Timely Access to Care Act (H.R. 3173/S. 3018); Restoring Hope for Mental Health and Well-Being Act of 2022 (H.R. 7666); Improving Trauma Systems and Emergency Care Act (H.R. 8163/S. 3566); Safety from Violence for Healthcare Employees Act (H.R. 7961); Advancing Telehealth Beyond COVID-19 Act (H.R. 4040); ALTO Reauthorization Act (H.R. 4846/S. 2538); Value in Health Care Act (H.R. 4587); Mental Health Justice Act of 2022 (H.R. 8542/S. 515); Contract Year 2024 Policy and Technical Changes to the Medicare Advantage Program (CMS-4201-P); Programs; Advancing Interoperability and Improving Prior Authorization Processes for Medicare Advantage Organizations (CMS-0057-P); Hospital IPPS and ASC Rule (CMS-1773-FC); CY 2023 Physician Fee Schedule (CMS-1770-F); CY 2023 Home Health PPS (CMS-1766-F); Implementing Certain Provisions of the CSA 2021 (CMS-4199-F); Hospital IPPS Rule (CMS-1771-F).
Client expense: Not reported · Firm income: $20,000
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
2022 · fourth_quarter · Health Issues
Consolidated Appropriations Act, 2023 (Pub. L. 117-328); Area Wage Index for Post-Acute Providers; Medicare Sequestration; PAYGO Sequestration; Preserving Access to Home Health Act (H.R. 8581/S. 4605); Hospital Inpatient Services Modernization Act (H.R. 7053/S. 3792); Building Americas Health Care Workforce Act (H.R. 7744); Supporting Medicare Providers Act (H.R. 8800); Improving Seniors Timely Access to Care Act (H.R. 3173/S. 3018); Restoring Hope for Mental Health and Well-Being Act of 2022 (H.R. 7666); Improving Trauma Systems and Emergency Care Act (H.R. 8163/S. 3566); Safety from Violence for Healthcare Employees Act (H.R. 7961); Advancing Telehealth Beyond COVID-19 Act (H.R. 4040); ALTO Reauthorization Act (H.R. 4846/S. 2538); Value in Health Care Act (H.R. 4587); Mental Health Justice Act of 2022 (H.R. 8542/S. 515); Contract Year 2024 Policy and Technical Changes to the Medicare Advantage Program (CMS-4201-P); Programs; Advancing Interoperability and Improving Prior Authorization Processes for Medicare Advantage Organizations (CMS-0057-P); Hospital IPPS and ASC Rule (CMS-1773-FC); CY 2023 Physician Fee Schedule (CMS-1770-F); CY 2023 Home Health PPS (CMS-1766-F); Implementing Certain Provisions of the CSA 2021 (CMS-4199-F); Hospital IPPS Rule (CMS-1771-F).
Client expense: Not reported · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
2022 · fourth_quarter · Health Issues
Consolidated Appropriations Act, 2023 (Pub. L. 117-328); Area Wage Index for Post-Acute Providers; Medicare Sequestration; PAYGO Sequestration; Preserving Access to Home Health Act (H.R. 8581/S. 4605); Hospital Inpatient Services Modernization Act (H.R. 7053/S. 3792); Building Americas Health Care Workforce Act (H.R. 7744); Supporting Medicare Providers Act (H.R. 8800); Improving Seniors Timely Access to Care Act (H.R. 3173/S. 3018); Restoring Hope for Mental Health and Well-Being Act of 2022 (H.R. 7666); Improving Trauma Systems and Emergency Care Act (H.R. 8163/S. 3566); Safety from Violence for Healthcare Employees Act (H.R. 7961); Advancing Telehealth Beyond COVID-19 Act (H.R. 4040); ALTO Reauthorization Act (H.R. 4846/S. 2538); Value in Health Care Act (H.R. 4587); Mental Health Justice Act of 2022 (H.R. 8542/S. 515); Contract Year 2024 Policy and Technical Changes to the Medicare Advantage Program (CMS-4201-P); Programs; Advancing Interoperability and Improving Prior Authorization Processes for Medicare Advantage Organizations (CMS-0057-P); Hospital IPPS and ASC Rule (CMS-1773-FC); CY 2023 Physician Fee Schedule (CMS-1770-F); CY 2023 Home Health PPS (CMS-1766-F); Implementing Certain Provisions of the CSA 2021 (CMS-4199-F); Hospital IPPS Rule (CMS-1771-F).
Client expense: Not reported · Firm income: $100,000
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
2022 · fourth_quarter · Health Issues
Consolidated Appropriations Act, 2023 (Pub. L. 117-328); Area Wage Index for Post-Acute Providers; Medicare Sequestration; PAYGO Sequestration; Preserving Access to Home Health Act (H.R. 8581/S. 4605); Hospital Inpatient Services Modernization Act (H.R. 7053/S. 3792); Building Americas Health Care Workforce Act (H.R. 7744); Supporting Medicare Providers Act (H.R. 8800); Improving Seniors Timely Access to Care Act (H.R. 3173/S. 3018); Restoring Hope for Mental Health and Well-Being Act of 2022 (H.R. 7666); Improving Trauma Systems and Emergency Care Act (H.R. 8163/S. 3566); Safety from Violence for Healthcare Employees Act (H.R. 7961); Advancing Telehealth Beyond COVID-19 Act (H.R. 4040); ALTO Reauthorization Act (H.R. 4846/S. 2538); Value in Health Care Act (H.R. 4587); Mental Health Justice Act of 2022 (H.R. 8542/S. 515); Contract Year 2024 Policy and Technical Changes to the Medicare Advantage Program (CMS-4201-P); Programs; Advancing Interoperability and Improving Prior Authorization Processes for Medicare Advantage Organizations (CMS-0057-P); Hospital IPPS and ASC Rule (CMS-1773-FC); CY 2023 Physician Fee Schedule (CMS-1770-F); CY 2023 Home Health PPS (CMS-1766-F); Implementing Certain Provisions of the CSA 2021 (CMS-4199-F); Hospital IPPS Rule (CMS-1771-F).
Client expense: Not reported · Firm income: $20,000
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
2022 · fourth_quarter · Health Issues
Consolidated Appropriations Act, 2023 (Pub. L. 117-328); Area Wage Index for Post-Acute Providers; Medicare Sequestration; PAYGO Sequestration; Preserving Access to Home Health Act (H.R. 8581/S. 4605); Hospital Inpatient Services Modernization Act (H.R. 7053/S. 3792); Building Americas Health Care Workforce Act (H.R. 7744); Supporting Medicare Providers Act (H.R. 8800); Improving Seniors Timely Access to Care Act (H.R. 3173/S. 3018); Restoring Hope for Mental Health and Well-Being Act of 2022 (H.R. 7666); Improving Trauma Systems and Emergency Care Act (H.R. 8163/S. 3566); Safety from Violence for Healthcare Employees Act (H.R. 7961); Advancing Telehealth Beyond COVID-19 Act (H.R. 4040); ALTO Reauthorization Act (H.R. 4846/S. 2538); Value in Health Care Act (H.R. 4587); Mental Health Justice Act of 2022 (H.R. 8542/S. 515); Contract Year 2024 Policy and Technical Changes to the Medicare Advantage Program (CMS-4201-P); Programs; Advancing Interoperability and Improving Prior Authorization Processes for Medicare Advantage Organizations (CMS-0057-P); Hospital IPPS and ASC Rule (CMS-1773-FC); CY 2023 Physician Fee Schedule (CMS-1770-F); CY 2023 Home Health PPS (CMS-1766-F); Implementing Certain Provisions of the CSA 2021 (CMS-4199-F); Hospital IPPS Rule (CMS-1771-F).
Client expense: Not reported · Firm income: $40,000
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
2022 · fourth_quarter · Health Issues
Consolidated Appropriations Act, 2023 (Pub. L. 117-328); Area Wage Index for Post-Acute Providers; Medicare Sequestration; PAYGO Sequestration; Preserving Access to Home Health Act (H.R. 8581/S. 4605); Hospital Inpatient Services Modernization Act (H.R. 7053/S. 3792); Building Americas Health Care Workforce Act (H.R. 7744); Supporting Medicare Providers Act (H.R. 8800); Improving Seniors Timely Access to Care Act (H.R. 3173/S. 3018); Restoring Hope for Mental Health and Well-Being Act of 2022 (H.R. 7666); Improving Trauma Systems and Emergency Care Act (H.R. 8163/S. 3566); Safety from Violence for Healthcare Employees Act (H.R. 7961); Advancing Telehealth Beyond COVID-19 Act (H.R. 4040); ALTO Reauthorization Act (H.R. 4846/S. 2538); Value in Health Care Act (H.R. 4587); Mental Health Justice Act of 2022 (H.R. 8542/S. 515); Contract Year 2024 Policy and Technical Changes to the Medicare Advantage Program (CMS-4201-P); Programs; Advancing Interoperability and Improving Prior Authorization Processes for Medicare Advantage Organizations (CMS-0057-P); Hospital IPPS and ASC Rule (CMS-1773-FC); CY 2023 Physician Fee Schedule (CMS-1770-F); CY 2023 Home Health PPS (CMS-1766-F); Implementing Certain Provisions of the CSA 2021 (CMS-4199-F); Hospital IPPS Rule (CMS-1771-F).
Client expense: Not reported · Firm income: $20,000
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
2022 · third_quarter · Medicare/Medicaid
Physician Fee Schedule conversion factor/ E/M PPS policy changes HR 4587 Value in Health Care Act H.R.6833 - Making continuing appropriations for fiscal year 2023, and for other purposes. Telehealth issues related to COVID-19; S. 368/H.R. 1332, Telehealth Modernization Act S.3799, PREVENT Pandemics Act; S. 3700/H.R. 6833, Affordable Insulin Now Act; Mental health legislative workstream. Issues related to reauthorization of the FDA user fee bills; HR 5376 Inflation Reduction Act
Client expense: Not reported · Firm income: $40,000
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2022 · third_quarter · Health Issues
HR 4587--The Value in Healthcare Act--5% Advanced Alternative Payment Model (AAPM) Bonus; Qualifying Participants (QP) Thresholds House/Senate Sign-on Letter--Direct Contracting/Accountable Care Organization (ACO) Realizing Equity, Access, and Community Health (REACH)--Preservation of ACO REACH
Client expense: $170,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2022 · third_quarter · Health Issues
Value in Healthcare Act HR.4587 Accountable Care in Rural America Act H.R.3746 ACO Assignment Improvement Act of 2021 H.R.6308 Promoting Health Care Quality Act of 2022 H.R.8201 Legislation related to drug prices, telehealth, and accountable care
Client expense: $120,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2022 · third_quarter · Health Issues
H.R. 6833/S. 3700, Affordable Insulin Now Act, provisions related to commercial health insurance. H.R. 4587, Value in Health Care Act, provisions related to Accountable Care Organizations. H.R. 3173, Improving Seniors Timely Access to Care Act of 2021, provisions related to Medicare Advantage. S. 3018, Improving Seniors Timely Access to Care Act of 2021, provisions related to Medicare Advantage. Veterans Care Coordination.
Client expense: $220,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2022 · third_quarter · Medicare/Medicaid
Support H.R. 315,Medicare Sequester COVID Moratorium Act, a bill to amend the Coronavirus Aid, Relief, and Economic Security Act to extend the temporary suspension of Medicare sequestration; Support H.R. 1332 and S.368,Telehealth Modernization Act, a bill to amend title XVIII of the Social Security Act to make permanent certain telehealth flexibilities under the Medicare program related to the COVID-19 public health emergency; Discussion with the Center for Medicare and Medicaid Innovation (CMMI) about the Radiation Oncology Alternative Payment Model; Support H.R. 1868, a bill that, among other health care provisions, would eliminate the 2% across-the-board cut to all Medicare payments, known as sequestration, until the end of 2021; Support H.R. 2455, The Resetting the Impact Act (TRIA), a bill to amend the IMPACT Act of 2014 to reset data collection and the development of a payment system technical prototype for post-acute care providers under the Medicare program to take into account the effects of COVID-19; Support H.R. 3173/ S.3018, Improving Seniors Timely Access to Care Act of 2021, a bill to amend title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans, and for other purposes; Support H.R. 1887/ S. 4009, Rural Hospital Support Act, a bill to make permanent the Medicare Dependent Hospital (MDH) and Low-volume Adjustment programs and rebases the MDH and Sole Community Hospital programs; Support relief for Medicare advanced payments; Discussion with CMMI about the priorities for alternative payment models; Support HR 4587, Value in Health Care Act of 2021, a bill to direct the Secretary of Health and Human Services to revise certain regulations in relation to the Medicare shared savings program and other advanced alternative payment arrangements to encourage participation in such program, and for other purposes; Support HR 3746, Accountable Care in Rural America Act, a bill to amend title XVIII of the Social Security Act to improve the benchmarking process for the Medicare Shared Savings Program; Support H.R. 5425/ S. 1988, Protecting Rural Telehealth Access Act, a bill to amend title XVIII of the Social Security Act to protect access to telehealth services under the Medicare program; Letter asking Congress to address two important issues by the end of the year: an extension of the moratorium on Medicare sequester cuts, as well as preventing the Statutory Pay-As-You-Go (PAYGO) sequester from taking effect; Letter urging Congress to remove the reductions to the Medicaid disproportionate share hospital (DSH) program and uncompensated care pools from the Build Back Better Act; Support H.R. 5674/ S. 3061Medicare Mental Health Inpatient Equity Act of 2021, a bill to amend title XVIII of the Social Security Act to eliminate the 190-day lifetime limit on inpatient psychiatric hospital services under the Medicare Program; Letter to the HHS secretary asking for PHE extension and urging HHS to extend the declaration for at least 90 days; Letter to the HHS secretary asking to renew the COVID-19 PHE; Letter to CMS urging changes to MA prior authorization requirements for PHE; Letter expressing our disappointment that Congress is adjourning for April recess without addressing the needs of hospitals and health systems and urging Congress to act to ensure health care providers have the critical relief, including but not limited to extending the Medicare sequester relief, adding more PRF dollars, and providing flexibility in the repayment terms for Medicare accelerated and advance repayments; Provide comments in response to the (CMS) request for information regarding access to coverage and care in the Medicaid and Childrens Health Insurance Program (CHIP) programs. The critical components for a comprehensive access and coverage strategy for Medicaid and CHIP should include: Robust outreach and enrollment efforts to secure and maintain coverage for eligible individuals and families, as well as ensure beneficiary knowledge of how to use this coverage, Standards to ensure timely and equitable access to quality care, and Provider payments that are sufficient to enable beneficiaries' access to quality care; Provide comments in response to the Department of Homeland Securitys (DHS) proposed rule to codify standards and clarify policies that govern public charge determinations. Public charge determinations assess how likely it is that an individual will become dependent on government assistance (public benefits) for support and subsistence. These policy clarifications are intended to help immigrants and their family members better understand when the use of certain public benefits could impact their future immigration status and address the chilling effects of the now-repealed 2019 public charge final rule. The AHA supports DHSs efforts to clarify policies regarding how public charge determinations are made to help reverse the damaging effects of the repealed 2019 public charge rule; A bill to amend title XIX of the Social Security Act to expand the availability of mental, emotional, and behavioral health services under the Medicaid program; Letter urging Congress to halt further cuts to hospital payments. Need to stop a harmful Medicare payment cut to providers that will go into effect July 1 without congressional action. Specifically, a 1% Medicare sequester cut took effect April 1, and that cut will increase to 2% on July 1 if Congress does not act. This will result in billions of dollars being cut from hospitals and health systems by the end of the year; Submitted comment letter regarding Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2023 and Updates to the IRF Quality Reporting Program. We note that the proposed IRF PPS labor-related share would only modestly shift upward from 72.9% in FY 2022 to 73.2% in FY 2022. AHA is concerned that these changes neither align regarding massive cost growth in recent months and years; Provide Comments on the Medicare Program - Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities and Updates to the Quality Reporting Program and Value-Based Purchasing Program for Federal Fiscal Year 2023 which stated the Proposed FY 2023 Payment Update warrants closer examination and we urge CMS to discuss in the final rule how the agency will account for these increased costs. The timing of this proposed net decrease in payments could not be worse, given the well-documented impact of the COVID-19 public emergency (PHE) on the SNF and nursing home field; Letter sent to the bipartisan, bicameral Leadership of the House and Senate, urging Congress to act to prevent further Medicare sequester cuts scheduled to take effect on July 1; Submitted comment letter about inpatient and long-term care hospital prospective payment system proposed rule for fiscal year 2023. Concerned that CMS is proposing policies and payment adjustment that do not take into account the current the COVID-19 public health emergency (PHE) and its atypical market forces and pandemic-driven aberrations affecting the utilization and cost of providing LTCH services. Specifically, we are concerned by proposals for an inadequate market basket update and an untenable spike in the high-cost outlier threshold; Letter urges Congress to call on CMS to make changes to the hospital inpatient prospective payment system (IPPS) proposed rule for fiscal year (FY) 2023 in order to ensure that Medicare payments for acute care services more accurately reflect the cost of providing hospital care to patients and communities; Support the bipartisan Dear Colleague letters that ask CMS to make critical changes to the hospital inpatient prospective payment system proposed rule for fiscal year (FY) 2023 to more accurately reflect the cost of providing hospital care to patients; Support HR 8487/ S 3173 Improving Seniors Timely Access to Care Act of 2022, a bill to amend title XVIII of the Social Security Act to establish requirements with respect to the use of prior authorization under Medicare Advantage plans; Support HR 8747 Assistance for Rural Community Hospitals Act of 2022 or the ARCH Act of 2022, a bill to amend title XVIII of the Social Security Act to extend Medicare-dependent hospital and Medicare low-volume hospital payments; Oppose HR 1330/ S 4130 Patient Access to Higher Quality Health Care Act of 2022, a bill to repeal changes made by health care reform laws to the Medicare exception to the prohibition on certain physician referrals for hospitals, and for other purposes; Support HR 8188/ S4449 Saving Access to Laboratory Services Act, a bill to amend title XVIII of the Social Security Act to improve the accuracy of market-based Medicare payment for clinical diagnostic laboratory services, to reduce administrative burdens in the collection of data, and for other purposes.
Client expense: $5,120,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), SENATE
2022 · third_quarter · Health Issues
S.1512 - Connect for Health Act of 2021 - all provisions relating to removing restrictions on Medicare coverage of telehealth. Actions by the Health Resources and Services Administration to redesignate health professional shortage areas, in relation to 86 FR 35808 S. 3792/H.R.7053 - the Hospital Inpatient Services Modernization Act - all provisions. H.R. 5883 - The Rural Health Fairness in Competition Act - all provisions. S. 4009 The Rural Hospital Support Act - all provisions. & H.R 8747- the The Assistance for Rural Community Hospitals (ARCH) Act - all provisions. H.R.4587 - The Value in Health Care Act of 2021 - all provisions. H.R. 3173/S.3018 - The Improving Seniors' Timely Access to Care Act of 2021 - All Provisions. Health Care loan repayment programs. Special Immigrant Visas. Extending flexibilities to critical access hospitals made possible by the public health emergency, including the 25-bed cap, the 96-hour average length of stay, and the skilled nursing facility 3-day rule. Extending EMTALA flexibilities made possible by the public health emergency.
Client expense: $40,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2022 · third_quarter · Medicare/Medicaid
S.1512 - Connect for Health Act of 2021 - all provisions relating to removing restrictions on Medicare coverage of telehealth. Actions by the Health Resources and Services Administration to redesignate health professional shortage areas, in relation to 86 FR 35808 S. 3792/H.R.7053 - the Hospital Inpatient Services Modernization Act - all provisions. H.R. 5883 - The Rural Health Fairness in Competition Act - all provisions. S. 4009 The Rural Hospital Support Act - all provisions. H.R 8747- the The Assistance for Rural Community Hospitals (ARCH) Act - all provisions. H.R.4587 - The Value in Health Care Act of 2021 - all provisions. H.R. 3173/S.3018 - The Improving Seniors' Timely Access to Care Act of 2021 - All Provisions. Health Care loan repayment programs. Special Immigrant Visas. Extending flexibilities to critical access hospitals made possible by the public health emergency, including the 25-bed cap, the 96-hour average length of stay, and the skilled nursing facility 3-day rule. Extending EMTALA flexibilities made possible by the public health emergency.
Client expense: $40,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE
2022 · third_quarter · Health Issues
Affordable prescription drugs; 340B Drug pricing program; Health care privacy; Patient privacy issues; Issues related to the American Rescue Plan Act, PL 117-2; Issues related to expanding health care coverage, including in non-Medicaid expansion states; Issues related to improving social determinants of health; Issues related to extending and expanding flexibilities for virtual care; Financial support for providers for diagnosis and treatment related to COVID-19, coverage of COVID-19 related conditions, access to PPE and other materials and equipment related to the treatment of patients with COVID-19, including funding for the Provider Relief Fund; Issues related to affordable health care coverage; H.R. 2228 - Rural Behavioral Health Access Act; Issues related to drug pricing; Issues related to Bipartisan Infrastructure Framework; Issues related to telehealth; Efforts to extend Medicare sequester delay, including H.R.1868; Issues related to Medicare policy on virtual care; Issues related to vaccine mandates; S. 168/H.R. 708 - Temporary Reciprocity to Ensure Access to Treatment (TREAT) Act; S. 346/H.R. 959 - Black Maternal Health Momnibus Act; S. 773/H.R. 3203 - Legislation related to 340B eligibility; S. 834/H.R. 2256 - Resident Physician Shortage Reduction Act; S. 834/H.R. 2256 - Healthcare Workforce Resilience Act; S. 368/H.R. 1332 - Telehealth Modernization Act ; S. 1512/H.R. 2903 - CONNECT for Health Act; S. 1988 - Protecting Rural Telehealth Access Act; H.R. 3 - Elijah E. Cummings Lower Drug Costs Now Act; S.773/H.R. 3203 - A bill to enable certain hospitals that were participating in or applied for the drug discount program under section 340B of the Public Health Service Act prior to the COVID-19 public health emergency to temporarily maintain eligibility for such program; H.R. 4943 - Childrens Mental Health Infrastructure Act; H.R. 4944 - Helping Kids Cope Act; H.R. 5376 - Build Back Better Act; H.R. 1667 - Dr. Lorna Breen Health Care Provider Protection Act; Issues related to workforce retention; H.R. 2471 - Consolidated Appropriations Act (FY 2022 Omnibus); H.R. 7007 - Covid-19 Supplemental Appropriations Act; H.R. 7053/S. 3792 - Hospital Inpatient Services Modernization Act; issues related to the Acute Hospital Care at Home (AHCAH) waiver; H.R. 4407/S. 1568 - Technical Reset to Advance the Instruction of Nurses (TRAIN) Act; S. 3493 - Telehealth Extension and Evaluation Act; H.R. 6202 - Telehealth Extension Act; H.R. 5376 - Inflation Reduction Act (Public Law 117-169); H.R. 6833 - Continuing Resolution; Issues related to adequate financing for hospitals and providers; H.R. 4040 - Advancing Telehealth Beyond COVID-19 Act; Issues related to extending the Medicare Dependent Hospital and Low Volume Hospital programs; Issues related to extending bonus payments for Advanced Alternative Payment models; H.R. 4587 - Value in Health Care Act; Issues related to coding and coverage of spiritual care through chaplain services; Issues related to value-based care programs, including the Bundled Payments for Care Improvement (BPCI) Advanced Model
Client expense: $660,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2022 · third_quarter · Medicare/Medicaid
Issues related to Medicare and Medicaid coverage and Medicaid disproportionate share program; Financial support for providers for diagnosis and treatment related to COVID-19; coverage of COVID-19 related conditions; access to PPE and other materials and equipment related to the treatment of patients with COVID-19, including funding for the Provider Relief Fund; PL 117-2; Issues related to Bipartisan Infrastructure Framework; Issues related to telehealth; Efforts to extend Medicare sequester delay, including H.R.1868; Issues related to Medicare policy on virtual care; Childrens Health Graduate Medical Education; issues related to drug pricing; Issues related to hospital DSH eligibility; Issues related to Home and Community Based Services (HCBS); Medicaid waiver-related issues; Childrens transplant program issues; S. 346/H.R. 959 - Black Maternal Health Momnibus Act; S.773/H.R. 3203 - legislation to enable certain hospitals that were participating in or applied for the drug discount program under section 340B of the Public Health Service Act prior to the COVID-19 public health emergency to temporarily maintain eligibility for such program; S. 834/H.R. 2256 - Resident Physician Shortage Reduction Act; S. 1024/H.R. 2255 - Healthcare Workforce Resilience Act; S. 368/H.R. 1332 - Telehealth Modernization Act; S. 1512/H.R. 2903 - CONNECT for Health Act ; S. 1988 - Protecting Rural Telehealth Access Act; H.R. 3 - Elijah E. Cummings Lower Drug Costs Now Act; H.R. 5376 - Build Back Better Act; Efforts to delay statutory PAYGO payment reductions; Efforts to offset physician payment reductions; Efforts to improve hospital reimbursement; Issues related to cuts to Medicaid DSH; Issues related to cuts to uncompensated care pools; Issues related to hospital at home programs; H.R. 2471 - Consolidated Appropriations Act (FY 2022 Omnibus); H.R. 7007 - Covid-19 Supplemental Appropriations Act; H.R. 7053/S. 3792 - Hospital Inpatient Services Modernization Act; issues related to the Acute Hospital Care at Home (AHCAH) waiver; S. 3493 - Telehealth Extension and Evaluation Act; H.R. 6202 - Telehealth Extension Act; H.R. 5376 - Inflation Reduction Act (Public Law 117-169); H.R. 6833 - Continuing Resolution; Issues related to adequate financing for hospitals and providers; H.R. 4040 - Advancing Telehealth Beyond COVID-19 Act; Issues related to extending the Medicare Dependent Hospital and Low Volume Hospital programs; Issues related to extending bonus payments for Advanced Alternative Payment models; H.R. 4587 - Value in Health Care Act; Issues related to coding and coverage of spiritual care through chaplain services; Issues related to value-based care programs, including the Bundled Payments for Care Improvement (BPCI) Advanced Model
Client expense: $660,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
2022 · third_quarter · Medicare/Medicaid
HR 366 Authorize HHS Secretary to waive or modify application of Medicare requirements with respect to telehealth services during any emergency period. HR 955 and S 285 To allow for medical assistance under Medicaid for inmates during 30-day period preceding release from a public institution. HR 1332 and S 368 Amends title XVIII of the Social Security Act to make permanent certain telehealth flexibilities under the Medicare program related to the COVID-19 public health emergency. HR 1349 To provide for the conversion of certain accelerated and advance payments to grants under parts A and B of the Medicare program. S 834 To create an additional 14,000 Medicare-supported residency slots over seven years. HR 2166 To require the inclusion of certain audio-only diagnoses in the determination of risk adjustment for Medicare Advantage plans and PACE programs. HR 3371 To improve access to home health care furnished by telehealth amid PHEs. HR 3589 Medicare AAP loan repayment delay HR 3746 To improve the benchmarking process for the Medicare Shared Savings Program. S. 368 Amends title XVIII of the Social Security Act to make permanent certain telehealth flexibilities under the Medicare program related to the COVID-19 public health emergency. HR 4587 To direct HHS to revise certain regulations in relation to the Medicare shared savings program and other advanced alternative payment arrangements to encourage program participation. S. 2622 To provide for Medicaid coverage of comprehensive tobacco cessation services. HR 5514 To improve extended care services by providing Medicare beneficiaries with an option for cost effective home-based extended care. S 3018 To establish requirements with respect to the use of prior authorization under Medicare Advantage plans. Oppose Medicare sequester. S. 3593 To extend certain telehealth services covered by Medicare and to evaluate the impact of telehealth services on Medicare beneficiaries HR 7573 To extend certain telehealth services covered by Medicare and to evaluate the impact of telehealth services on Medicare beneficiaries HR 4407/S 1568 To modify the methodology and application of Medicare Advantage nursing and allied health education payments for hospitals HR 4040 To extend telehealth flexibilities under the Medicare program HR 5370 To establish a CMS demo for medically tailored meals for Medicare beneficiaries HR 8487 To establish requirements with respect to the use of prior authorization under Medicare Advantage plans HR 8800 To extend certain increases in payments for physicians services under the Medicare program through 2023
Client expense: $200,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), SENATE
2022 · third_quarter · Medicare/Medicaid
Inflation Reduction Act (H.R. 5376) - Supported inclusion of 4,000 Medicare-supported Graduate Medical Education slots as part of the Inflation Reduction Act. Supported policies to encourage health care coverage and close the Medicaid coverage gap. Monitored impact of Medicare reimbursement provisions for prescription drugs in final legislation. Medicare Provider Reimbursement - Raised concerns about adequacy of payment updates through annual payment rules and urged Congress to provide additional support. Advocated for Congress to extend Medicare sequestration relief through the end of the COVID-19 Public Health Emergency and act to prevent sequestration cuts beginning in 2023 due to statutory PAYGO requirements. Medicare Physician Reimbursement - Supported passage of Supporting Medicare Providers Act (H.R. 8800) to ease pending reimbursement cuts through the physician fee schedule conversion factor. Health Care Workforce - Supported legislation (S.834/H.R. 2256; S. 1438) to increase the number of Medicare-supported Graduate Medical Education slots. Supported the Opioid Workforce Act (S. 1438 /H.R. 3441). Advanced Alternative Payment Model (APMs) Bonus Payment - Supported passage of the Value in Healthcare Act (H.R. 4587) to extend the APM bonus payments. Strengthen Kids Mental Health Now Act (H.R. 7236). Telehealth - Advocated for Congress to extend or make permanent flexibilities related to distant site and geographic limitations, expanding the provider types and services available to be reimbursed by Medicare. Urged passage of the CONNECT for Health Act (S. 1512/H.R. 2903). Supported passage of Advancing Telehealth Beyond COVID-19 Act (H.R. 4040). Social Determinants of Health and Health Equity - Engaged and offered feedback on proposals from CMS to provide resources and context to better assess patient obstacles to accessing health care and their impact on health care outcomes. Supported passage of the Hospital Inpatient Services Modernization Act (S. 3792/H.R. 7053). Supported passage of the Improving Seniors' Timely Access to Care Act (S.3018/ H.R.3173). Supported passage of the Preserving Access to Home Infusion Act (H.R. 5067/S. 2652).
Client expense: $320,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
2022 · third_quarter · Medicare/Medicaid
H.R. 2256/S. 834 - Resident Physician Shortage Reduction Act H.R. 2903/S. 1512 - CONNECT for Health Act H.R. 4323/S. 2069 - Excellence in Mental Health and Addiction Treatment Act H.R.3345 - Helping MOMS Act H.R.4587 - Value in Health Care Act of 2021 H.R.7053/S. 3792 - Hospital Inpatient Services Modernization Act Issues related to Section 203 of the Consolidated Appropriations Act of 2021 Issues related to the Families First Coronavirus Response Act Issues related to the Medicare Accelerated and Advance Payment (AAP) programs Issues related to the Medicare sequester S.748 - Medicare Sequester Relief Act
Client expense: $390,000 · Firm income: Not reported
Government targets: HOUSE OF REPRESENTATIVES, SENATE, White House Office
2022 · third_quarter · Medicare/Medicaid
H.R. 1332, Telehealth Modernization Act, all provisions S. 368, Telehealth Modernization Act, all provisions H.R. 3259, Non-Opioids Prevent Addiction In the Nation (NOPAIN) Act, all provisions S. 586, NOPAIN Act, all provisions H.R. 2903, Creating Opportunities Now for Necessary and Effective Care Technologies (CONNECT) for Health Act of 2021, all provisions S. 1512, CONNECT for Health Act of 2021, all provisions H.R. 2256, Resident Physician Shortage Reduction Act of 2021, all provisions S. 834, Resident Physician Shortage Reduction Act of 2021, all provisions H.R. 7995, Getting Over Lengthy Delays in Care As Required by Doctors (GOLD CARD) Act of 2022, all provisions H.R. 3407, Mothers and Offspring Mortality and Morbidity Awareness (MOMMAs) Act, all provisions S. 411, MOMMAs Act, all provisions H.R. 3173, Improving Seniors Timely Access to Care Act of 2021, all provisions S. 3018, Improving Seniors Timely Access to Care Act of 2021, all provisions H.R. 8487, Improving Seniors Timely Access to Care Act of 2022, all provisions H.R. 4058, Telemental Health Care Access Act of 2021, all provisions S. 2061, Telemental Health Care Access Act of 2021, all provisions H.R. 3441, Substance Use Disorder Workforce Act, all provisions S. 1438, Substance Use Disorder Workforce Act, all provisions H.R. 955, Medicaid Reentry Act of 2021, all provisions S. 285, Medicaid Reentry Act of 2021, all provisions H.R. 2654, Chiropractic Medicare Coverage Modernization Act of 2021, provisions related to scope of practice H.R. 6020, Supporting Medicare Providers Act of 2021, all provisions S. 3314, Supporting Medicare Providers Act of 2021, all provisions H.R. 4587, Value in Health Care Act of 2021, all provisions S. 2938, Bipartisan Safer Communities Act, all provisions H.R. 8800, Supporting Medicare Providers Act of 2022, all provisions H.R. 4040, Advancing Telehealth Beyond COVID-19 Act of 2022, all provisions H.R. 8850, Fair Access In Residency (FAIR) Act, all provisions S. 2173, Promoting Responsible and Effective Virtual Experiences through Novel Technology to Deliver Improved Access and Better Engagement with Tested and Evidence-based Strategies (PREVENT DIABETES) Act, all provisions S. 4873, Improving Access to Advance Care Planning Act, all provisions H.R. 4014, Physician Shortage GME Cap Flex Act of 2021, all provisions S. 2094, Physician Shortage GME Cap Flex Act of 2021, all provisions H.R. 7213, Equitable Community Access to Pharmacist Services Act, all provisions H.R. 8594, Restore Protections for Dialysis Patients Act, all provisions S. 4750, Restore Protections for Dialysis Patients Act, all provisions H.R. 8188, Saving Access to Laboratory Services Act (SALSA), all provisions S. 4449, SALSA Act, all provisions H.R. 3, Elijah E. Cummings Lower Drug Costs Now Act, all provisions H.R. 19, Lower Costs, More Cures Act of 2021, all provisions H.R. 1868, To prevent across-the-board direct spending cuts, and for other purposes, all provisions H.R. 315, Medicare Sequester COVID Moratorium Act, all provisions S. 610, Protecting Medicare and American Farmers from Sequester Cuts Act, all provisions H.R. 6048, Medicare Stability for Patients and Providers Act, all provisions H.R. 3434, Territories Health Equity Act of 2021, all provisions H.R. 4406, Supporting Medicaid in the U.S. Territories Act of 2021, all provisions S. 801, Connected Maternal Online Monitoring Act, all provisions S. 346, Black Maternal Health Momnibus Act of 2021, all provisions H.R. 1738, Stabilize Medicaid and CHIP Coverage Act, all provisions H.R. 1025, Kids Access to Primary Care Act of 2021, all provisions H.R. 66, Comprehensive Access to Robust Insurance Now Guaranteed (CARING) for Kids Act, all provisions S. 748, Medicare Sequester Relief Act, all provisions H.R. 6000, Cures 2.0 Act, all provisions H.R. 4043, Ensuring Patient Access to Critical Breakthrough Products Act of 2021, all provisions S. 2416, New Opportunities for Value that Extend Lives (NOVEL) Act of 2021, all provisions H.R. 7666, Restoring Hope for Mental Health and Well-Being Act of 2022, all provisions H.R. 3746, Accountable Care in Rural America Act, all provisions H.R. 4755, Seniors Chronic Care Management Improvement Act of 2021, all provisions H.R. 6308, ACO Assignment Improvement Act of 2021, all provisions H.R. 366, Protecting Access to Post-COVID-19 Telehealth Act of 2021, all provisions H.R. 2166, Ensuring Parity in MA and PACE for Audio-Only Telehealth Act of 2021, all provisions H.R. 2228, Rural Behavioral Health Access Act of 2021, all provisions H.R. 3447, Permanency for Audio-Only Telehealth Act, all provisions H.R. 7051, Access to Prescription Digital Therapeutics Act of 2022, all provisions S. 3791, Access to Prescription Digital Therapeutics Act of 2022, all provisions H.R. 7573, Telehealth Extension and Evaluation Act, all provisions S. 3593, Telehealth Extension and Evaluation Act, all provisions H.R. 7878, Kidney Health Connect Act of 2022, all provisions S. 4307, Kidney Health Connect Act of 2022, all provisions H.R. 6202, Telehealth Extension Act of 2021, all provisions H.R. 7053, Hospital Inpatient Services Modernization Act, all provisions S. 3792, Hospital Inpatient Services Modernization Act, all provisions H.R. 7116, 9-8-8 Implementation Act of 2022, all provisions H.R. 8879, Inpatient Psychiatric Facility Improvement Act, all provisions H.R. 8878, To amend title XVIII of the Social Security Act to ensure adequate coverage of outpatient mental health services under the Medicare program, all provisions H.R. 432, Mental Health Access Improvement Act of 2021, all provisions H.R. 8910, Behavioral Health Integration Awareness Act of 2022, all provisions H.R. 8884, To direct the Secretary of Health and Human Services to provide outreach and reporting on opioid use disorder treatment services furnished by opioid treatment programs under the Medicare program, all provisions S. 987, CARA 3.0 Act of 2021, all provisions H.R. 925, Data to Save Moms Act, all provisions H.R. 7475, Mamas First Act, all provisions H.R. 5067, Preserving Patient Access to Home Infusion Act, all provisions S. 2652, Preserving Patient Access to Home Infusion Act, all provisions H.R. 8812, To amend titles XVIII and XIX of the Social Security Act and the Bipartisan Budget Act of 2018 to increase access to services provided by advanced practice registered nurses under the Medicare and Medicaid programs, and for other purposes, provisions related to scope of practice Medicare program: 21st Century Cures Act/implementation Medicare program: EHR Certification Medicare program: Medicare and CHIP Reauthorization Act (MACRA) Reform Medicare program: MACRA implementation Medicare program: Laboratory testing/Diagnostics/PAMA Medicare program: Merit-based Incentive Payment System (MIPS) quality/cost/improvement activities/promoting interoperability Medicare program: Merit-based Value Pathway Medicare program: Physician Fee Schedule (PFS) inflation updates/budget neutrality rules Medicare program: 2023 Medicare Physician Fee Schedule/4.5% cut Medicare program: Accountable specialty care/payments Medicare program: Alternative Payment Models/incentive payments Medicare program: Telehealth/COVID flexibilities Medicare program: Health IT burdens Medicare program: Self-measured blood pressure devices/benefit category Medicare program: Coding Medicare program: Primary Care First models Medicare program: Appropriate Use Criteria Medicare program: Opioids Medicare program: Medicare Shared Savings Program (MSSP) Medicare program: Dental benefits Medicaid program: Uninsured and healthcare coverage/COVID-19 Medicare program: Provider Enrollment, Chain, and Ownership System (PECOS)/revalidation Medicare program: Open Payments Medicaid program: Special Enrollment Period Medicaid program: Sickle Cell Disease Medicaid program: Improving Access to Physical and Mental Health Care for Children and Youth Under Medicaid and CHIP/draft Medicare program: Provider compliance and regulatory relief Medicare program: Medicare Administrative Contractors (MACs)/Downcoding Medicare and Medicaid programs: Health Equity Medicare and Medicaid programs: Modifier 25, Impossible Day Medicare and Medicaid programs: Connected health technologies Medicare and Medicaid programs: Diabetes
Client expense: $4,360,000 · Firm income: Not reported
Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE