Medicare Improvements for Patients and Providers Act of 2008

Medicare Reimbursement H.R.6331/S.3101, Medicare Improvements for Patients and Providers Act of 2008, Medicare payments to physicians. Public Law 111-148, Patient Protection & Affordable Care Act, Hospital construction and Medicare reimbursement issues, and Comparative Effectiveness related issues and initiatives; and Minority Health issues. H.R.4899, Supplemental Appropriations Act, FY2010, Tax extenders (Section 508 Medicare status)

Client expense: Not reported · Firm income: $40,000

Government targets: Agriculture, Dept of (USDA), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE

Medicare Reimbursement. H.R.6331/S.3101, Medicare Improvements for Patients and Providers Act of 2008, Medicare payments to physicians. Public Law 111-148, Patient Protection and Affordable Care Act, Hospital construction and Medicare reimbursement issues, and Comparative Effectiveness related issues and initiatives; and Minority Health issues. H.R. 4899, Supplemental Appropriations Act, FY2010, Tax extenders (Section 508 Medicare status)

Client expense: $70,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), SENATE

Medicare Reimbursement H.R.6331/S.3101, Medicare Improvements for Patients and Providers Act of 2008, Medicare payments to physicians. Public Law No. 111-148, Patient Protection & Affordable Care Act, Hospital construction and Medicare reimbursement issues, and Comparative Effectiveness related issues and initiatives. H.R. 4899, Supplemental Appropriations Act, FY2010, Tax extenders (Section 508 Medicare status)

Client expense: $70,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Oceanic & Atmospheric Administration (NOAA), SENATE, Small Business Administration (SBA)

Medicare Reimbursement H.R.6331/S.3101, Medicare Improvements for Patients and Providers Act of 2008, Medicare payments to physicians. Public Law 111-148, Patient Protection & Affordable Care Act, Hospital construction and Medicare reimbursement issues, and Comparative Effectiveness related issues and initiatives. H.R.4899, Supplemental Appropriations Act, FY2010, Tax extenders (Section 508 Medicare status)

Client expense: Not reported · Firm income: $50,000

Government targets: Agriculture, Dept of (USDA), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Oceanic & Atmospheric Administration (NOAA), SENATE, Small Business Administration (SBA)

H.R. 6331/S. 3101 Medicare Improvements for Patients and Providers Act of 2008, implementation of sections 153, 154

Client expense: $650,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Office of Management & Budget (OMB), SENATE, Treasury, Dept of

H.R. 6331/S.3101 Medicare Improvements for Patients and Providers Act of 2008, implementation of sections 153, 154 PL-110-275 Implementation of Medicare DMEPOS Competitive Acquisition Program

Client expense: $910,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), SENATE

Medicare Reimbursement H.R.6331/S.3101, Medicare Improvements for Patients and Providers Act of 2008, Medicare payments to physicians. Public Law 111-148, Patient Protection & Affordable Care Act, Hospital construction and Medicare reimbursement issues, and Comparative Effectiveness related issues and initiatives. H.R.4899, Supplemental Appropriations Act, FY2010, Tax extenders (Section 508 Medicare status)

Client expense: Not reported · Firm income: $40,000

Government targets: Agriculture, Dept of (USDA), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Oceanic & Atmospheric Administration (NOAA), SENATE, Small Business Administration (SBA)

Medicare Reimbursement H.R.6331/S.3101, Medicare Improvements for Patients and Providers Act of 2008, Medicare payments to physicians. Public Law 111-148, Patient Protection & Affordable Care Act, Hospital construction and Medicare reimbursement issues, and Comparative Effectiveness related issues and initiatives. H.R. 4899, Supplemental Appropriations Act, FY2010, Tax extenders (Section 508 Medicare status)

Client expense: $70,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Oceanic & Atmospheric Administration (NOAA), SENATE, Small Business Administration (SBA)

H.R. 6331/S. 3101 Medicare Improvements for Patients and Providers Act of 2008, implementation of sections 153, 154

Client expense: $620,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Centers For Disease Control & Prevention (CDC), Centers For Medicare and Medicaid Services (CMS), Defense, Dept of (DOD), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Office of Management & Budget (OMB), SENATE, Treasury, Dept of

Medicare Reimbursement H.R.6331/S.3101, Medicare Improvements for Patients and Providers Act of 2008, Medicare payments to physicians. Public Law 111-148, Patient Protection & Affordable Care Act, Hospital construction and Medicare reimbursement issues, and Comparative Effectiveness related issues and initiatives. H.R.4899, Supplemental Appropriations Act, FY2010, Tax extenders (Section 508 Medicare status)

Client expense: Not reported · Firm income: $50,000

Government targets: Agriculture, Dept of (USDA), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Oceanic & Atmospheric Administration (NOAA), SENATE, Small Business Administration (SBA)

Medicare Reimbursement H.R.6331/S.3101, Medicare Improvements for Patients and Providers Act of 2008, Medicare payments to physicians. H.R.3590 Patient Protection & Affordable Care Act, Hospital construction and Medicare reimbursement issues, and Comparative Effectiveness related issues and initiatives. H.R.4899, Supplemental Appropriations Act, FY2010, Tax extenders (Section 508 Medicare status)

Client expense: $70,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Health Resources & Services Administration (HRSA), Natl Oceanic & Atmospheric Administration (NOAA), SENATE, Small Business Administration (SBA)

Medicare Reimbursement H.R.6331/S.3101, Medicare Improvements for Patients and Providers Act of 2008, Medicare payments to physicians. Health Care Reform legislation, Medicare Reimbursement and Comparative Effectiveness related issues and initiatives. H.R.3590 Patient Protection & Affordable Care Act, Hospital construction and Medicare reimbursement issues.

Client expense: Not reported · Firm income: $40,000

Government targets: Agriculture, Dept of (USDA), HOUSE OF REPRESENTATIVES, Natl Oceanic & Atmospheric Administration (NOAA), SENATE, Small Business Administration (SBA)

Medicare Reimbursement. H.R.6331/S.3101, Medicare Improvements for Patients and Providers Act of 2008, Medicare payments to physicians. Health Care Reform legislation, Medicare Reimbursement and Comparative Effectiveness related issues and initiatives. H.R.3590 Patient Protection and Affordable Care Act, Hospital construction and Medicare reimbursement issues.

Client expense: $70,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), HOUSE OF REPRESENTATIVES, Natl Oceanic & Atmospheric Administration (NOAA), SENATE, Small Business Administration (SBA)

HR 6331/S 3101 The Medicare Improvement for Patients and Providers Act, Sections 121, 122, 123, 124, 131, 132, 135, 145, 149, 150, 151, 161, 205. HR 1424 Paul Wellstone Mental Health Parity and Addictions Act, Section 106 in House bill, S 558 Mental Health Parity Act 2007, entire bill HR 2, Title XXI of the Social Security Act (SSA) to extend and improve the CHIP - entire bill, sections 623 S 275, Title XXI of the SSA to extend and improve the CHIP, entire bill S 307/HR 668, bill to amend title XVIII of SSA to provide flexibility in the manner in which beds are counted for the purpose of determine whether a hospital may be designed as a critical access hospital under the Medicare Program and to exempt the critical access hospital inpatient bed limitation, the number of beds provided for certain veterans, entire bill.

Client expense: $8,203 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 6331/S 3101 The Medicare Improvement for Patients and Providers Act, Sections 121, 122, 123, 124, 131, 132, 135, 145, 149, 150, 151, 161, 205. HR 1424 Paul Wellstone Mental Health Parity and Addictions Act, Section 106 in House bill, S 558 Mental Health Parity Act 2007, entire bill HR 2, Title XXI of the Social Security Act (SSA) to extend and improve the CHIP - entire bill, sections 623 S 275, Title XXI of the SSA to extend and improve the CHIP, entire bill S 307/HR 668, bill to amend title XVIII of SSA to provide flexibility in the manner in which beds are counted for the purpose of determine whether a hospital may be designed as a critical access hospital under the Medicare Program and to exempt the critical access hospital inpatient bed limitation, the number of beds provided for certain veterans, entire bill.

Client expense: Not reported · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2 - Children's Health Insurance Program Reauthorization Act; H.R. 2638 - Consolidated Security, Disaster Assistance, and Continuing Appropriations Act; H.R. 2642 - Supplemental Appropriations for FY 2008; H.R. 2945 - Medicare Advantage Truth in Advertising Act; H.R. 3172 - Senior Navigation and Planning Act; H.R. 4296 - Medicare Electronic Medication and Safety Protection Act; H.R. 5613 - Protecting the Medicaid Safety Net Act; H.R. 6331 - Medicare Improvements for Patients and Providers Act of 2008; H.R. 6365 - Medicare Special Needs Plans Extension and Amendments Act of 2008; S. 1150 - Advance Planning and Compassionate Care Act of 2009; S. 1263 - Senior Navigation and Planning Act; S. 1507 - Access to Medicare Data Act; S. 1544 - Medicare Quality Enhancement Act; S. 1954 - Pharmacy Access Improvement Act; S. 2408 - Medicare Electronic Medication and Safety Protection Act; S. 3101 - Medicare Improvements for Patients and Providers Act of 2008; S. 3236 - The Medicare and Medicaid Extensions Act of 2008; S. 3560 - QI Program Supplemental Funding Act of 2008; H.R. 2758 - Special Needs Plans Reauthorization; S. 1307 - Special Needs Plans Reauthorization

Client expense: $1,080,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, Treasury, Dept of, White House Office

Medicare Reimbursement H.R.6331/S.3101, Medicare Improvements for Patients and Providers Act of 2008, Medicare payments to physicians. Health Care Reform legislation, Medicare Reimbursement and Comparative Effectiveness related issues and initiatives. H.R.3590 Patient Protection & Affordable Care Act, Hospital construction and Medicare reimbursement issues.

Client expense: Not reported · Firm income: $50,000

Government targets: Agriculture, Dept of (USDA), HOUSE OF REPRESENTATIVES, Natl Oceanic & Atmospheric Administration (NOAA), SENATE, Small Business Administration (SBA)

Medicare Reimbursement H.R.6331/S.3101, Medicare Improvements for Patients and Providers Act of 2008, Medicare payments to physicians. Health Care Reform legislation, Medicare Reimbursement and Comparative Effectiveness related issues and initiatives. H.R.3590 Patient Protection & Affordable Care Act, Hospital construction and Medicare reimbursement issues.

Client expense: $70,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), HOUSE OF REPRESENTATIVES, Natl Oceanic & Atmospheric Administration (NOAA), SENATE, Small Business Administration (SBA)

Medicare Reimbursement H.R.6331/S.3101, Medicare Improvements for Patients and Providers Act of 2008, Medicare payments to physicians. Health Care Reform legislation, Medicare Reimbursement and Comparative Effectiveness related issues and initiatives.

Client expense: $70,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), HOUSE OF REPRESENTATIVES, Natl Oceanic & Atmospheric Administration (NOAA), SENATE, Small Business Administration (SBA)

Medicare Reimbursement H.R.6331/S.3101, Medicare Improvements for Patients and Providers Act of 2008, Medicare payments to physicians. Health Care Reform legislation, Medicare Reimbursement and Comparative Effectiveness related issues and initiatives.

Client expense: Not reported · Firm income: $40,000

Government targets: Agriculture, Dept of (USDA), HOUSE OF REPRESENTATIVES, Natl Oceanic & Atmospheric Administration (NOAA), SENATE, Small Business Administration (SBA)

ProjectOne - Labor -HHS-Education Budget HR 2676 and S 2999 - Access to Center Clinical Trials Act HR 6331 and S 3101 - Medicare Improvement for Patients and Providers Act Department of Defense Accounts and Federal Health Care Reform

Client expense: Not reported · Firm income: Not reported

ProjectOne - Labor -HHS-Education Budget HR 2676 and S 2999 - Access to Center Clinical Trials Act HR 6331 and S 3101 - Medicare Improvement for Patients and Providers Act Department of Defense Accounts and Federal Health Care Reform

Client expense: Not reported · Firm income: Not reported

ProjectOne - Labor -HHS-Education Budget HR 2676 and S 2999 - Access to Center Clinical Trials Act HR 6331 and S 3101 - Medicare Improvement for Patients and Providers Act Department of Defense Accounts and Federal Health Care Reform

Client expense: Not reported · Firm income: Not reported

Followed legislation in a variety of areas of interest to American Associatin of Homes and Services for the Aging, especially Medicare and Medicaid legislatino especially with regards to S.3101-The Medicare Improvements for Patients and Providers Act and H.R. 6331- The Medicare Improvements for Patients and Providers Act; and any other legislation relating to the Medicare Payment Update and the User Fees for Nursing Homes.Assisted in developing a strategy to implement long term care reform, especially with regard to S. 1758 and H.R. 3001, the Community Living Assistance Servcies and Support Act.

Client expense: Not reported · Firm income: Not reported

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

Followed legislation in a variety of areas of interest to American Association of Homes and Services for the Aging, especially Medicare and Medicaid legislation especially with regards to S.3101-The Medicare Improvements for Patients and Providers Act and H.R. 6331- The Medicare Improvements for Patients and Providers Act; and any other legislation relating to the Medicare Payment Update and the User Fees for Nursing Homes; and temporary increases in the medicaid match in the House and Senate stimulus bills. Assisted in developing a strategy to implement long term care reform, especially with regards to S.1768 and H.R. 3001, the Community Living Assistance Services and Support Act. Actively lobbied on the CMS recalibration of Resource Utilization Group (RUGs).

Client expense: Not reported · Firm income: Not reported

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

H.R. 2 - Children's Health Insurance Program Reauthorization Act; H.R. 2638 - Consolidated Security, Disaster Assistance, and Continuing Appropriations Act; H.R. 2642 - Supplemental Appropriations for FY 2008; H.R. 2945 - Medicare Advantage Truth in Advertising Act; H.R. 3172 - Senior Navigation and Planning Act; H.R. 4296 - Medicare Electronic Medication and Safety Protection Act; H.R. 5613 - Protecting the Medicaid Safety Net Act; H.R. 6331 - Medicare Improvements for Patients and Providers Act of 2008; H.R. 6365 - Medicare Special Needs Plans Extension and Amendments Act of 2008; S. 1150 - Advance Planning and Compassionate Care Act of 2009; S. 1263 - Senior Navigation and Planning Act; S. 1507 - Access to Medicare Data Act; S. 1544 - Medicare Quality Enhancement Act; S. 1954 - Pharmacy Access Improvement Act; S. 2408 - Medicare Electronic Medication and Safety Protection Act; S. 3101 - Medicare Improvements for Patients and Providers Act of 2008; S. 3236 - The Medicare and Medicaid Extensions Act of 2008; S. 3560 - QI Program Supplemental Funding Act of 2008; H.R. 2758 - Special Needs Plans Reauthorization; S. 1307 - Special Needs Plans Reauthorization

Client expense: $1,000,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, Treasury, Dept of, White House Office

HR 6331 Medicare Improvements for Patients and Providers Act of 2008, implementation of the Medicare Part D Program; S 3101 Medicare Improvements or Patients and Providers Act of 2008; Part D, Electronic Prescribing, Medicaid Pharmacy Reimbursement. S 3118, Preserving Access to Medicare Act of 2008. HR 4, Medicare Prescription Drug Price Negotiation Act of 2007: Part D issues; HR 758, Price Disclosure Regarding Treatment of Breast Cancer; S 3330 The Medicare Prescription Drug Savings and Choice Act 2009:HR 5605, Physician Payments Sunshine Act of 2008: transparency issues; HR 6884, Medicare Prescription Drug Cost Equalization Act: Part D issues; S 3, Medicare Prescription Drug Price Negotiation Act of 2007: Part D issues; S 2029, Physician Payments Sunshine Act of 2007: transparency issues; S 2041, False Claims Act Correction Act of 2007: liability issues; S 3118, Preserving Access to Medicare Act of 2008: electronic prescribing, Part D data disclosure, and other issues; S 3396, The Independent Drug Education and Outreach Act of 2008: direct to physician marketing; S 3408, Comparative Effectiveness Research Act of 2008: comparative effectiveness

Client expense: Not reported · Firm income: $60,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 2 - Children's Health Insurance Program Reauthorization Act; H.R. 2638 - Consolidated Security, Disaster Assistance, and Continuing Appropriations Act; H.R. 2642 - Supplemental Appropriations for FY 2008; H.R. 2945 - Medicare Advantage Truth in Advertising Act; H.R. 3172 - Senior Navigation and Planning Act; H.R. 4296 - Medicare Electronic Medication and Safety Protection Act; H.R. 5613 - Protecting the Medicaid Safety Net Act; H.R. 6331 - Medicare Improvements for Patients and Providers Act of 2008; H.R. 6365 - Medicare Special Needs Plans Extension and Amendments Act of 2008; S. 1150 - Advance Planning and Compassionate Care Act of 2009; S. 1263 - Senior Navigation and Planning Act; S. 1507 - Access to Medicare Data Act; S. 1544 - Medicare Quality Enhancement Act; S. 1954 - Pharmacy Access Improvement Act; S. 2408 - Medicare Electronic Medication and Safety Protection Act; S. 3101 - Medicare Improvements for Patients and Providers Act of 2008; S. 3236 - The Medicare and Medicaid Extensions Act of 2008; S. 3560 - QI Program Supplemental Funding Act of 2008; H.R. 2758 - Special Needs Plans Reauthorization; S. 1307 - Special Needs Plans Reauthorization

Client expense: $1,000,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), SENATE, Treasury, Dept of, White House Office

H.R. 6331/S. 3101, Medicare Improvements for Patients and Providers Act of 2008, focus on the Medicare budget neutrality issues and Medical disproportionate share (DSH) payments; Hospital acquired infections (HAI) (and related ambulatory surgical centers or ASCs) in response to the Nevada (NV) infectious disease outbreak.

Client expense: Not reported · Firm income: $20,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

H.R. 6331/S. 3101, Medicare Improvements for Patients and Providers Act of 2008, focus on the Medicare budget neutrality issues and Medical disproportionate share (DSH) payments; Hospital acquired infections (HAI) (and related ambulatory surgical centers or ASCs) in response to the Nevada (NV) infectious disease outbreak. Massachusetts Medicaid Waiver Inpatient Prospective System Rule (IPPS) CMS (72 HCDR 4/15/08) focus on area wage index (AWI) reclassification issues and long term care hospital (LTCH) issues. Recovery Audit Contractor (RAC) Medicare problems.

Client expense: Not reported · Firm income: $20,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

Medicare Reimbursement H.R.6331/S.3101, Medicare Improvements for Patients and Providers Act of 2008, Medicare payments to physicians. Public Law 111-5, American Recovery and Reinvestment Act of 2009, Health program funding. Health Care Reform legislation, Medicare Reimbursement and Comparative Effectiveness related issues and initiatives.

Client expense: Not reported · Firm income: $50,000

Government targets: Agriculture, Dept of (USDA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Natl Oceanic & Atmospheric Administration (NOAA), SENATE, Small Business Administration (SBA)

Medicare Reimbursement H.R.6331/S.3101, Medicare Improvements for Patients and Providers Act of 2008, Medicare payments to physicians. Public Law 111-5, American Recovery and Reinvestment Act of 2009, Health program funding. Health Care Reform legislation, Medicare Reimbursement and Comparative Effectiveness related issues and initiatives.

Client expense: $60,000 · Firm income: Not reported

Government targets: Agriculture, Dept of (USDA), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, Natl Oceanic & Atmospheric Administration (NOAA), SENATE, Small Business Administration (SBA)

Followed legislation in a variety of areas of interest to American Association of Homes and Services for the Aging, especially Medicare and Medicaid legislation especially with regards to S.3101-The Medicare Improvements for Patients and Providers Act and H.R. 6331- The Medicare Improvements for Patients and Providers Act; and any other legislation relating to the Medicare Payment Update and the User Fees for Nursing Homes; and temporary increases in the medicaid match in the House and Senate stimulus bills. Assisted in developing a strategy to implement long term care reform, especially with regards to S.1768 and H.R. 3001, the Community Living Assistance Services and Support Act. Actively lobbied on the CMS recalibration of Resource Utilization Group (RUGs).

Client expense: Not reported · Firm income: Not reported

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

Followed legislation in a variety of areas of interest to American Associatin of Homes and Services for the Aging, especially Medicare and Medicaid legislatino especially with regards to S.3101-The Medicare Improvements for Patients and Providers Act and H.R. 6331- The Medicare Improvements for Patients and Providers Act; and any other legislation relating to the Medicare Payment Update and the User Fees for Nursing Homes.Assisted in developing a strategy to implement long term care reform, especially with regard to S. 1758 and H.R. 3001, the Community Living Assistance Servcies and Support Act.

Client expense: Not reported · Firm income: Not reported

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

H.R. 6331/S. 3101, Medicare Improvements for Patients and Providers Act of 2008, focus on the Medicare budget neutrality issues and Medical disproportionate share (DSH) payments; Hospital acquired infections (HAI) (and related ambulatory surgical centers or ASCs) in response to the Nevada (NV) infectious disease outbreak. Massachusetts Medicaid Waiver Inpatient Prospective System Rule (IPPS) CMS (72 HCDR 4/15/08) focus on area wage index (AWI) reclassification issues and long term care hospital (LTCH) issues. Recovery Audit Contractor (RAC) Medicare problems.

Client expense: Not reported · Firm income: $20,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

H.R. 3162, Children's Health and Medicare Protection (CHAMP) Act of 2007 -- home oxygen therapy reimbursements S. 3101 / S. 6331, Medicare Improvements for Patients and Providers Act of 2008 H.R. 6252 / S. 3144, Medicare DMEPOS Competitive Acquisition Reform Act of 2008

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 3162, Children's Health and Medicare Protection (CHAMP) Act of 2007 -- home oxygen therapy reimbursements S. 3101 / S. 6331, Medicare Improvements for Patients and Providers Act of 2008 H.R. 6252 / S. 3144, Medicare DMEPOS Competitive Acquisition Reform Act of 2008 General reform of home oxygen benefit

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

H.R. 6331/S. 3101, Medicare Improvements for Patients and Providers Act of 2008, focus on the Medicare budget neutrality issues and Medical disproportionate share (DSH) payments; Hospital acquired infections (HAI) (and related ambulatory surgical centers or ASCs) in response to the Nevada (NV) infectious disease outbreak. Massachusetts Medicaid Waiver Inpatient Prospective System Rule (IPPS) CMS (72 HCDR 4/15/08) focus on area wage index (AWI) reclassification issues and long term care hospital (LTCH) issues. Recovery Audit Contractor (RAC) Medicare problems.

Client expense: Not reported · Firm income: $20,000

Government targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE

H.R. 6331/S. 3101, Medicare Improvements for Patients and Providers Act of 2008, focus on the anesthesiology teaching rules under Medicare. Hospital acquired infections (HAI) (and related ambulatory surgical centers or ASCs) - no specific legislation, but in response to the Nevada (NV) infectious disease outbreak.

Client expense: Not reported · Firm income: $30,000

Government targets: Centers For Disease Control & Prevention (CDC), Food & Drug Administration (FDA), HOUSE OF REPRESENTATIVES, SENATE

H.R. 1 The American Recovery & Reinvestment Act of 2009: Comparative Effectiveness; HR 6331 Medicare Improvements for Patients and Providers Act of 2008, implementation of the Medicare Part D Program; HR 3162 Children's Health and Medicare Protection Act of 2007; S 3101 Medicare Improvements or Patients and Providers Act of 2008; Part D, Electronic Prescribing, Medicaid Pharmacy Reimbursement. S 3118, Preserving Access to Medicare Act of 2008. HR 4, Medicare Prescription Drug Price Negotiation Act of 2007: Part D issues; HR 758, Price Disclosure Regarding Treatment of Breast Cancer; S 3330 The Medicare Prescription Drug Savings and Choice Act 2009:HR 5605, Physician Payments Sunshine Act of 2008: transparency issues; HR 6884, Medicare Prescription Drug Cost Equalization Act: Part D issues; S 3, Medicare Prescription Drug Price Negotiation Act of 2007: Part D issues; S 2029, Physician Payments Sunshine Act of 2007: transparency issues; S 2041, False Claims Act Correction Act of 2007: liability issues; S 3118, Preserving Access to Medicare Act of 2008: electronic prescribing, Part D data disclosure, and other issues; S 3396, The Independent Drug Education and Outreach ACt of 2008: direct to physician marketing; S 3408, Comparative Effectiveness Research Act of 2008: comparative effectiveness

Client expense: Not reported · Firm income: $60,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HR 2 - Children's Health Insurance Program Reauthorization Act; HR 2638 - Consolidated Security, Disaster Assistance, and Continuing Appropriations Act; HR 2642 - Supplemental Appropriations for FY 2008; HR 2945 - Medicare Advantage Truth in Advertising Act; HR 4296 - Medicare Electronic Medication and Safety Protection Act; HR 5613 - Protecting the Medicaid Safety Net Act; HR 6331 - Medicare Improvements for Patients and Providers Act of 2008; HR 6365 - Medicare Special Needs Plans Extension and Amendments Act of 2008; S 1507 - Access to Medicare Data Act; S 1544 - Medicare Quality Enhancement Act; S 1954 - Pharmacy Access Improvement Act; S 2408 - Medicare Electronic Medicare and Safety Protection Act; S 3101 - Medicare Improvements for Patients and Providers Act of 2008; S 3236 - The Medicare and Medicaid Extensions Act of 2008; S 3560 - QI Program Supplemental Funding Act of 2008

Client expense: $1,500,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE, Treasury, Dept of

Education and support for population-based health programs, such as disease and care management in FFS Medicare and Medicare Advantage, including Special Needs Plans (specifically, the reauthorization of Chronic Care Special Needs Plans, or C-SNPs, the incorporation of reasonable process measures and standards for SNP evaluation, and recommendations for CMS' Chronic Conditions SNP Panel); Medicare pilots and demonstrations such as the Medicare Medical Home Demonstration, Senior Risk Reduction Dem- onstration, Medicare Physician Group Practice Demonstration, Medicare Electronic Health Records Demonstration, the Medicare Coordinated Care Demonstration (MCCD, as authorized under Section 4016 of the Balanced Budget Act of 1997), and Medicare Health Support (as authorized under Section 721 of the Medicare Prescription Drug, Improvement and Modernization Act (MMA), which created the "Voluntary Chronic Care Improvement Program" now called Medicare Health Support) - specifically, the 18-month Report to Congress on Medicare Health Support. Provision of suggestions and recommendations for consideration of the broader inclusion of coordinated chronic care and health service stakeholder expertise in the feasibility study of a Medicare Chronic Care Practice Research Network demonstration program and in outcomes reporting for comparative effectiveness research (authorized in the Medicare Improvements for Patients and Providers Act of 2008). Analysis and discussions regarding the expanded hospital re-admission reporting requirements included in Final IPPS & OPPS Rules. Analysis of Congressional Budget Office reports on health care reform key issues and budget options, and promotion of successful outcomes in population health improvement programs as a component of national reform of care delivery, financing and design, particularly in public sector programs. Promotion of alternative modeling might more fully capture the true costs and savings associated with innovative prevention and treatment techniques in health care. Promotion of consideration of alternative models to assess and adjust risk scores related to the illnesses of beneficiaries in the Medicare program. Support for funding of prevention and wellness programs and initiatives as provided for in the American Recovery and Reinvestment Act of 2009 as passed by the House and Senate. Support for modifying provisions related to HIPAA Privacy rule and security for personal health information as established in the Health-e Information Technology Act (HITECH Act) as part of the American Recovery & Reinvestment Act (ARRA). Encouragement of efforts to preserve HIPAA provisions permitting exchange of protected health information for care coordination and disease management, efforts to advance health information technology deployment, particularly as it would affect individuals with chronic conditions, including e-prescribing, and the creation of interoperability standards and priority use cases and best practices for technology deployment and promotion in care coordination. Support for the exemption of disease management and care coordination efforts from economic stimulus provision that would have required the HHS Secretary to issue new health care operations rules. Analysis and submission of comments regarding the Genetic Information Nondiscrimination Act (GINA) and the creation of regulations by the EEOC defining the employer wellness program exception as provided for in GINA. Education regarding effectiveness of chronic condition care and its benefits to Medicaid and other populations via the sharing of published quality improvement studies that reported cost or utilization outcomes from the intervention and which are target clinical conditions relevant for Medicaid programs. Advocacy for priorities of all stakeholders providing services along the care continuum toward the goal of population health improvement in proposed and realized legislation, including S. 3613 & H.R. 7114, the Independence at Home Act of 2008; S. 631 & H.R. 5765, the Remote Monitoring Access Act of 2007; S. 334, the Healthy Americans Act; S. 1340, the Geriatric Assessment and Chronic Care Coordination Act of 2007; S. 1753, the Healthy Workforce Act of 2007; H.R. 3800, the Wired for Healthcare Quality Act; H.R. 6357, Protecting Records, Optimizing Treatment, and Easing Communication through Healthcare Technology PRO(TECH)T Act of 2008; H.R. 6898, the Health-e Information Technology Act of 2008 (HITECH Act); H.R. 5442, TRUST in Health Information Act of 2008; S. 3101, Medicare Improvements for Patients and Providers Act of 2008; S. 3118, Preserving Access to Medicare Act of 2008; H.R. 853, Wellness and Prevention Act of 2007; H.R.6331, Medicare Improvements for Patients and Providers Act of 2008; the Children's Health Insurance Program Reauthorization Act of 2009 (CHIPRA); the American Recovery & Reinvestment Act (ARRA); initiatives pertaining to the treatment and prevention of obesity as a chronic disease generally and as a component of population health improvement approaches to addressing the obesity epidemic. Advocacy and support for expansion of Medicare-covered clinical preventive services as recommended by the U.S. Preventive Services Task Force and provided for in the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA). Endorsement of the Healthy Workforce Act of 2009 and promotion of the legislation through the Healthy Workplace Alliance. General advocacy for population health improvement as a tool to improve the quality of health care and health care outcomes, and reduce preventable health care costs, and promotion of health promotion, wellness, and care coordination programs at the White House Regional Health Reform Summits.

Client expense: $135,000 · Firm income: Not reported

Government targets: Agency for Healthcare Research & Quality (AHRQ), Centers For Medicare and Medicaid Services (CMS), Congressional Budget Office (CBO), 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), Office of Management & Budget (OMB), SENATE, White House Office

S.3101 Medicare Improvements For Patients & Providers Act of 2008 Home health reimbursement legislation

Client expense: Not reported · Firm income: $80,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

S.3101 Medicare Improvements For Patients & Providers Act of 2008 Home health reimbursement legislation

Client expense: Not reported · Firm income: $80,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE