Hospice Evaluation and Legitimate Payment Act of 2013

Oppose home health and hospice payment cuts and co-pays. Legislative and regulatory proposals affecting home care and hospice. S. 596, Fostering Independence Through Technology Act of 2013.H.R. 2504/S. 1332, Home Health Care Planning Improvement Act. H.R. 2302/S. 1053, Hospice Evaluation and Legitimate Payment Act. Proposals to fix the Medicare Sustainable Growth Rate (SGR). Labor/Health and Human Services/Education Appropriations, FY2015, provisions relating to Lifespan Respite Program, caregiver, and falls prevention matters. Recognition and payment for telehealth services under Medicare and Medicaid. H.R. 3616, Protecting Seniors From Health Care Fraud Act of 2013. Face to Face Physician Encounter Requirement. Hospice/Part D Coordination of Care. H.R. 4994/S. 2553, IMPACT Act of 2014. H.R. 4625, Medicare Home Health Rebasing Relief and Reassessment Act. S. 2491, Medicare Protection Act H.R. 4673, BACPAC Act of 2014 H.R. 5558, ACO Improvement Act of 2014 H.R. 3306, Telehealth Enhancement Act of 2013 H.R. 5380, Medicare Telehealth Parity Act of 2014 H.R. 5110, SAVE Medicare Home Health Act of 2014 Home health rural add on payment. Hospice cost report.

Client expense: $120,000 · Firm income: Not reported

Government targets: Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, SENATE

Any federal legislation or agency regulations impacting federal rules or regulations for home health care and hospice services including: HR5110 (Securing Access via Excellence in Medicare Home Health Act); HR2302, S1053 (HELP Act); HR4302 (Protecting Access to Medicare Act); HR 1173 (Personalize Your Care Act); HR 4673 (BACPAC Act); S2553, HR4994 (IMPACT Act); S1332, HR2504 (Home Health Care Planning Improvement Act), HR5393 Hospice Act of 2014; S1439 Care Planning Act

Client expense: $254,900 · Firm income: Not reported

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

Any federal legislation or agency regulations impacting federal rules or regulations for home health care and hospice services including: HR5110 (Securing Access via Excellence in Medicare Home Health Act); HR2302, S1053 (HELP Act); HR4302 (Protecting Access to Medicare Act); HR 1173 (Personalize Your Care Act); HR 4673 (BACPAC Act); S2553, HR4994 (IMPACT Act); S1332, HR2504 (Home Health Care Planning Improvement Act), HR5393 Hospice Act of 2014; S1439 Care Planning Act

Client expense: $254,900 · Firm income: Not reported

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

Issues related to reimbursement for Medicare hospice services. Medicare hospice surveys, H.R. 2302 / S. 1053, The Hospice Evaluation and Legitimate Payment Act of 2013. Issues concerning coverage of related prescription drugs under the Medicare hospice benefit. H.R. 4994, IMPACT Act, as it relates to more frequent hospice surveys, medical review of certain hospice programs, and hospice reimbursement.

Client expense: Not reported · Firm income: $45,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Oppose home health and hospice payment cuts and co-pays. Legislative and regulatory proposals affecting home care and hospice. S. 596, Fostering Independence Through Technology Act of 2013.H.R. 2504/S. 1332, Home Health Care Planning Improvement Act. H.R. 2302/S. 1053, Hospice Evaluation and Legitimate Payment Act. Proposals to fix the Medicare Sustainable Growth Rate (SGR). Labor/Health and Human Services/Education Appropriations, FY2015, provisions relating to Lifespan Respite Program, caregiver, and falls prevention matters. Recognition and payment for telehealth services under Medicare and Medicaid. H.R. 3616, Protecting Seniors From Health Care Fraud Act of 2013. Qualified Individual Medicaid program. Face to Face Physician Encounter Requirement. H.R. 4015, SGR Repeal and Medicare Provider Payment Modernization Act of 2014, provisions on home care technologies. S. 2110, Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014, provisions on home care technologies. Hospice/Part D Coordination of Care. H.R. 4994/S. 2553, IMPACT Act of 2014. H.R. 4625, Medicare Home Health Rebasing Relief and Reassessment Act.

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

General hospice issues; concurrent care demonstration project; hospice payment reform and reimbursement issues; HELP Hospice Act (S. 1053, HR 2302); Medicare hospice benefit and Medicare Part D

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

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

Any federal legislation or agency regulations impacting federal rules or regulations for home health care and hospice services, including HR2302; S1053(HELP Act); HR 4302 (Protecting Access to Medicare Act), HR1173 (Personalize Your Care Act) HR4673 (BACPAC Act), S2553, HR4994 (IMPACT Act), S1332, HR2504 (Home Health Care Planning Improvement Act).

Client expense: $210,790 · Firm income: Not reported

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

Hospice & Medicare Part D, S 1053 / HR 2302 The HELP Hospice Act, Hospice & Medicare Advantage, Hospice Payment Reform

Client expense: $240,000 · 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), SENATE

Issues related to reimbursement for Medicare hospice services. Medicare hospice surveys, H.R. 2302 / S. 1053, The Hospice Evaluation and Legitimate Payment Act of 2013. Issues concerning coverage of related prescription drugs under the Medicare hospice benefit. S. 2240, The Medicare Choices Empowerment and Protection Act as it relates to Advance Directives.

Client expense: Not reported · Firm income: $45,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HELP Hospice Act, H.R. 2302/S. 1053; advocacy and sign on letter on House and Senate side regarding Medicare Part D and hospice payments.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Oppose home health and hospice payment cuts and co-pays. Legislative and regulatory proposals affecting home care and hospice. Home Health Care Access Protection Act of 2012 (to be re-filed). S. 596, Fostering Independence Through Technology Act of 2013.H.R. 2504/S. 1332, Home Health Care Planning Improvement Act. Implementation of P.L. 111-5, American Recovery and Reinvestment Act of 2009, provisions relating to technology. H.R. 2302/S. 1053, Hospice Evaluation and Legitimate Payment Act. Skilled Home Health Integrity and Program Savings Act (SHHIPS) (draft legislation). Proposals to fix the Medicare Sustainable Growth Rate (SGR). Independent Payment Advisory Board. Labor/Health and Human Services/Education Appropriations, FY2015, provisions relating to Lifespan Respite Program, caregiver, and falls prevention matters. Recognition and payment for telehealth services under Medicare and Medicaid. H.R. 3616, Protecting Seniors From Health Care Fraud Act of 2013. Qualified Individual Medicaid program. Face to Face Physician Encounter Requirement. H.R. 4015, SGR Repeal and Medicare Provider Payment Modernization Act of 2014, provisions on home care technologies. S. 2110, Medicare SGR Repeal and Beneficiary Access Improvement Act of 2014, provisions on home care technologies.

Client expense: $120,000 · Firm income: Not reported

Any federal legislation or agency regulations impacting federal rules or regulations for home health care and hospice services, including HR2302; S1053; HR 4302 (Protecting Access to Medicare Act of 2014).

Client expense: $321,300 · Firm income: Not reported

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

Rate Protection, Medicare Advantage, Hospice & Part D, HR 2303/S1053 the HELP Hospice Act

Client expense: $278,000 · 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), SENATE

General hospice issues; concurrent care demonstration project; hospice payment reform and reimbursement issues; HELP Hospice Act (S. 1053, HR 2302); Medicare hospice benefit and Medicare Part D

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

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

H.R. 1250/S. 1012 Medicare Audit Improvement Act of 2013, entire bill. H.R. 2578, the Rural Hospital Fairness Act of 2013, entire bill. S. 1143, Protecting Access to Rural Therapy Services Act, entire bill. H.R. 1787/S. 842, the Rural Hospital Access Act of 2013, entire bills.S. 183, Hospital Payment Fairness Act of 2013. S. 1053/H.R. 2302, the HELP Hospice Act, entire bill. H.R. 2053/ S. 183, to amend title XVIII of the Social Security Act to apply budget neutrality on a state-specific basis in the calculation of the Medicare hospital wage index floor for non-rural areas, entire bill. H.R. 1920, DSH Reduction Relief Act of 2013, entire bill. H.R. 2801/S. 1143, Protecting Access to Rural Therapy Services (PARTS) Act, entire bill. H.R. 2810, Medicare Patient Access and Quality Improvement Act of 2013. Proposals surrounding the Sustainable Growth Rate (SGR) and deficit/debt reduction as related to hospitals and physicians, including H.R.2810, the Medicare Patient Access and Quality Improvement Act of 2013, entire bill. Bi-partisan, bi-cameral proposal in Senate Finance Committee to permanently repeal SGR and amendments. H. Resolution 356/ S Resolution 26, The Importance of Rural Health Access for American Communities. President Obama's budget for FY 2014, budget proposal with a focus on Medicare and Medicaid policies. H.R. 3698, Two Midnight Rule Delay Act of 2013; S 2082: Two Midnight Rule Coordination and Improvement Act of 2014 H.R. 3991/ S. 2037 Critical Access Hospital Relief Act of 2014 (96 Hour Rule) HR 4067/S 1954: Extension of Moratorium on Direct Supervision; HR 3769: Extension of Moratorium on Direct Supervision HR 4015/ S 2000: SGR Repeal and Medicare Provider Payment Modernization Act of 2014; HR 4302: Protecting Access to Medicare Act 2014 S. 25: Repealing the Reduction in the Cost of Living Adjustment (COLA) for Retired Members of the Armed Services Bureau By Extending the Medicare Sequester. S.540 - Temporary Debt Limit Extension Act and preceeding potential proposals for raising the debt limit and funding.H.R. 3590, Patient Protection and Affordable Care Act, provisions relating to hospitals, hospice and physicians including: Section 3001: hospital value-based purchasing; Section 3125: low-volume hospital payment; Section 3401: productivity adjustments; Section 3121: outpatient hold harmless for hospitals; Sections 7101-7103: 340B Program; Section 3401: Independent Payment Advisory Board; Section 3015: hospital readmissions program; Section 3124: Extension of Medicare Dependent Hospital program; Section 3137: Section 508 Reclassification; Section 9007: non-profit hospital provision; Section 3105: ambulance services; Section 3008 and Section 2702: payment adjustment for hospital acquired conditions; Section 3133: Medicare DSH; Section 2551: Disproportionate Share Hospitals; Section 5501: Primary Care Provisions; Section 5503: Graduate Medical Education; Sections 2001-2081: Expansion of Medicaid, CHIP; Sections 1311-1343: CO-OPs and Exchanges; Section 3022: Accountable Care Organizations; Section 3023: Hospital Bundling Provision; Section 6401-6402: Program Integrity Provisions; Section 6501-6503, 6505, 6508: Medicaid Program Integrity Provisions; Section 3141: Changes to the Rural Floor of the Hospital Wage Index. H.R. 4872, Health Care & Education Affordability Reconciliation Act of 2010: provisions relating to hospitals and physicians, including: Section 2302: 340B program; Section 1104 and Section 1203: Medicare and Medicaid DSH Payments; Sections 1108 and 1109 involving geographic disparities in Medicare payment; Section 1105: Market basket updates; Section 1201: Federal funding for States. H.R. 3630 (introduced by 112th Congress), Middle Class Tax Relief and Job Creation Act of 2011, Title II, Subtitle C--Medicare Extensions; Other Health Provisions, Part 1--Medicare extensions, Section 2201, Physician payment update. Section 2202: Ambulance Add-ons; Section 2203: Medicare payment for outpatient therapy services; Section 2204: Work geographic Adjustment; Part 3--Offsets, Section 2223: Parity in Medicare payments for hospital outpatient department evaluation and management office visit services; Section 2224, Reduction of bad debt treated as an allowable cost; Section 2225, Rebasing of State DSH allotments for FY 2021. Part 2 of Subtitle C--Other Health Provisions, Section 2213: Modification to requirements for qualifying for exception to Medicare prohibition on certain physician referrals for hospitals. Other issues: 2014 Inpatient/Long term care hospital Prospective Payment System rule, entire rule. 2014 Outpatient Prospective Payment System rule, entire rule. Medicaid DSH Reduction rule, entire rule. Medicare and Medicaid Recovery Audit Contractor programs, including CMS' proposed changes to the rebilling policy for hospitals, CMS1455P. Medicare and Medicaid Electronic Health Record Payment Incentive Programs. Simpson/Bowles Budget proposal released in April 2013, entire proposal. Implementation of the state health insurance exchanges. 340B Drug Discount Program. Critical Access Hospitals/OIG report and potential changes to CAH designation. Proposals involving site-neutral payment policies impacting payments to hospitals.

Rate protection, HR 2302 / S1053 the HELP Hospice Act, HR 1173 the Personalize Your Care Act, S1439 the Care Planning Act, Part D Issues

Client expense: $220,000 · Firm income: Not reported

Government targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, SENATE

Oppose home health and hospice payment cuts and co-pays. Legislative and regulatory proposals affecting home care and hospice. Home Health Care Access Protection Act of 2012 (to be re-filed). S. 596, Fostering Independence Through Technology Act of 2013.H.R. 2504/S. 1332, Home Health Care Planning Improvement Act. Implementation of P.L. 111-5, American Recovery and Reinvestment Act of 2009, provisions relating to technology. H.R. 2302/S. 1053, Hospice Evaluation and Legitimate Payment Act. Skilled Home Health Integrity and Program Savings Act (SHHIPS) (draft legislation). Proposals to fix the Medicare Sustainable Growth Rate (SGR). Independent Payment Advisory Board. S. 1284, Labor/Health and Human Services/Education Appropriations, FY2014, provisions relating to respite, caregiver, and falls prevention matters. Recognition and payment for telehealth services under Medicare and Medicaid. H.R. 3616, Protecting Seniors From Health Care Fraud Act of 2013. Qualified Individual Medicaid program. Therapy Cap exception process.

Client expense: $280,000 · Firm income: Not reported

H.R. 1250/S. 1012 Medicare Audit Improvement Act of 2013, entire bill. H.R. 2578, the Rural Hospital Fairness Act of 2013, entire bill. S. 1143, Protecting Access to Rural Therapy Services Act, entire bill. H.R. 1787/S. 842, the Rural Hospital Access Act of 2013, entire bills.S. 183, Hospital Payment Fairness Act of 2013. S. 1053/H.R. 2302, the HELP Hospice Act, entire bill. H.R. 2053/ S. 183, to amend title XVIII of the Social Security Act to apply budget neutrality on a state-specific basis in the calculation of the Medicare hospital wage index floor for non-rural areas, entire bill. H.R. 1920, DSH Reduction Relief Act of 2013, entire bill. H.R. 2801/S. 1143, Protecting Access to Rural Therapy Services (PARTS) Act, entire bill. H.R. 2810, Medicare Patient Access and Quality Improvement Act of 2013. Proposals surrounding the Sustainable Growth Rate (SGR) and deficit/debt reduction as related to hospitals and physicians, including H.R.2810, the Medicare Patient Access and Quality Improvement Act of 2013, entire bill. Bi-partisan, bi-cameral proposal in Senate Finance Committee to permanently repeal SGR and amendments. H. Resolution 356/ S Resolution 26, The Importance of Rural Health Access for American Communities. President Obama's budget for FY 2014, budget proposal with a focus on Medicare and Medicaid policies. H.R. 3698, Two Midnight Rule Delay Act of 2013. H.R. 3590, Patient Protection and Affordable Care Act, provisions relating to hospitals, hospice and physicians including: Section 3001: hospital value-based purchasing; Section 3125: low-volume hospital payment; Section 3401: productivity adjustments; Section 3121: outpatient hold harmless for hospitals; Sections 7101-7103: 340B Program; Section 3401: Independent Payment Advisory Board; Section 3015: hospital readmissions program; Section 3124: Extension of Medicare Dependent Hospital program; Section 3137: Section 508 Reclassification; Section 9007: non-profit hospital provision; Section 3105: ambulance services; Section 3008 and Section 2702: payment adjustment for hospital acquired conditions; Section 3133: Medicare DSH; Section 2551: Disproportionate Share Hospitals; Section 5501: Primary Care Provisions; Section 5503: Graduate Medical Education; Sections 2001-2081: Expansion of Medicaid, CHIP; Sections 1311-1343: CO-OPs and Exchanges; Section 3022: Accountable Care Organizations; Section 3023: Hospital Bundling Provision; Section 6401-6402: Program Integrity Provisions; Section 6501-6503, 6505, 6508: Medicaid Program Integrity Provisions; Section 3141: Changes to the Rural Floor of the Hospital Wage Index. H.R. 4872, Health Care & Education Affordability Reconciliation Act of 2010: provisions relating to hospitals and physicians, including: Section 2302: 340B program; Section 1104 and Section 1203: Medicare and Medicaid DSH Payments; Sections 1108 and 1109 involving geographic disparities in Medicare payment; Section 1105: Market basket updates; Section 1201: Federal funding for States. H.R. 3630 (introduced by 112th Congress), Middle Class Tax Relief and Job Creation Act of 2011, Title II, Subtitle C--Medicare Extensions; Other Health Provisions, Part 1--Medicare extensions, Section 2201, Physician payment update. Section 2202: Ambulance Add-ons; Section 2203: Medicare payment for outpatient therapy services; Section 2204: Work geographic Adjustment; Part 3--Offsets, Section 2223: Parity in Medicare payments for hospital outpatient department evaluation and management office visit services; Section 2224, Reduction of bad debt treated as an allowable cost; Section 2225, Rebasing of State DSH allotments for FY 2021. Part 2 of Subtitle C--Other Health Provisions, Section 2213: Modification to requirements for qualifying for exception to Medicare prohibition on certain physician referrals for hospitals. H.R. 3630 (introduced by 112th Congress), Middle Class Tax Relief and Job Creation Act of 2012, entire bill.Other issues: 2014 Inpatient/Long term care hospital Prospective Payment System rule, entire rule. 2014 Outpatient Prospective Payment System rule, entire rule. Medicaid DSH Reduction rule, entire rule. Medicare and Medicaid Recovery Audit Contractor programs, including CMS' proposed changes to the rebilling policy for hospitals, CMS1455P. Medicare and Medicaid Electronic Health Record Payment Incentive Programs. Simpson/Bowles Budget proposal released in April 2013, entire proposal. Implementation of the state health insurance exchanges. 340B Drug Discount Program. Critical Access Hospitals/OIG report and potential changes to CAH designation. Proposals involving site-neutral payment policies impacting payments to hospitals.

General hospice issues; concurrent care demonstration project; hospice payment reform and reimbursement issues; HELP Hospice Act (S. 1053, HR 2302); Medicare hospice benefit and Medicare Part D

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

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

Any federal legislation or agency regulations impacting federal rules or regulations for home health care and hospice services, including HR 2302; S1053 and the Bi-partisan Budget Act of 2013.

Client expense: $297,200 · Firm income: Not reported

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

H.R. 2302 / S. 1053, Hospice Evaluation & Legitimate Payment Act of 2013 and issues related to reimbursement for hospice services under Medicare. Issues involving advanced care planning. H.J. Res 59, Bipartisan Budget Act of 2013 and the Pathway for SGR Reform Act of 2013 as they relate to hospice services under Medicare. S. 1871, SGR Repeal & Medicare Beneficiary Access Act of 2013, as it relates to hospice services under Medicare. Issues concerning coverage of related prescription drugs under theMedicare hospice benefit.

Client expense: Not reported · Firm income: $45,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

HELP Hospice Act: H.R. 2302/S. 1053; Patient Access adn Quality Improvement Act: H.R. 2810 (pay fors to be included in bill); recent actions by CMS regarding Medicare Part D and hospice.

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Oppose home health and hospice payment cuts and co-pays. Legislative and regulatory proposals affecting home care and hospice. Home Health Care Access Protection Act of 2012 (to be re-filed). S. 596, Fostering Independence Through Technology Act of 2013.H.R. 2504/S. 1332, Home Health Care Planning Improvement Act. Implementation of P.L. 111-5, American Recovery and Reinvestment Act of 2009, provisions relating to technology. H.R. 2302/S. 1053, Hospice Evaluation and Legitimate Payment Act. Skilled Home Health Integrity and Program Savings Act (SHHIPS) (draft legislation). Proposals to fix the Medicare Sustainable Growth Rate (SGR). Independent Payment Advisory Board. S. 1284, Labor/Health and Human Services/Education Appropriations, FY2014, provisions relating to respite, caregiver, and falls prevention matters. Recognition and payment for telehealth services under Medicare and Medicaid. Protecting Seniors From Health Care Fraud Act of 2013 (draft legislation).

Client expense: $300,000 · Firm income: Not reported

General hospice issues; concurrent care demonstration project; hospice payment reform and reimbursement issues; HELP Hospice Act (S. 1053, HR 2302); Medicare hospice benefit and Medicare Part D.

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

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

H.R. 2302 / S. 1053, Hospice Evaluation & Legitimate Payment Act of 2013 and issues related to reimbursement for hospice services under Medicare. Issues related to reforming the Medicare physician payment system. Issues involving advanced care planning. H.J. Res 59, Continuing Appropriations Resolution and the debt ceiling as it relates to hospice services under Medicare. Issues related to coverage of prescription drugs under the Medicare hospice benefit.

Client expense: Not reported · Firm income: $45,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Any federal legislation or agency regulations impacting federal rules or regulations for home health care and hospice services, including HR 2302; S1053.

Client expense: $299,650 · Firm income: Not reported

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

Rate Protection, HR 2302 / S1053 the HELP Hospice Act, HR 1173 the Personalize Your Care Act, S 1439 the Care Planning Act, Part D Issues.

Client expense: $230,000 · Firm income: Not reported

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

H.R. 1250/S. 1012 Medicare Audit Improvement Act of 2013, entire bill. H.R. 2578, the Rural Hospital Fairness Act of 2013, entire bill. S. 1143, Protecting Access to Rural Therapy Services Act, entire bill. H.R. 1787/S. 842, the Rural Hospital Access Act of 2013, entire bills.S. 183, Hospital Payment Fairness Act of 2013. S. 1053/H.R. 2302, the HELP Hospice Act, entire bill. H.R. 2053/ S. 183, to amend title XVIII of the Social Security Act to apply budget neutrality on a state-specific basis in the calculation of the Medicare hospital wage index floor for non-rural areas, entire bill. H.R. 1920, DSH Reduction Relief Act of 2013, entire bill. H.R. 2801/S. 1143, Protecting Access to Rural Therapy Services (PARTS) Act, entire bill. H.R. 2810, Medicare Patient Access and Quality Improvement Act of 2013. H. Resolution 356/ S Resolution 26, The Importance of Rural Health Access for American Communities. President Obama's budget for FY 2014, budget proposal with a focus on Medicare and Medicaid policies. H.R. 3590, Patient Protection and Affordable Care Act, provisions relating to hospitals, hospice and physicians including: Section 3001: hospital value-based purchasing; Section 3125: low-volume hospital payment; Section 3401: productivity adjustments; Section 3121: outpatient hold harmless for hospitals; Sections 7101-7103: 340B Program; Section 3401: Independent Payment Advisory Board; Section 3015: hospital readmissions program; Section 3124: Extension of Medicare Dependent Hospital program; Section 3137: Section 508 Reclassification; Section 9007: non-profit hospital provision; Section 3105: ambulance services; Section 3008 and Section 2702: payment adjustment for hospital acquired conditions; Section 3133: Medicare DSH; Section 2551: Disproportionate Share Hospitals; Section 5501: Primary Care Provisions; Section 5503: Graduate Medical Education; Sections 2001-2081: Expansion of Medicaid, CHIP; Sections 1311-1343: CO-OPs and Exchanges; Section 3022: Accountable Care Organizations; Section 3023: Hospital Bundling Provision; Section 6401-6402: Program Integrity Provisions; Section 6501-6503, 6505, 6508: Medicaid Program Integrity Provisions; Section 3141: Changes to the Rural Floor of the Hospital Wage Index. H.R. 4872, Health Care & Education Affordability Reconciliation Act of 2010: provisions relating to hospitals and physicians, including: Section 2302: 340B program; Section 1104 and Section 1203: Medicare and Medicaid DSH Payments; Sections 1108 and 1109 involving geographic disparities in Medicare payment; Section 1105: Market basket updates; Section 1201: Federal funding for States. Proposals surrounding the Sustainable Growth Rate (SGR) and deficit/debt reduction as related to hospitals and physicians, including H.R.2810, the Medicare Patient Access and Quality Improvement Act of 2013, entire bill. H.R. 3630 (introduced by 112th Congress), Middle Class Tax Relief and Job Creation Act of 2011, Title II, Subtitle C--Medicare Extensions; Other Health Provisions, Part 1--Medicare extensions, Section 2201, Physician payment update. Section 2202: Ambulance Add-ons; Section 2203: Medicare payment for outpatient therapy services; Section 2204: Work geographic Adjustment; Part 3--Offsets, Section 2223: Parity in Medicare payments for hospital outpatient department evaluation and management office visit services; Section 2224, Reduction of bad debt treated as an allowable cost; Section 2225, Rebasing of State DSH allotments for FY 2021. Part 2 of Subtitle C--Other Health Provisions, Section 2213: Modification to requirements for qualifying for exception to Medicare prohibition on certain physician referrals for hospitals. H.R. 3630 (introduced by 112th Congress), Middle Class Tax Relief and Job Creation Act of 2012, entire bill. H.R. 8, American Taxpayer Relief Act of 2012, entire bill with focus on Title VI and Title X.Other issues: 2014 Inpatient/Long term care hospital Prospective Payment System rule, entire rule. 2014 Outpatient Prospective Payment System rule, entire rule. Medicaid DSH Reduction rule, entire rule. Medicare and Medicaid Recovery Audit Contractor programs, including CMS' proposed changes to the rebilling policy for hospitals, CMS1455P. Medicare and Medicaid Electronic Health Record Payment Incentive Programs. Simpson/Bowles Budget proposal released in April 2013, entire proposal. Implementation of the state health insurance exchanges. 340B Drug Discount Program. Critical Access Hospitals/OIG report and potential changes to CAH designation. Proposals involving site-neutral payment policies impacting payments to hospitals.

S. 1053/HR 2302, the HELP Hospice Act; hospice in the nursing home payments; hospice and Medicare reform

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Oppose home health and hospice payment cuts and co-pays. Legislative and regulatory proposals affecting home care and hospice. Home Health Care Access Protection Act of 2012 (to be re-filed). S. 596, Fostering Independence Through Technology Act of 2013.H.R. 2504/S. 1332, Home Health Care Planning Improvement Act. Implementation of P.L. 111-5, American Recovery and Reinvestment Act of 2009, provisions relating to technology. H.R. 2302/S. 1053, Hospice Evaluation and Legitimate Payment Act. Skilled Home Health Integrity and Program Savings Act (SHHIPS) (draft legislation). Proposals to fix the Medicare Sustainable Growth Rate (SGR). Independent Payment Advisory Board. S. 1284, Labor/Health and Human Services/Education Appropriations, FY2014, provisions relating to respite, caregiver, and falls prevention matters. Recognition and payment for telehealth services under Medicare and Medicaid.

Client expense: $280,000 · Firm income: Not reported

General hospice issues; concurrent care demonstration project; hospice payment reform and reimbursement issues; HELP Hospice Act (S. 1053, HR 2302)

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Rate Protection, S 1053 the HELP Hospice Act, HR 2302 the HELP Hospice Act, Advance Care Planning, HR 1173 The Personalize Your Care Act.

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

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

Rate Protection, S 1053 the HELP Hospice Act, HR 2302 the HELP Hospice Act, Advance Care Planning, HR 1173 The Personalize Your Care Act, CGS Audit Issues

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

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

H.R. 1250/S. 1012, Medicare Audit Improvement Act of 2013, entire bill. H.R. 2578, the Rural Hospital Fairness Act of 2013, entire bill. S. 1180, the Medicare Data Access for Transparency and Accountability Act, entire bill. S. 1143, Protecting Access to Rural Therapy Services Act, entire bill.H.R. 1787/S. 842, the Rural Hospital Access Act of 2013, entire bills. S. 1053/H.R. 2302, the HELP Hospice Act, entire bills. S. 183, Hospital Payment Fairness Act of 2013, entire bill. H.R.2053, To amend title XVIII of the Social Security Act to apply budget neutrality on a State-specific basis in the calculation of the Medicare hospital wage index floor for non-rural areas, entire bill. H.R. 1920, DSH Reduction Relief Act of 2013, entire bill. H.R. 45, To repeal the Patient Protection and Affordable Care Act and health care-related provisions in the Health Care and Education Reconciliation Act of 2010, entire bill. President Obama's budget for FY 2014, budget proposal with a focus on Medicare and Medicaid policies. Simpson/Bowles Budget proposal released in April 2013, entire proposal. H.R. 4872, Health Care & Education Affordability Reconciliation Act of 2010: provisions relating to hospitals and physicians, including: Section 2302: 340B program; Section 1104 and Section 1203: Medicare and Medicaid DSH Payments; Sections 1108 and 1109 involving geographic disparities in Medicare payment; Section 1105: Market basket updates; Section 1201: Federal funding for States. H.R. 3590, Patient Protection and Affordable Care Act, provisions relating to hospitals, hospice and physicians including: Section 3001: hospital value-based purchasing; Section 3125: low-volume hospital payment; Section 3401: productivity adjustments; Section 3121: outpatient hold harmless for hospitals; Sections 7101-7103: 340B Program; Section 3401: Independent Payment Advisory Board; Section 3015: hospital readmissions program; Section 3124: Extension of Medicare Dependent Hospital program; Section 3137: Section 508 Reclassification; Section 9007: non-profit hospital provision; Section 3105: ambulance services; Section 3008 and Section 2702: payment adjustment for hospital acquired conditions; Section 3133: Medicare DSH; Section 2551: Disproportionate Share Hospitals; Section 5501: Primary Care Provisions; Section 5503: Graduate Medical Education; Sections 2001-2081: Expansion of Medicaid, CHIP; Sections 1311-1343: CO-OPs and Exchanges; Section 3022: Accountable Care Organizations; Section 3023: Hospital Bundling Provision; Section 6401-6402: Program Integrity Provisions; Section 6501-6503, 6505, 6508: Medicaid Program Integrity Provisions; Section 3141: Changes to the Rural Floor of the Hospital Wage Index. H.R. 3630 (introduced by 112th Congress), Middle Class Tax Relief and Job Creation Act of 2011, Title II, Subtitle C--Medicare Extensions; Other Health Provisions, Part 1--Medicare extensions, Section 2201, Physician payment update. Section 2202: Ambulance Add-ons; Section 2203: Medicare payment for outpatient therapy services; Section 2204: Work geographic Adjustment; Part 3--Offsets, Section 2223: Parity in Medicare payments for hospital outpatient department evaluation and management office visit services; Section 2224, Reduction of bad debt treated as an allowable cost; Section 2225, Rebasing of State DSH allotments for FY 2021. Part 2 of Subtitle C--Other Health Provisions, Section 2213: Modification to requirements for qualifying for exception to Medicare prohibition on certain physician referrals for hospitals. H.R. 3630 (introduced by 112th Congress), Middle Class Tax Relief and Job Creation Act of 2012, entire bill. H.R. 8, American Taxpayer Relief Act of 2012, entire bill with focus on Title VI and Title X.Other issues: 2014 Inpatient/Long term care hospital Prospective Payment System proposed rule, entire rule. Medicaid DSH Reduction proposed rule, entire rule. 2014 Skilled Nursing Facility Prospective Payment System proposed rule, entire rule. 2014 Hospice payment proposed rule, entire rule. 2014 Inpatient Rehab Facility Prospective Payment System, proposed rule, entire rule. 2014 Home Health Prospective Payment System, proposed rule, entire rule. CMS 3267-P, Medicare and Medicaid Programs; Part IIRegulatory Provisions to Promote Program Efficiency, Transparency, and Burden Reduction; Proposed Rule, entire rule. Medicare and Medicaid Recovery Audit Contractor programs, including CMS' proposed changes to the rebilling policy for hospitals, CMS1455P. Geographic Variation in Medicare spending, IOM studies on high value and Medicare geographic adjusters. Medicare and Medicaid Electronic Health Record Payment Incentive Programs. Hospital wage index reform, including Section 3137(b) of the Affordable Care Act, and Section 508 reclassification policy. 2013 Outpatient Prospective Payment System rule, entire rule. Proposals surrounding the Sustainable Growth Rate (SGR) and deficit/debt reduction as related to hospitals and physicians. Accountable Care Organizations and the Innovation Center's demonstration programs. Implementation of the state health insurance exchanges. Dual Eligible Demonstration Programs. 340B Drug Discount Program. Medicaid provider taxes.

HELP Hospice Act, H.R. 2302/S. 1053; the Care Planning Act, Medicare hospice payments and the nursing home

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

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Any federal legislation or agency regulations impacting federal rules or regulations for home health care and hospice services, including HR 2302; S1053.

Client expense: $345,800 · Firm income: Not reported

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

H.R. 2302 / S. 1053, Hospice Evaluation & Legitimate Payment Act of 2013 and issues related to reimbursement for hospice services under Medicare. H.Con.Res.25, House budget resolution and S.Con.Res.8, Senate budget resolution as they relate to hospice services under Medicare. Issues related to reforming the Medicare physician payment system. Issues involving advanced care planning.

Client expense: Not reported · Firm income: $45,000

Government targets: HOUSE OF REPRESENTATIVES, SENATE