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This entity appears on both sides of lobbying disclosures. The firm tab shows registrant-reported income; the client tab shows client-reported lobbying spend. Contract awards are separate and are not included here.
Lobbying Spend
$1.8M
Filings
31
Firms Hired
2
Active Period
2023–2026
Client-reported lobbying expenses on LDA filings
Lobbying firms retained by this client; amounts are client-reported expenses when available
Government entities explicitly identified as targets in LDA filings
Most frequently reported lobbying issues
Bill numbers found in source-reported LDA specific issue text; broad topic matches are excluded
To amend title XVIII of the Social Security Act to establish a full risk ACO program.
2026 · third_quarter · Firm: TIBER CREEK GROUP
Issues related to value-based health care, including Medicare Advantage (MA) and ACO models; Issues related to Medicare Shared Savings Program (MSSP); Issues related to the LEAD Model; Issues related to H.R. 9693 - Patients First Act of 2026, including APM bonus payments; Issues related to H.R. 8129 - To amend title XVIII of the Social Security Act to establish a full risk ACO program; Issues related to CMS innovation and payment model activities through CMMI.
Client expense: — · Firm income: $60,000
Matched citations: H.R. 8129
Issues related to value-based health care, including Medicare Advantage (MA) and ACO models; Issues related to Medicare Shared Savings Program (MSSP); Issues related to the LEAD Model; Issues related to H.R. 9693 - Patients First Act of 2026, including APM bonus payments; Issues related to H.R. 8129 - To amend title XVIII of the Social Security Act to establish a full risk ACO program; Issues related to CMS innovation and payment model activities through CMMI.
Client expense: — · Firm income: $60,000
Matched citations: H.R. 9693
To amend title XVIII of the Social Security Act to establish a full risk ACO program.
2026 · third_quarter · Firm: AGILON HEALTH, INC.
Issues related to value-based health care, including Medicare Advantage (MA) and ACO models; Medicare Shared Savings Program (MSSP); LEAD Model; MA data sharing; the Patients First Act (HR 9693), including APM bonus payments; HR 8129 full-risk ACO legislation; and related CMS innovation and payment model activities through CMMI.
Client expense: $90,000 · Firm income: —
Matched citations: HR 8129
Issues related to value-based health care, including Medicare Advantage (MA) and ACO models; Medicare Shared Savings Program (MSSP); LEAD Model; MA data sharing; the Patients First Act (HR 9693), including APM bonus payments; HR 8129 full-risk ACO legislation; and related CMS innovation and payment model activities through CMMI.
Client expense: $90,000 · Firm income: —
Matched citations: HR 9693
To amend title XVIII of the Social Security Act to establish a full risk ACO program.
2026 · second_quarter · Firm: TIBER CREEK GROUP
Issues related to value-based health care, including Medicare Advantage (MA) and ACO models; Issues related to Medicare Shared Savings Program (MSSP); Issues related to the ACO REACH Model; Issues related to the LEAD Model; Issues related to MA data sharing; Issues related to physician reimbursement and MACRA-related policies, including APM bonus payments; Issues related to H.R. 8129 - To amend title XVIII of the Social Security Act to establish a full risk ACO program; Issues related to CMS innovation and payment model activities through CMMI.
Client expense: — · Firm income: $60,000
Matched citations: H.R. 8129
To amend title XVIII of the Social Security Act to establish a full risk ACO program.
2026 · second_quarter · Firm: AGILON HEALTH, INC.
Issues related to value-based health care, including Medicare Advantage (MA) and ACO models; Medicare Shared Savings Program (MSSP) and SCO REACH Model; LEAD Model; MA data sharing; physician reimbursement and Medicare and CHIP Reauthorization Act (MACRA)-related policies (PL 114-10), including APM bonus payments; HR.8129, To amend title XVIII of the Social Security Act to establish a full risk ACO program, full-risk legislation; and related CMS innovation and payment model activities through CMMI.
Client expense: $100,000 · Firm income: —
Matched citations: HR.8129
To amend title XVIII of the Social Security Act to establish a full risk ACO program.
2026 · first_quarter · Firm: AGILON HEALTH, INC.
Issues related to value-based health care, including Medicare Advantage (MA) and ACO models; Medicare Shared Savings Program (MSSP) and SCO REACH Model; LEAD Model; MA data sharing; physician reimbursement and Medicare and CHIP Reauthorization Act (MACRA)-related policies (PL 114-10), including APM bonus payments; Consolidated Appropriations Act, 2026 (PL 119-75); HR.8129, To amend title XVIII of the Social Security Act to establish a full risk ACO program, full-risk legislation; and related CMS innovation and payment model activities through CMMI.
Client expense: $150,000 · Firm income: —
Matched citations: HR.8129
Issues related to value-based health care, including the Medicare Shared Savings Program (MSSP) and the ACO Reach Program; Issues related to Medicare Advantage, including S. 1105 - No UPCODE Act; Issues related to the extension of Alternative Payment Model bonus payments and physician reimbursement, including the Medicare Access and CHIP Reauthorization Act of 2015 (PL 114-10); Issues related to the Continuing Appropriations, Agriculture, Legislative Branch, Military Construction and Veterans Affairs, and Extensions Act, 2026 (PL 119-37), including issues related to the continuation of Medicare telehealth flexibilities; Issues related to Medicare payment demonstration projects.
Client expense: — · Firm income: $60,000
Matched citations: S. 1105
Continuing Appropriations, Agriculture, Legislative Branch, Military Construction and Veterans Affairs, and Extensions Act, 2026
2025 · fourth_quarter · Firm: AGILON HEALTH, INC.
Issues related to value-based health care, including the Medicare Shared Savings Program (MSSP) and the ACO Reach Program; issues related to Medicare Advantage, including S.1105, the No UPCODE Act; issues related to the extension of Alternative Payment Model bonus payments and physician reimbursement including the Medicare and CHIP Reauthorization Act (MACRA) (PL 114-10); H.R. 5371, including issues related to the continuation of Medicare telehealth flexibilities; and issues related to Medicare payment demonstration projects.
Client expense: $120,000 · Firm income: —
Matched citations: H.R. 5371
Issues related to value-based health care, including the Medicare Shared Savings Program (MSSP) and the ACO Reach Program; issues related to Medicare Advantage, including S.1105, the No UPCODE Act; issues related to the extension of Alternative Payment Model bonus payments and physician reimbursement including the Medicare and CHIP Reauthorization Act (MACRA) (PL 114-10); H.R. 5371, including issues related to the continuation of Medicare telehealth flexibilities; and issues related to Medicare payment demonstration projects.
Client expense: $120,000 · Firm income: —
Matched citations: S.1105
Issues related to value-based health care, including the Medicare Shared Savings Program (MSSP) and the ACO Reach Program; Issues related to reforming physician payments and the Medicare Access and CHIP Reauthorization Act (MACRA) (PL 114-10); Issues related to Medicare Advantage; Issues related to H.R.5013/S.3503 - Value in Health Care Act; Issues related to the extension of Alternative Payment Model bonus payments, telehealth flexibilities, and physician reimbursement in H.R.10545 - American Relief Act of 2025 (PL 118-158); Issues related to Medicare payment demonstration projects.
Client expense: — · Firm income: $60,000
Matched citations: H.R.10545
Value in Health Care Act of 2023
2024 · fourth_quarter · Firm: TIBER CREEK GROUP
Issues related to value-based health care, including the Medicare Shared Savings Program (MSSP) and the ACO Reach Program; Issues related to reforming physician payments and the Medicare Access and CHIP Reauthorization Act (MACRA) (PL 114-10); Issues related to Medicare Advantage; Issues related to H.R.5013/S.3503 - Value in Health Care Act; Issues related to the extension of Alternative Payment Model bonus payments, telehealth flexibilities, and physician reimbursement in H.R.10545 - American Relief Act of 2025 (PL 118-158); Issues related to Medicare payment demonstration projects.
Client expense: — · Firm income: $60,000
Matched citations: H.R.5013
Value in Health Care Act of 2023
2024 · fourth_quarter · Firm: TIBER CREEK GROUP
Issues related to value-based health care, including the Medicare Shared Savings Program (MSSP) and the ACO Reach Program; Issues related to reforming physician payments and the Medicare Access and CHIP Reauthorization Act (MACRA) (PL 114-10); Issues related to Medicare Advantage; Issues related to H.R.5013/S.3503 - Value in Health Care Act; Issues related to the extension of Alternative Payment Model bonus payments, telehealth flexibilities, and physician reimbursement in H.R.10545 - American Relief Act of 2025 (PL 118-158); Issues related to Medicare payment demonstration projects.
Client expense: — · Firm income: $60,000
Matched citations: S.3503
Issues related to value-based health care, including the Medicare Shared Savings Program (MSSP) and the ACO Reach Program; Issues related to reforming physician payments and the Medicare Access and CHIP Reauthorization Act (MACRA) (PL 114-1 0); Issues related to Medicare Advantage; Issues related to H.R.5013/S.3503 - Value in Health Care Act; Issues related to the extension of Alternative Payment Model bonus payments, telehealth flexibilities, and physician reimbursement in H.R.10545 - American Relief Act of 2025 (PL 118-158); issues related to Medicare payment demonstration projects.
Client expense: $110,000 · Firm income: —
Matched citations: H.R.10545
Value in Health Care Act of 2023
2024 · fourth_quarter · Firm: AGILON HEALTH, INC.
Issues related to value-based health care, including the Medicare Shared Savings Program (MSSP) and the ACO Reach Program; Issues related to reforming physician payments and the Medicare Access and CHIP Reauthorization Act (MACRA) (PL 114-1 0); Issues related to Medicare Advantage; Issues related to H.R.5013/S.3503 - Value in Health Care Act; Issues related to the extension of Alternative Payment Model bonus payments, telehealth flexibilities, and physician reimbursement in H.R.10545 - American Relief Act of 2025 (PL 118-158); issues related to Medicare payment demonstration projects.
Client expense: $110,000 · Firm income: —
Matched citations: H.R.5013
Value in Health Care Act of 2023
2024 · fourth_quarter · Firm: AGILON HEALTH, INC.
Issues related to value-based health care, including the Medicare Shared Savings Program (MSSP) and the ACO Reach Program; Issues related to reforming physician payments and the Medicare Access and CHIP Reauthorization Act (MACRA) (PL 114-1 0); Issues related to Medicare Advantage; Issues related to H.R.5013/S.3503 - Value in Health Care Act; Issues related to the extension of Alternative Payment Model bonus payments, telehealth flexibilities, and physician reimbursement in H.R.10545 - American Relief Act of 2025 (PL 118-158); issues related to Medicare payment demonstration projects.
Client expense: $110,000 · Firm income: —
Matched citations: S.3503
Value in Health Care Act of 2023
2024 · third_quarter · Firm: AGILON HEALTH, INC.
Issues related to value-based health care, including the Medicare Shared Savings Program (MSSP) and the ACO Reach Program; Issues related to reforming physician payments and the Medicare Access and CHIP Reauthorization Act (MACRA) (PL 114-1 0); Issues related to Medicare Advantage; Issues related to H.R.5013/S.3503 - Value in Health Care Act. Issues related to the extension of Alternative Payment Model bonus payments; issues related to telehealth Medicare flexibilities; issues related to the Pay PCPs Act S. 4338.
Client expense: $140,000 · Firm income: —
Matched citations: H.R.5013
Value in Health Care Act of 2023
2024 · third_quarter · Firm: AGILON HEALTH, INC.
Issues related to value-based health care, including the Medicare Shared Savings Program (MSSP) and the ACO Reach Program; Issues related to reforming physician payments and the Medicare Access and CHIP Reauthorization Act (MACRA) (PL 114-1 0); Issues related to Medicare Advantage; Issues related to H.R.5013/S.3503 - Value in Health Care Act. Issues related to the extension of Alternative Payment Model bonus payments; issues related to telehealth Medicare flexibilities; issues related to the Pay PCPs Act S. 4338.
Client expense: $140,000 · Firm income: —
Matched citations: S.3503
Issues related to value-based health care, including the Medicare Shared Savings Program (MSSP) and the ACO Reach Program; Issues related to reforming physician payments and the Medicare Access and CHIP Reauthorization Act (MACRA) (PL 114-1 0); Issues related to Medicare Advantage; Issues related to H.R.5013/S.3503 - Value in Health Care Act. Issues related to the extension of Alternative Payment Model bonus payments; issues related to telehealth Medicare flexibilities; issues related to the Pay PCPs Act S. 4338.
Client expense: $140,000 · Firm income: —
Matched citations: S. 4338
Value in Health Care Act of 2023
2024 · third_quarter · Firm: TIBER CREEK GROUP
Issues related to value-based health care, including the Medicare Shared Savings Program (MSSP) and the ACO Reach Program; Issues related to reforming physician payments and the Medicare Access and CHIP Reauthorization Act (MACRA) (PL 114-10); Issues related to Medicare Advantage; Issues related to H.R.5013/S.3503 - Value in Health Care Act. Issues related to the extension of Alternative Payment Model bonus payments.
Client expense: — · Firm income: $60,000
Matched citations: H.R.5013
Issues related to value-based health care, including the Medicare Shared Savings Program (MSSP) and the ACO Reach Program; Issues related to reforming physician payments and the Medicare Access and CHIP Reauthorization Act (MACRA) (PL 114-10); Issues related to Medicare Advantage; Issues related to H.R.5013/S.3503 - Value in Health Care Act. Issues related to the extension of Alternative Payment Model bonus payments.
Client expense: — · Firm income: $60,000
Matched citations: S.3503
Value in Health Care Act of 2023
2024 · second_quarter · Firm: AGILON HEALTH, INC.
Issues related to value-based health care, including the Medicare Shared Savings Program (MSSP) and the ACO Reach Program; issues related to reforming physician payments and the Medicare Access and CHIP Reauthorization Act (MACRA) (PL 114-1 0); issues related to Medicare Advantage; Issues related to H.R.5013/S.3503 - Value in Health Care Act; issues related to the extension of Alternative Payment Model bonus payments; issues related to telehealth Medicare flexibilities; issues related to the Pay PCPs Act S. 4338.
Client expense: $120,000 · Firm income: —
Matched citations: H.R.5013
Value in Health Care Act of 2023
2024 · second_quarter · Firm: AGILON HEALTH, INC.
Issues related to value-based health care, including the Medicare Shared Savings Program (MSSP) and the ACO Reach Program; issues related to reforming physician payments and the Medicare Access and CHIP Reauthorization Act (MACRA) (PL 114-1 0); issues related to Medicare Advantage; Issues related to H.R.5013/S.3503 - Value in Health Care Act; issues related to the extension of Alternative Payment Model bonus payments; issues related to telehealth Medicare flexibilities; issues related to the Pay PCPs Act S. 4338.
Client expense: $120,000 · Firm income: —
Matched citations: S.3503
Issues related to value-based health care, including the Medicare Shared Savings Program (MSSP) and the ACO Reach Program; issues related to reforming physician payments and the Medicare Access and CHIP Reauthorization Act (MACRA) (PL 114-1 0); issues related to Medicare Advantage; Issues related to H.R.5013/S.3503 - Value in Health Care Act; issues related to the extension of Alternative Payment Model bonus payments; issues related to telehealth Medicare flexibilities; issues related to the Pay PCPs Act S. 4338.
Client expense: $120,000 · Firm income: —
Matched citations: S. 4338
Value in Health Care Act of 2023
2024 · second_quarter · Firm: TIBER CREEK GROUP
Issues related to value-based health care, including the Medicare Shared Savings Program (MSSP) and the ACO Reach Program; Issues related to reforming physician payments and the Medicare Access and CHIP Reauthorization Act (MACRA) (PL 114-10); Issues related to Medicare Advantage; Issues related to H.R.5013/S.3503 - Value in Health Care Act. Issues related to the extension of Alternative Payment Model bonus payments; Issues related to telehealth Medicare flexibilities; Issues related to S.4338 - Pay PCPs Act of 2024.
Client expense: — · Firm income: $60,000
Matched citations: H.R.5013
Source: Senate LDA