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Lobbying Spend
—
Filings
24
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 the Medicare Shared Savings Program (MSSP), ACO Reach Program and Comprehensive Kidney Care Contracting demonstration program; Issues related to physician reimbursement, including reforms to the Medicare Access and CHIP Reauthorization Act of 2015 (PL 114-10); Issues related to H.R. 8129 - To amend title XVIII of the Social Security Act to establish a full risk ACO program.
Client expense: — · Firm income: $70,000
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: TIBER CREEK GROUP
Issues related to value-based health care, including the Medicare Shared Savings Program (MSSP), ACO Reach Program and Comprehensive Kidney Care Contracting demonstration program; Issues related to physician reimbursement, including reforms to the Medicare Access and CHIP Reauthorization Act of 2015 (PL 114-10); Issues related to H.R. 8129 - To amend title XVIII of the Social Security Act to establish a full risk ACO program.
Client expense: — · Firm income: $70,000
Matched citations: H.R. 8129
Issues related to value-based health care; Issues related to reforming physician payments and the Medicare Access and CHIP Reauthorization Act (MACRA) (PL 114-10); Issues related to H.R.5013/S.3503 - Value in Health Care Act; Issues related to the extension of Alternative Payment Model bonus payments 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; Issues related to reforming physician payments and the Medicare Access and CHIP Reauthorization Act (MACRA) (PL 114-10); Issues related to H.R.5013/S.3503 - Value in Health Care Act; Issues related to the extension of Alternative Payment Model bonus payments 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; Issues related to reforming physician payments and the Medicare Access and CHIP Reauthorization Act (MACRA) (PL 114-10); Issues related to H.R.5013/S.3503 - Value in Health Care Act; Issues related to the extension of Alternative Payment Model bonus payments 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
Value in Health Care Act of 2023
2024 · third_quarter · Firm: TIBER CREEK GROUP
Issues related to value-based health care; Issues related to reforming physician payments and the Medicare Access and CHIP Reauthorization Act (MACRA) (PL 114-10); 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 Medicare payment demonstration projects.
Client expense: — · Firm income: $60,000
Matched citations: H.R.5013
Value in Health Care Act of 2023
2024 · third_quarter · Firm: TIBER CREEK GROUP
Issues related to value-based health care; Issues related to reforming physician payments and the Medicare Access and CHIP Reauthorization Act (MACRA) (PL 114-10); 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 Medicare payment demonstration projects.
Client expense: — · Firm income: $60,000
Matched citations: H.R.5013
Issues related to value-based health care; Issues related to reforming physician payments and the Medicare Access and CHIP Reauthorization Act (MACRA) (PL 114-10); 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 Medicare payment demonstration projects.
Client expense: — · Firm income: $60,000
Matched citations: S.3503
Issues related to value-based health care; Issues related to reforming physician payments and the Medicare Access and CHIP Reauthorization Act (MACRA) (PL 114-10); 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 Medicare payment demonstration projects.
Client expense: — · Firm income: $60,000
Matched citations: S.3503
Value in Health Care Act of 2023
2024 · second_quarter · Firm: TIBER CREEK GROUP
Issues related to value-based health care; Issues related to reforming physician payments and the Medicare Access and CHIP Reauthorization Act (MACRA) (PL 114-10); 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 Medicare payment demonstration projects.
Client expense: — · Firm income: $60,000
Matched citations: H.R.5013
Value in Health Care Act of 2023
2024 · second_quarter · Firm: TIBER CREEK GROUP
Issues related to value-based health care; Issues related to reforming physician payments and the Medicare Access and CHIP Reauthorization Act (MACRA) (PL 114-10); 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 Medicare payment demonstration projects.
Client expense: — · Firm income: $60,000
Matched citations: H.R.5013
Value in Health Care Act of 2023
2024 · second_quarter · Firm: TIBER CREEK GROUP
Issues related to value-based health care; Issues related to reforming physician payments and the Medicare Access and CHIP Reauthorization Act (MACRA) (PL 114-10); 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 Medicare payment demonstration projects.
Client expense: — · Firm income: $60,000
Matched citations: S.3503
Value in Health Care Act of 2023
2024 · second_quarter · Firm: TIBER CREEK GROUP
Issues related to value-based health care; Issues related to reforming physician payments and the Medicare Access and CHIP Reauthorization Act (MACRA) (PL 114-10); 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 Medicare payment demonstration projects.
Client expense: — · Firm income: $60,000
Matched citations: S.3503
Consolidated Appropriations Act, 2024
2024 · first_quarter · Firm: TIBER CREEK GROUP
Issues related to value-based health care; Issues related to reforming physician payments and the Medicare Access and CHIP Reauthorization Act (MACRA) (PL 114-10); Issues related to H.R.5013/S.3503 - Value in Health Care Act; Issues related to H.R.5378 - Lower Costs, More Transparency Act. Issues related to the extension of Alternative Payment Model bonus payments in the Consolidated Appropriations Act, 2024, HR 4366. Issues related to Medicare payment demonstration projects.
Client expense: — · Firm income: $60,000
Matched citations: HR 4366
Consolidated Appropriations Act, 2024
2024 · first_quarter · Firm: TIBER CREEK GROUP
Issues related to value-based health care; Issues related to reforming physician payments and the Medicare Access and CHIP Reauthorization Act (MACRA) (PL 114-10); Issues related to H.R.5013/S.3503 - Value in Health Care Act; Issues related to H.R.5378 - Lower Costs, More Transparency Act. Issues related to the extension of Alternative Payment Model bonus payments in the Consolidated Appropriations Act, 2024, HR 4366. Issues related to Medicare payment demonstration projects.
Client expense: — · Firm income: $60,000
Matched citations: HR 4366
Value in Health Care Act of 2023
2024 · first_quarter · Firm: TIBER CREEK GROUP
Issues related to value-based health care; Issues related to reforming physician payments and the Medicare Access and CHIP Reauthorization Act (MACRA) (PL 114-10); Issues related to H.R.5013/S.3503 - Value in Health Care Act; Issues related to H.R.5378 - Lower Costs, More Transparency Act. Issues related to the extension of Alternative Payment Model bonus payments in the Consolidated Appropriations Act, 2024, HR 4366. 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 · first_quarter · Firm: TIBER CREEK GROUP
Issues related to value-based health care; Issues related to reforming physician payments and the Medicare Access and CHIP Reauthorization Act (MACRA) (PL 114-10); Issues related to H.R.5013/S.3503 - Value in Health Care Act; Issues related to H.R.5378 - Lower Costs, More Transparency Act. Issues related to the extension of Alternative Payment Model bonus payments in the Consolidated Appropriations Act, 2024, HR 4366. Issues related to Medicare payment demonstration projects.
Client expense: — · Firm income: $60,000
Matched citations: H.R.5013
Lower Costs, More Transparency Act
2024 · first_quarter · Firm: TIBER CREEK GROUP
Issues related to value-based health care; Issues related to reforming physician payments and the Medicare Access and CHIP Reauthorization Act (MACRA) (PL 114-10); Issues related to H.R.5013/S.3503 - Value in Health Care Act; Issues related to H.R.5378 - Lower Costs, More Transparency Act. Issues related to the extension of Alternative Payment Model bonus payments in the Consolidated Appropriations Act, 2024, HR 4366. Issues related to Medicare payment demonstration projects.
Client expense: — · Firm income: $60,000
Matched citations: H.R.5378
Lower Costs, More Transparency Act
2024 · first_quarter · Firm: TIBER CREEK GROUP
Issues related to value-based health care; Issues related to reforming physician payments and the Medicare Access and CHIP Reauthorization Act (MACRA) (PL 114-10); Issues related to H.R.5013/S.3503 - Value in Health Care Act; Issues related to H.R.5378 - Lower Costs, More Transparency Act. Issues related to the extension of Alternative Payment Model bonus payments in the Consolidated Appropriations Act, 2024, HR 4366. Issues related to Medicare payment demonstration projects.
Client expense: — · Firm income: $60,000
Matched citations: H.R.5378
Issues related to value-based health care; Issues related to reforming physician payments and the Medicare Access and CHIP Reauthorization Act (MACRA) (PL 114-10); Issues related to H.R.5013/S.3503 - Value in Health Care Act; Issues related to H.R.5378 - Lower Costs, More Transparency Act. Issues related to the extension of Alternative Payment Model bonus payments in the Consolidated Appropriations Act, 2024, HR 4366. Issues related to Medicare payment demonstration projects.
Client expense: — · Firm income: $60,000
Matched citations: S.3503
Issues related to value-based health care; Issues related to reforming physician payments and the Medicare Access and CHIP Reauthorization Act (MACRA) (PL 114-10); Issues related to H.R.5013/S.3503 - Value in Health Care Act; Issues related to H.R.5378 - Lower Costs, More Transparency Act. Issues related to the extension of Alternative Payment Model bonus payments in the Consolidated Appropriations Act, 2024, HR 4366. Issues related to Medicare payment demonstration projects.
Client expense: — · Firm income: $60,000
Matched citations: S.3503
Value in Health Care Act of 2023
2023 · fourth_quarter · Firm: TIBER CREEK GROUP
Issues related to value-based health care; Issues related to reforming physician payments and the Medicare Access and CHIP Reauthorization Act (MACRA) (PL 114-10); Issues related to H.R.5013/S.3503 - Value in Health Care Act; Issues related to H.R.5378 - Lower Costs, More Transparency Act.
Client expense: — · Firm income: $60,000
Matched citations: H.R.5013
Value in Health Care Act of 2023
2023 · fourth_quarter · Firm: TIBER CREEK GROUP
Issues related to value-based health care; Issues related to reforming physician payments and the Medicare Access and CHIP Reauthorization Act (MACRA) (PL 114-10); Issues related to H.R.5013/S.3503 - Value in Health Care Act; Issues related to H.R.5378 - Lower Costs, More Transparency Act.
Client expense: — · Firm income: $60,000
Matched citations: H.R.5013
Lower Costs, More Transparency Act
2023 · fourth_quarter · Firm: TIBER CREEK GROUP
Issues related to value-based health care; Issues related to reforming physician payments and the Medicare Access and CHIP Reauthorization Act (MACRA) (PL 114-10); Issues related to H.R.5013/S.3503 - Value in Health Care Act; Issues related to H.R.5378 - Lower Costs, More Transparency Act.
Client expense: — · Firm income: $60,000
Matched citations: H.R.5378
Lower Costs, More Transparency Act
2023 · fourth_quarter · Firm: TIBER CREEK GROUP
Issues related to value-based health care; Issues related to reforming physician payments and the Medicare Access and CHIP Reauthorization Act (MACRA) (PL 114-10); Issues related to H.R.5013/S.3503 - Value in Health Care Act; Issues related to H.R.5378 - Lower Costs, More Transparency Act.
Client expense: — · Firm income: $60,000
Matched citations: H.R.5378
Source: Senate LDA