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Income and expense are whole-filing amounts associated with this lobbyist, not personal compensation or an allocated share.
No topic inference: each bill number appears in source LDA issue text assigned to this lobbyist.
Protecting Approved Care Act
Client: MEDICAL GROUP MANAGEMENT ASSN · Firm: MEDICAL GROUP MANAGEMENT ASSN
2027 Medicare Physician Fee Schedule Proposed Rule: Submitted comments in response to the 2027 Medicare Physician Fee Schedule Proposed Rule that included recommendations on proposals related to Medicare physician payment, value-based care, MIPS, remote patient monitoring, and more. Joined coalition letter urging CMS to withdraw proposed changes to remote patient monitoring. Joined coalition of physician specialty organizations in urging CMS and the Administration (OMB and DPC) to withdraw its proposed policy to reduce payment by 50 percent when a separately identifiable office/outpatient (O/O) evaluation and management (E/M) service reported with modifier -25 is furnished on the same day as a procedure with a 0-, 10-, or 90-day global period. Medicare Physician Payment: Submitted Statement for the Record supporting the Patients First Act (H.R. 9693), the Provider Reimbursement Stability Act (H.R. 8163), and the Medicare Physician Data-driven Performance Payment System Act (H.R. 8622), three pieces of Medicare payment legislation that were discussed in the House Energy and Commerce Subcommittee on Health legislative hearing. Supported the introduction of the Patients First Act (H.R. 9693) that would make structural reforms to Medicare reimbursement. Medicare Enrollment: Submitted comments in response to the 2027 Home Health Prospective Payment System Proposed Rule urging CMS to withdraw Medicare enrollment proposals. Joined a coalition letter of provider organizations urging CMS to reconsider its proposed Medicare enrollment changes. H-1B: Submitted comments urging the Department of Homeland Security to exempt all healthcare workers from proposed $103,265 H-1B visa fees. Value-Based Care: Joined a coalition of provider groups in a letter to CMS urging the agency to support accountable care in Medicare. Prior Authorization: Supported the passage of the Improving Seniors Timely Access to Care Act (H.R. 3514), legislation that would reform prior authorization in Medicare Advantage, through both the Ways and Means and Energy and Commerce Committee. Medicare Advantage: Supported the introduction of the Protecting Approved Care Act (H.R. 10394) that would prohibit Medicare Advantage organizations from reversing payment decisions or downcoding after the plan approves prior authorization for an item or service.
Specific issues are shown only where the LDA source assigned them to this lobbyist. Targets apply to the associated filing.
MEDICAL GROUP MANAGEMENT ASSN via MEDICAL GROUP MANAGEMENT ASSN
2026 · third_quarter · Q3
2027 Medicare Physician Fee Schedule Proposed Rule: Submitted comments in response to the 2027 Medicare Physician Fee Schedule Proposed Rule that included recommendations on proposals related to Medicare physician payment, value-based care, MIPS, remote patient monitoring, and more. Joined coalition letter urging CMS to withdraw proposed changes to remote patient monitoring. Joined coalition of physician specialty organizations in urging CMS and the Administration (OMB and DPC) to withdraw its proposed policy to reduce payment by 50 percent when a separately identifiable office/outpatient (O/O) evaluation and management (E/M) service reported with modifier -25 is furnished on the same day as a procedure with a 0-, 10-, or 90-day global period. Medicare Physician Payment: Submitted Statement for the Record supporting the Patients First Act (H.R. 9693), the Provider Reimbursement Stability Act (H.R. 8163), and the Medicare Physician Data-driven Performance Payment System Act (H.R. 8622), three pieces of Medicare payment legislation that were discussed in the House Energy and Commerce Subcommittee on Health legislative hearing. Supported the introduction of the Patients First Act (H.R. 9693) that would make structural reforms to Medicare reimbursement. Medicare Enrollment: Submitted comments in response to the 2027 Home Health Prospective Payment System Proposed Rule urging CMS to withdraw Medicare enrollment proposals. Joined a coalition letter of provider organizations urging CMS to reconsider its proposed Medicare enrollment changes. H-1B: Submitted comments urging the Department of Homeland Security to exempt all healthcare workers from proposed $103,265 H-1B visa fees. Value-Based Care: Joined a coalition of provider groups in a letter to CMS urging the agency to support accountable care in Medicare. Prior Authorization: Supported the passage of the Improving Seniors Timely Access to Care Act (H.R. 3514), legislation that would reform prior authorization in Medicare Advantage, through both the Ways and Means and Energy and Commerce Committee. Medicare Advantage: Supported the introduction of the Protecting Approved Care Act (H.R. 10394) that would prohibit Medicare Advantage organizations from reversing payment decisions or downcoding after the plan approves prior authorization for an item or service.
Source: Senate LDA
Protecting Approved Care Act
Client: MEDICAL GROUP MANAGEMENT ASSN · Firm: MEDICAL GROUP MANAGEMENT ASSN
2027 Medicare Physician Fee Schedule Proposed Rule: Submitted comments in response to the 2027 Medicare Physician Fee Schedule Proposed Rule that included recommendations on proposals related to Medicare physician payment, value-based care, MIPS, remote patient monitoring, and more. Joined coalition letter urging CMS to withdraw proposed changes to remote patient monitoring. Joined coalition of physician specialty organizations in urging CMS and the Administration (OMB and DPC) to withdraw its proposed policy to reduce payment by 50 percent when a separately identifiable office/outpatient (O/O) evaluation and management (E/M) service reported with modifier -25 is furnished on the same day as a procedure with a 0-, 10-, or 90-day global period. Medicare Physician Payment: Submitted Statement for the Record supporting the Patients First Act (H.R. 9693), the Provider Reimbursement Stability Act (H.R. 8163), and the Medicare Physician Data-driven Performance Payment System Act (H.R. 8622), three pieces of Medicare payment legislation that were discussed in the House Energy and Commerce Subcommittee on Health legislative hearing. Supported the introduction of the Patients First Act (H.R. 9693) that would make structural reforms to Medicare reimbursement. Medicare Enrollment: Submitted comments in response to the 2027 Home Health Prospective Payment System Proposed Rule urging CMS to withdraw Medicare enrollment proposals. Joined a coalition letter of provider organizations urging CMS to reconsider its proposed Medicare enrollment changes. H-1B: Submitted comments urging the Department of Homeland Security to exempt all healthcare workers from proposed $103,265 H-1B visa fees. Value-Based Care: Joined a coalition of provider groups in a letter to CMS urging the agency to support accountable care in Medicare. Prior Authorization: Supported the passage of the Improving Seniors Timely Access to Care Act (H.R. 3514), legislation that would reform prior authorization in Medicare Advantage, through both the Ways and Means and Energy and Commerce Committee. Medicare Advantage: Supported the introduction of the Protecting Approved Care Act (H.R. 10394) that would prohibit Medicare Advantage organizations from reversing payment decisions or downcoding after the plan approves prior authorization for an item or service.
Improving Seniors’ Timely Access to Care Act of 2025
Client: MEDICAL GROUP MANAGEMENT ASSN · Firm: MEDICAL GROUP MANAGEMENT ASSN
2027 Medicare Physician Fee Schedule Proposed Rule: Submitted comments in response to the 2027 Medicare Physician Fee Schedule Proposed Rule that included recommendations on proposals related to Medicare physician payment, value-based care, MIPS, remote patient monitoring, and more. Joined coalition letter urging CMS to withdraw proposed changes to remote patient monitoring. Joined coalition of physician specialty organizations in urging CMS and the Administration (OMB and DPC) to withdraw its proposed policy to reduce payment by 50 percent when a separately identifiable office/outpatient (O/O) evaluation and management (E/M) service reported with modifier -25 is furnished on the same day as a procedure with a 0-, 10-, or 90-day global period. Medicare Physician Payment: Submitted Statement for the Record supporting the Patients First Act (H.R. 9693), the Provider Reimbursement Stability Act (H.R. 8163), and the Medicare Physician Data-driven Performance Payment System Act (H.R. 8622), three pieces of Medicare payment legislation that were discussed in the House Energy and Commerce Subcommittee on Health legislative hearing. Supported the introduction of the Patients First Act (H.R. 9693) that would make structural reforms to Medicare reimbursement. Medicare Enrollment: Submitted comments in response to the 2027 Home Health Prospective Payment System Proposed Rule urging CMS to withdraw Medicare enrollment proposals. Joined a coalition letter of provider organizations urging CMS to reconsider its proposed Medicare enrollment changes. H-1B: Submitted comments urging the Department of Homeland Security to exempt all healthcare workers from proposed $103,265 H-1B visa fees. Value-Based Care: Joined a coalition of provider groups in a letter to CMS urging the agency to support accountable care in Medicare. Prior Authorization: Supported the passage of the Improving Seniors Timely Access to Care Act (H.R. 3514), legislation that would reform prior authorization in Medicare Advantage, through both the Ways and Means and Energy and Commerce Committee. Medicare Advantage: Supported the introduction of the Protecting Approved Care Act (H.R. 10394) that would prohibit Medicare Advantage organizations from reversing payment decisions or downcoding after the plan approves prior authorization for an item or service.
Improving Seniors’ Timely Access to Care Act of 2025
Client: MEDICAL GROUP MANAGEMENT ASSN · Firm: MEDICAL GROUP MANAGEMENT ASSN
Senate Special Committee on Aging Testimony on Regulatory Burden and Physician Burnout - Testified in front of the Senate Special Committee on Aging on how regulatory burden is impacting physician burnout. Supported policies to reduce administration burden and improve Medicare payment, as well as the following legislation to address the myriad factors impacting burnout: Resident Physicians Shortage Reduction Act of 2025 (S. 2439), Medicare Advantage Prompt Pay Act (S. 2879), Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816), and Strengthening Medicare for Patients and Providers Act (H.R. 6160). Consolidated Appropriations Act, 2026 - Sent letter to congressional leadership regarding policies in the Consolidated Appropriations Act, 2026 (H.R. 7148). The letter supported the reinstatement of the Advanced APM incentive payment, lowering the Qualifying APM Participant threshold, extending telehealth flexibilities, delaying clinical lab cuts, and extending the 1.0 work GPCI floor. Medicare Payment Reform - Supported the reintroduction of the Provider Reimbursement Stability Act (H.R. 8163) to reform Medicares budget neutrality requirements. Value-Based Care - Joined letter to Congress discussing proposals to reform the Medicare Access and CHIP Reauthorization Act (MACRA) to support value-based care. Healthcare Workforce - Sent letter of support for the H-1Bs for Physicians and the Healthcare Workforce Act (H.R.7961). Joined letter of support for the Rural Residency Planning and Development Act of 2025 (H.R. 4731). Submitted a statement for the record for the Ways and Means Subcommittee on Healths hearing, Advancing the Next Generation of Americas Healthcare Workforce, that supported policies to expand graduate medical education and address education financing issues. Supported a bipartisan congressional letter requesting exemptions for healthcare workers from the H-1B visa application fee. No Surprises Act - Joined a letter to HHS, the Department of Labor, and Department of Treasury supporting policy recommendations to the improve the administration of the Independent Dispute Resolution process under the No Surprises Act and supporting the No Surprises Enforcement Act (H.R. 4710). Artificial Intelligence - Responded to HHS request for information on the adoption of artificial intelligence. Healthcare Costs - Submitted statement for the record in response to the House Energy and Commerce Subcommittee on Healths hearing on lowering healthcare costs and examining the provider landscape. The letter supported Medicare Part B payment reform, addressing prior authorization burden, reforming the quality payment program, addressing challenges within Medicare Advantage, and reforming the Stark Law. Health Information Technology - Commented on the Health Data, Technology, and Interoperability: ASTP/ONC Deregulatory Actions to Unleash Property proposed rule. Clinical Lab Reform - Sent letter of support of the RESULTS Act (H.R. 5269, S. 2761) in response to the House Energy and Commerce Subcommittee on Healths legislative hearing. Prior Authorization - Submitted a statement for the record in response to the House Ways and Means and Energy and Commerces hearings on healthcare affordability supporting the Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816). Fraud - Responded to CMS request for information on ways to reduce fraud in Medicare.
Improving Seniors’ Timely Access to Care Act of 2025
Client: MEDICAL GROUP MANAGEMENT ASSN · Firm: MEDICAL GROUP MANAGEMENT ASSN
Medicare Payment - Submitted testimony for House Energy and Commerce Subcommittee on Health hearing on opportunities for Medicare payment reform that included support for the Strengthening Medicare for Patients and Providers Act (H.R. 6160) to include annual inflationary updates to Medicare and the Provider Reimbursement Stability Act (H.R. 8163) to modernize budget neutrality rules in Medicare. Joined letter of support for the Provider Reimbursement Stability Act ahead of a Ways and Means Committee markup of the bill. Prior Authorization - Supported the Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816) to reform prior authorization. Joined healthcare organizations comment letter on CMS proposed rule on electronic prior authorization for drugs. Submitted our own comments on CMS proposed rule on electronic prior authorization for drugs. Sent letter of support for the Medicare Advantage Improvement Act (H.R. 8375, S. 4384) that would reform prior authorization for Medicare Advantage plans. MIPS Reform - Sent letter of support for the Medicare Physician Data-driven Performance Payment System Act of 2026 (H.R. 8622) to reform the Merit-based Incentive Payment System (MIPS). Supported reforming MIPS in our testimony to the House Energy and Commerce Subcommittee on Healths hearing on opportunities for Medicare payment reform. Value-Based Care - Supported alternative payment model (APM) reforms in our testimony to the House Energy and Commerce Subcommittee on Health hearing on opportunities for Medicare payment reform. Physician Workforce - Joined letter to the Department of State and Department of Homeland Security on addressing physician visa processing delays. No Surprises Act - Joined letter of support for the No Surprises Act Enforcement Act (H.R. 4710, S. 2420). Joined letter to Department of Health and Human Services (HHS), Department of Labor, and Department of the Treasury on strengthening oversight of the No Surprises Act. Section 504 - Sent letter to HHS asking for a delay of effective dates related to a 2024 final rule making changes to regulations under Section 504 of the Rehabilitation Act of 1973. Chronic Care Management - Joined letter of support for the Chronic Care Management Improvement Act (H.R. 8261) to remove patient cost-sharing obligations for the Chronic Care Management code.
Improving Seniors’ Timely Access to Care Act of 2025
Client: MEDICAL GROUP MANAGEMENT ASSN · Firm: MEDICAL GROUP MANAGEMENT ASSN
Medicare Payment - Submitted testimony for House Energy and Commerce Subcommittee on Health hearing on opportunities for Medicare payment reform that included support for the Strengthening Medicare for Patients and Providers Act (H.R. 6160) to include annual inflationary updates to Medicare and the Provider Reimbursement Stability Act (H.R. 8163) to modernize budget neutrality rules in Medicare. Joined letter of support for the Provider Reimbursement Stability Act ahead of a Ways and Means Committee markup of the bill. Prior Authorization - Supported the Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816) to reform prior authorization. Joined healthcare organizations comment letter on CMS proposed rule on electronic prior authorization for drugs. Submitted our own comments on CMS proposed rule on electronic prior authorization for drugs. Sent letter of support for the Medicare Advantage Improvement Act (H.R. 8375, S. 4384) that would reform prior authorization for Medicare Advantage plans. MIPS Reform - Sent letter of support for the Medicare Physician Data-driven Performance Payment System Act of 2026 (H.R. 8622) to reform the Merit-based Incentive Payment System (MIPS). Supported reforming MIPS in our testimony to the House Energy and Commerce Subcommittee on Healths hearing on opportunities for Medicare payment reform. Value-Based Care - Supported alternative payment model (APM) reforms in our testimony to the House Energy and Commerce Subcommittee on Health hearing on opportunities for Medicare payment reform. Physician Workforce - Joined letter to the Department of State and Department of Homeland Security on addressing physician visa processing delays. No Surprises Act - Joined letter of support for the No Surprises Act Enforcement Act (H.R. 4710, S. 2420). Joined letter to Department of Health and Human Services (HHS), Department of Labor, and Department of the Treasury on strengthening oversight of the No Surprises Act. Section 504 - Sent letter to HHS asking for a delay of effective dates related to a 2024 final rule making changes to regulations under Section 504 of the Rehabilitation Act of 1973. Chronic Care Management - Joined letter of support for the Chronic Care Management Improvement Act (H.R. 8261) to remove patient cost-sharing obligations for the Chronic Care Management code.
Improving Seniors’ Timely Access to Care Act of 2025
Client: MEDICAL GROUP MANAGEMENT ASSN · Firm: MEDICAL GROUP MANAGEMENT ASSN
Senate Special Committee on Aging Testimony on Regulatory Burden and Physician Burnout - Testified in front of the Senate Special Committee on Aging on how regulatory burden is impacting physician burnout. Supported policies to reduce administration burden and improve Medicare payment, as well as the following legislation to address the myriad factors impacting burnout: Resident Physicians Shortage Reduction Act of 2025 (S. 2439), Medicare Advantage Prompt Pay Act (S. 2879), Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816), and Strengthening Medicare for Patients and Providers Act (H.R. 6160). Consolidated Appropriations Act, 2026 - Sent letter to congressional leadership regarding policies in the Consolidated Appropriations Act, 2026 (H.R. 7148). The letter supported the reinstatement of the Advanced APM incentive payment, lowering the Qualifying APM Participant threshold, extending telehealth flexibilities, delaying clinical lab cuts, and extending the 1.0 work GPCI floor. Medicare Payment Reform - Supported the reintroduction of the Provider Reimbursement Stability Act (H.R. 8163) to reform Medicares budget neutrality requirements. Value-Based Care - Joined letter to Congress discussing proposals to reform the Medicare Access and CHIP Reauthorization Act (MACRA) to support value-based care. Healthcare Workforce - Sent letter of support for the H-1Bs for Physicians and the Healthcare Workforce Act (H.R.7961). Joined letter of support for the Rural Residency Planning and Development Act of 2025 (H.R. 4731). Submitted a statement for the record for the Ways and Means Subcommittee on Healths hearing, Advancing the Next Generation of Americas Healthcare Workforce, that supported policies to expand graduate medical education and address education financing issues. Supported a bipartisan congressional letter requesting exemptions for healthcare workers from the H-1B visa application fee. No Surprises Act - Joined a letter to HHS, the Department of Labor, and Department of Treasury supporting policy recommendations to the improve the administration of the Independent Dispute Resolution process under the No Surprises Act and supporting the No Suprises Enforcement Act (H.R. 4710). Artificial Intelligence - Responded to HHS request for information on the adoption of artificial intelligence. Healthcare Costs - Submitted statement for the record in response to the House Energy and Commerce Subcommittee on Healths hearing on lowering healthcare costs and examining the provider landscape. The letter supported Medicare Part B payment reform, addressing prior authorization burden, reforming the quality payment program, addressing challenges within Medicare Advantage, and reforming the Stark Law. Health Information Technology - Commented on the Health Data, Technology, and Interoperability: ASTP/ONC Deregulatory Actions to Unleash Property proposed rule. Clinical Lab Reform - Sent letter of support of the RESULTS Act (H.R. 5269, S. 2761) in response to the House Energy and Commerce Subcommittee on Healths legislative hearing. Prior Authorization - Submitted a statement for the record in response to the House Ways and Means and Energy and Commerces hearings on healthcare affordability supporting the Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816). Fraud - Responded to CMS request for information on ways to reduce fraud in Medicare.
Improving Seniors’ Timely Access to Care Act of 2025
Client: MEDICAL GROUP MANAGEMENT ASSN · Firm: MEDICAL GROUP MANAGEMENT ASSN
2027 Medicare Physician Fee Schedule Proposed Rule: Submitted comments in response to the 2027 Medicare Physician Fee Schedule Proposed Rule that included recommendations on proposals related to Medicare physician payment, value-based care, MIPS, remote patient monitoring, and more. Joined coalition letter urging CMS to withdraw proposed changes to remote patient monitoring. Joined coalition of physician specialty organizations in urging CMS and the Administration (OMB and DPC) to withdraw its proposed policy to reduce payment by 50 percent when a separately identifiable office/outpatient (O/O) evaluation and management (E/M) service reported with modifier -25 is furnished on the same day as a procedure with a 0-, 10-, or 90-day global period. Medicare Physician Payment: Submitted Statement for the Record supporting the Patients First Act (H.R. 9693), the Provider Reimbursement Stability Act (H.R. 8163), and the Medicare Physician Data-driven Performance Payment System Act (H.R. 8622), three pieces of Medicare payment legislation that were discussed in the House Energy and Commerce Subcommittee on Health legislative hearing. Supported the introduction of the Patients First Act (H.R. 9693) that would make structural reforms to Medicare reimbursement. Medicare Enrollment: Submitted comments in response to the 2027 Home Health Prospective Payment System Proposed Rule urging CMS to withdraw Medicare enrollment proposals. Joined a coalition letter of provider organizations urging CMS to reconsider its proposed Medicare enrollment changes. H-1B: Submitted comments urging the Department of Homeland Security to exempt all healthcare workers from proposed $103,265 H-1B visa fees. Value-Based Care: Joined a coalition of provider groups in a letter to CMS urging the agency to support accountable care in Medicare. Prior Authorization: Supported the passage of the Improving Seniors Timely Access to Care Act (H.R. 3514), legislation that would reform prior authorization in Medicare Advantage, through both the Ways and Means and Energy and Commerce Committee. Medicare Advantage: Supported the introduction of the Protecting Approved Care Act (H.R. 10394) that would prohibit Medicare Advantage organizations from reversing payment decisions or downcoding after the plan approves prior authorization for an item or service.
No Surprises Act Enforcement Act
Client: MEDICAL GROUP MANAGEMENT ASSN · Firm: MEDICAL GROUP MANAGEMENT ASSN
Senate Special Committee on Aging Testimony on Regulatory Burden and Physician Burnout - Testified in front of the Senate Special Committee on Aging on how regulatory burden is impacting physician burnout. Supported policies to reduce administration burden and improve Medicare payment, as well as the following legislation to address the myriad factors impacting burnout: Resident Physicians Shortage Reduction Act of 2025 (S. 2439), Medicare Advantage Prompt Pay Act (S. 2879), Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816), and Strengthening Medicare for Patients and Providers Act (H.R. 6160). Consolidated Appropriations Act, 2026 - Sent letter to congressional leadership regarding policies in the Consolidated Appropriations Act, 2026 (H.R. 7148). The letter supported the reinstatement of the Advanced APM incentive payment, lowering the Qualifying APM Participant threshold, extending telehealth flexibilities, delaying clinical lab cuts, and extending the 1.0 work GPCI floor. Medicare Payment Reform - Supported the reintroduction of the Provider Reimbursement Stability Act (H.R. 8163) to reform Medicares budget neutrality requirements. Value-Based Care - Joined letter to Congress discussing proposals to reform the Medicare Access and CHIP Reauthorization Act (MACRA) to support value-based care. Healthcare Workforce - Sent letter of support for the H-1Bs for Physicians and the Healthcare Workforce Act (H.R.7961). Joined letter of support for the Rural Residency Planning and Development Act of 2025 (H.R. 4731). Submitted a statement for the record for the Ways and Means Subcommittee on Healths hearing, Advancing the Next Generation of Americas Healthcare Workforce, that supported policies to expand graduate medical education and address education financing issues. Supported a bipartisan congressional letter requesting exemptions for healthcare workers from the H-1B visa application fee. No Surprises Act - Joined a letter to HHS, the Department of Labor, and Department of Treasury supporting policy recommendations to the improve the administration of the Independent Dispute Resolution process under the No Surprises Act and supporting the No Suprises Enforcement Act (H.R. 4710). Artificial Intelligence - Responded to HHS request for information on the adoption of artificial intelligence. Healthcare Costs - Submitted statement for the record in response to the House Energy and Commerce Subcommittee on Healths hearing on lowering healthcare costs and examining the provider landscape. The letter supported Medicare Part B payment reform, addressing prior authorization burden, reforming the quality payment program, addressing challenges within Medicare Advantage, and reforming the Stark Law. Health Information Technology - Commented on the Health Data, Technology, and Interoperability: ASTP/ONC Deregulatory Actions to Unleash Property proposed rule. Clinical Lab Reform - Sent letter of support of the RESULTS Act (H.R. 5269, S. 2761) in response to the House Energy and Commerce Subcommittee on Healths legislative hearing. Prior Authorization - Submitted a statement for the record in response to the House Ways and Means and Energy and Commerces hearings on healthcare affordability supporting the Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816). Fraud - Responded to CMS request for information on ways to reduce fraud in Medicare.
No Surprises Act Enforcement Act
Client: MEDICAL GROUP MANAGEMENT ASSN · Firm: MEDICAL GROUP MANAGEMENT ASSN
Senate Special Committee on Aging Testimony on Regulatory Burden and Physician Burnout - Testified in front of the Senate Special Committee on Aging on how regulatory burden is impacting physician burnout. Supported policies to reduce administration burden and improve Medicare payment, as well as the following legislation to address the myriad factors impacting burnout: Resident Physicians Shortage Reduction Act of 2025 (S. 2439), Medicare Advantage Prompt Pay Act (S. 2879), Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816), and Strengthening Medicare for Patients and Providers Act (H.R. 6160). Consolidated Appropriations Act, 2026 - Sent letter to congressional leadership regarding policies in the Consolidated Appropriations Act, 2026 (H.R. 7148). The letter supported the reinstatement of the Advanced APM incentive payment, lowering the Qualifying APM Participant threshold, extending telehealth flexibilities, delaying clinical lab cuts, and extending the 1.0 work GPCI floor. Medicare Payment Reform - Supported the reintroduction of the Provider Reimbursement Stability Act (H.R. 8163) to reform Medicares budget neutrality requirements. Value-Based Care - Joined letter to Congress discussing proposals to reform the Medicare Access and CHIP Reauthorization Act (MACRA) to support value-based care. Healthcare Workforce - Sent letter of support for the H-1Bs for Physicians and the Healthcare Workforce Act (H.R.7961). Joined letter of support for the Rural Residency Planning and Development Act of 2025 (H.R. 4731). Submitted a statement for the record for the Ways and Means Subcommittee on Healths hearing, Advancing the Next Generation of Americas Healthcare Workforce, that supported policies to expand graduate medical education and address education financing issues. Supported a bipartisan congressional letter requesting exemptions for healthcare workers from the H-1B visa application fee. No Surprises Act - Joined a letter to HHS, the Department of Labor, and Department of Treasury supporting policy recommendations to the improve the administration of the Independent Dispute Resolution process under the No Surprises Act and supporting the No Surprises Enforcement Act (H.R. 4710). Artificial Intelligence - Responded to HHS request for information on the adoption of artificial intelligence. Healthcare Costs - Submitted statement for the record in response to the House Energy and Commerce Subcommittee on Healths hearing on lowering healthcare costs and examining the provider landscape. The letter supported Medicare Part B payment reform, addressing prior authorization burden, reforming the quality payment program, addressing challenges within Medicare Advantage, and reforming the Stark Law. Health Information Technology - Commented on the Health Data, Technology, and Interoperability: ASTP/ONC Deregulatory Actions to Unleash Property proposed rule. Clinical Lab Reform - Sent letter of support of the RESULTS Act (H.R. 5269, S. 2761) in response to the House Energy and Commerce Subcommittee on Healths legislative hearing. Prior Authorization - Submitted a statement for the record in response to the House Ways and Means and Energy and Commerces hearings on healthcare affordability supporting the Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816). Fraud - Responded to CMS request for information on ways to reduce fraud in Medicare.
No Surprises Act Enforcement Act
Client: MEDICAL GROUP MANAGEMENT ASSN · Firm: MEDICAL GROUP MANAGEMENT ASSN
Medicare Payment - Submitted testimony for House Energy and Commerce Subcommittee on Health hearing on opportunities for Medicare payment reform that included support for the Strengthening Medicare for Patients and Providers Act (H.R. 6160) to include annual inflationary updates to Medicare and the Provider Reimbursement Stability Act (H.R. 8163) to modernize budget neutrality rules in Medicare. Joined letter of support for the Provider Reimbursement Stability Act ahead of a Ways and Means Committee markup of the bill. Prior Authorization - Supported the Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816) to reform prior authorization. Joined healthcare organizations comment letter on CMS proposed rule on electronic prior authorization for drugs. Submitted our own comments on CMS proposed rule on electronic prior authorization for drugs. Sent letter of support for the Medicare Advantage Improvement Act (H.R. 8375, S. 4384) that would reform prior authorization for Medicare Advantage plans. MIPS Reform - Sent letter of support for the Medicare Physician Data-driven Performance Payment System Act of 2026 (H.R. 8622) to reform the Merit-based Incentive Payment System (MIPS). Supported reforming MIPS in our testimony to the House Energy and Commerce Subcommittee on Healths hearing on opportunities for Medicare payment reform. Value-Based Care - Supported alternative payment model (APM) reforms in our testimony to the House Energy and Commerce Subcommittee on Health hearing on opportunities for Medicare payment reform. Physician Workforce - Joined letter to the Department of State and Department of Homeland Security on addressing physician visa processing delays. No Surprises Act - Joined letter of support for the No Surprises Act Enforcement Act (H.R. 4710, S. 2420). Joined letter to Department of Health and Human Services (HHS), Department of Labor, and Department of the Treasury on strengthening oversight of the No Surprises Act. Section 504 - Sent letter to HHS asking for a delay of effective dates related to a 2024 final rule making changes to regulations under Section 504 of the Rehabilitation Act of 1973. Chronic Care Management - Joined letter of support for the Chronic Care Management Improvement Act (H.R. 8261) to remove patient cost-sharing obligations for the Chronic Care Management code.
No Surprises Act Enforcement Act
Client: MEDICAL GROUP MANAGEMENT ASSN · Firm: MEDICAL GROUP MANAGEMENT ASSN
Medicare Payment - Submitted testimony for House Energy and Commerce Subcommittee on Health hearing on opportunities for Medicare payment reform that included support for the Strengthening Medicare for Patients and Providers Act (H.R. 6160) to include annual inflationary updates to Medicare and the Provider Reimbursement Stability Act (H.R. 8163) to modernize budget neutrality rules in Medicare. Joined letter of support for the Provider Reimbursement Stability Act ahead of a Ways and Means Committee markup of the bill. Prior Authorization - Supported the Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816) to reform prior authorization. Joined healthcare organizations comment letter on CMS proposed rule on electronic prior authorization for drugs. Submitted our own comments on CMS proposed rule on electronic prior authorization for drugs. Sent letter of support for the Medicare Advantage Improvement Act (H.R. 8375, S. 4384) that would reform prior authorization for Medicare Advantage plans. MIPS Reform - Sent letter of support for the Medicare Physician Data-driven Performance Payment System Act of 2026 (H.R. 8622) to reform the Merit-based Incentive Payment System (MIPS). Supported reforming MIPS in our testimony to the House Energy and Commerce Subcommittee on Healths hearing on opportunities for Medicare payment reform. Value-Based Care - Supported alternative payment model (APM) reforms in our testimony to the House Energy and Commerce Subcommittee on Health hearing on opportunities for Medicare payment reform. Physician Workforce - Joined letter to the Department of State and Department of Homeland Security on addressing physician visa processing delays. No Surprises Act - Joined letter of support for the No Surprises Act Enforcement Act (H.R. 4710, S. 2420). Joined letter to Department of Health and Human Services (HHS), Department of Labor, and Department of the Treasury on strengthening oversight of the No Surprises Act. Section 504 - Sent letter to HHS asking for a delay of effective dates related to a 2024 final rule making changes to regulations under Section 504 of the Rehabilitation Act of 1973. Chronic Care Management - Joined letter of support for the Chronic Care Management Improvement Act (H.R. 8261) to remove patient cost-sharing obligations for the Chronic Care Management code.
Resident Physician Shortage Reduction Act of 2025
Client: MEDICAL GROUP MANAGEMENT ASSN · Firm: MEDICAL GROUP MANAGEMENT ASSN
Senate Special Committee on Aging Testimony on Regulatory Burden and Physician Burnout - Testified in front of the Senate Special Committee on Aging on how regulatory burden is impacting physician burnout. Supported policies to reduce administration burden and improve Medicare payment, as well as the following legislation to address the myriad factors impacting burnout: Resident Physicians Shortage Reduction Act of 2025 (S. 2439), Medicare Advantage Prompt Pay Act (S. 2879), Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816), and Strengthening Medicare for Patients and Providers Act (H.R. 6160). Consolidated Appropriations Act, 2026 - Sent letter to congressional leadership regarding policies in the Consolidated Appropriations Act, 2026 (H.R. 7148). The letter supported the reinstatement of the Advanced APM incentive payment, lowering the Qualifying APM Participant threshold, extending telehealth flexibilities, delaying clinical lab cuts, and extending the 1.0 work GPCI floor. Medicare Payment Reform - Supported the reintroduction of the Provider Reimbursement Stability Act (H.R. 8163) to reform Medicares budget neutrality requirements. Value-Based Care - Joined letter to Congress discussing proposals to reform the Medicare Access and CHIP Reauthorization Act (MACRA) to support value-based care. Healthcare Workforce - Sent letter of support for the H-1Bs for Physicians and the Healthcare Workforce Act (H.R.7961). Joined letter of support for the Rural Residency Planning and Development Act of 2025 (H.R. 4731). Submitted a statement for the record for the Ways and Means Subcommittee on Healths hearing, Advancing the Next Generation of Americas Healthcare Workforce, that supported policies to expand graduate medical education and address education financing issues. Supported a bipartisan congressional letter requesting exemptions for healthcare workers from the H-1B visa application fee. No Surprises Act - Joined a letter to HHS, the Department of Labor, and Department of Treasury supporting policy recommendations to the improve the administration of the Independent Dispute Resolution process under the No Surprises Act and supporting the No Surprises Enforcement Act (H.R. 4710). Artificial Intelligence - Responded to HHS request for information on the adoption of artificial intelligence. Healthcare Costs - Submitted statement for the record in response to the House Energy and Commerce Subcommittee on Healths hearing on lowering healthcare costs and examining the provider landscape. The letter supported Medicare Part B payment reform, addressing prior authorization burden, reforming the quality payment program, addressing challenges within Medicare Advantage, and reforming the Stark Law. Health Information Technology - Commented on the Health Data, Technology, and Interoperability: ASTP/ONC Deregulatory Actions to Unleash Property proposed rule. Clinical Lab Reform - Sent letter of support of the RESULTS Act (H.R. 5269, S. 2761) in response to the House Energy and Commerce Subcommittee on Healths legislative hearing. Prior Authorization - Submitted a statement for the record in response to the House Ways and Means and Energy and Commerces hearings on healthcare affordability supporting the Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816). Fraud - Responded to CMS request for information on ways to reduce fraud in Medicare.
Resident Physician Shortage Reduction Act of 2025
Client: MEDICAL GROUP MANAGEMENT ASSN · Firm: MEDICAL GROUP MANAGEMENT ASSN
Senate Special Committee on Aging Testimony on Regulatory Burden and Physician Burnout - Testified in front of the Senate Special Committee on Aging on how regulatory burden is impacting physician burnout. Supported policies to reduce administration burden and improve Medicare payment, as well as the following legislation to address the myriad factors impacting burnout: Resident Physicians Shortage Reduction Act of 2025 (S. 2439), Medicare Advantage Prompt Pay Act (S. 2879), Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816), and Strengthening Medicare for Patients and Providers Act (H.R. 6160). Consolidated Appropriations Act, 2026 - Sent letter to congressional leadership regarding policies in the Consolidated Appropriations Act, 2026 (H.R. 7148). The letter supported the reinstatement of the Advanced APM incentive payment, lowering the Qualifying APM Participant threshold, extending telehealth flexibilities, delaying clinical lab cuts, and extending the 1.0 work GPCI floor. Medicare Payment Reform - Supported the reintroduction of the Provider Reimbursement Stability Act (H.R. 8163) to reform Medicares budget neutrality requirements. Value-Based Care - Joined letter to Congress discussing proposals to reform the Medicare Access and CHIP Reauthorization Act (MACRA) to support value-based care. Healthcare Workforce - Sent letter of support for the H-1Bs for Physicians and the Healthcare Workforce Act (H.R.7961). Joined letter of support for the Rural Residency Planning and Development Act of 2025 (H.R. 4731). Submitted a statement for the record for the Ways and Means Subcommittee on Healths hearing, Advancing the Next Generation of Americas Healthcare Workforce, that supported policies to expand graduate medical education and address education financing issues. Supported a bipartisan congressional letter requesting exemptions for healthcare workers from the H-1B visa application fee. No Surprises Act - Joined a letter to HHS, the Department of Labor, and Department of Treasury supporting policy recommendations to the improve the administration of the Independent Dispute Resolution process under the No Surprises Act and supporting the No Suprises Enforcement Act (H.R. 4710). Artificial Intelligence - Responded to HHS request for information on the adoption of artificial intelligence. Healthcare Costs - Submitted statement for the record in response to the House Energy and Commerce Subcommittee on Healths hearing on lowering healthcare costs and examining the provider landscape. The letter supported Medicare Part B payment reform, addressing prior authorization burden, reforming the quality payment program, addressing challenges within Medicare Advantage, and reforming the Stark Law. Health Information Technology - Commented on the Health Data, Technology, and Interoperability: ASTP/ONC Deregulatory Actions to Unleash Property proposed rule. Clinical Lab Reform - Sent letter of support of the RESULTS Act (H.R. 5269, S. 2761) in response to the House Energy and Commerce Subcommittee on Healths legislative hearing. Prior Authorization - Submitted a statement for the record in response to the House Ways and Means and Energy and Commerces hearings on healthcare affordability supporting the Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816). Fraud - Responded to CMS request for information on ways to reduce fraud in Medicare.
Senate Special Committee on Aging Testimony on Regulatory Burden and Physician Burnout - Testified in front of the Senate Special Committee on Aging on how regulatory burden is impacting physician burnout. Supported policies to reduce administration burden and improve Medicare payment, as well as the following legislation to address the myriad factors impacting burnout: Resident Physicians Shortage Reduction Act of 2025 (S. 2439), Medicare Advantage Prompt Pay Act (S. 2879), Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816), and Strengthening Medicare for Patients and Providers Act (H.R. 6160). Consolidated Appropriations Act, 2026 - Sent letter to congressional leadership regarding policies in the Consolidated Appropriations Act, 2026 (H.R. 7148). The letter supported the reinstatement of the Advanced APM incentive payment, lowering the Qualifying APM Participant threshold, extending telehealth flexibilities, delaying clinical lab cuts, and extending the 1.0 work GPCI floor. Medicare Payment Reform - Supported the reintroduction of the Provider Reimbursement Stability Act (H.R. 8163) to reform Medicares budget neutrality requirements. Value-Based Care - Joined letter to Congress discussing proposals to reform the Medicare Access and CHIP Reauthorization Act (MACRA) to support value-based care. Healthcare Workforce - Sent letter of support for the H-1Bs for Physicians and the Healthcare Workforce Act (H.R.7961). Joined letter of support for the Rural Residency Planning and Development Act of 2025 (H.R. 4731). Submitted a statement for the record for the Ways and Means Subcommittee on Healths hearing, Advancing the Next Generation of Americas Healthcare Workforce, that supported policies to expand graduate medical education and address education financing issues. Supported a bipartisan congressional letter requesting exemptions for healthcare workers from the H-1B visa application fee. No Surprises Act - Joined a letter to HHS, the Department of Labor, and Department of Treasury supporting policy recommendations to the improve the administration of the Independent Dispute Resolution process under the No Surprises Act and supporting the No Suprises Enforcement Act (H.R. 4710). Artificial Intelligence - Responded to HHS request for information on the adoption of artificial intelligence. Healthcare Costs - Submitted statement for the record in response to the House Energy and Commerce Subcommittee on Healths hearing on lowering healthcare costs and examining the provider landscape. The letter supported Medicare Part B payment reform, addressing prior authorization burden, reforming the quality payment program, addressing challenges within Medicare Advantage, and reforming the Stark Law. Health Information Technology - Commented on the Health Data, Technology, and Interoperability: ASTP/ONC Deregulatory Actions to Unleash Property proposed rule. Clinical Lab Reform - Sent letter of support of the RESULTS Act (H.R. 5269, S. 2761) in response to the House Energy and Commerce Subcommittee on Healths legislative hearing. Prior Authorization - Submitted a statement for the record in response to the House Ways and Means and Energy and Commerces hearings on healthcare affordability supporting the Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816). Fraud - Responded to CMS request for information on ways to reduce fraud in Medicare.
Senate Special Committee on Aging Testimony on Regulatory Burden and Physician Burnout - Testified in front of the Senate Special Committee on Aging on how regulatory burden is impacting physician burnout. Supported policies to reduce administration burden and improve Medicare payment, as well as the following legislation to address the myriad factors impacting burnout: Resident Physicians Shortage Reduction Act of 2025 (S. 2439), Medicare Advantage Prompt Pay Act (S. 2879), Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816), and Strengthening Medicare for Patients and Providers Act (H.R. 6160). Consolidated Appropriations Act, 2026 - Sent letter to congressional leadership regarding policies in the Consolidated Appropriations Act, 2026 (H.R. 7148). The letter supported the reinstatement of the Advanced APM incentive payment, lowering the Qualifying APM Participant threshold, extending telehealth flexibilities, delaying clinical lab cuts, and extending the 1.0 work GPCI floor. Medicare Payment Reform - Supported the reintroduction of the Provider Reimbursement Stability Act (H.R. 8163) to reform Medicares budget neutrality requirements. Value-Based Care - Joined letter to Congress discussing proposals to reform the Medicare Access and CHIP Reauthorization Act (MACRA) to support value-based care. Healthcare Workforce - Sent letter of support for the H-1Bs for Physicians and the Healthcare Workforce Act (H.R.7961). Joined letter of support for the Rural Residency Planning and Development Act of 2025 (H.R. 4731). Submitted a statement for the record for the Ways and Means Subcommittee on Healths hearing, Advancing the Next Generation of Americas Healthcare Workforce, that supported policies to expand graduate medical education and address education financing issues. Supported a bipartisan congressional letter requesting exemptions for healthcare workers from the H-1B visa application fee. No Surprises Act - Joined a letter to HHS, the Department of Labor, and Department of Treasury supporting policy recommendations to the improve the administration of the Independent Dispute Resolution process under the No Surprises Act and supporting the No Surprises Enforcement Act (H.R. 4710). Artificial Intelligence - Responded to HHS request for information on the adoption of artificial intelligence. Healthcare Costs - Submitted statement for the record in response to the House Energy and Commerce Subcommittee on Healths hearing on lowering healthcare costs and examining the provider landscape. The letter supported Medicare Part B payment reform, addressing prior authorization burden, reforming the quality payment program, addressing challenges within Medicare Advantage, and reforming the Stark Law. Health Information Technology - Commented on the Health Data, Technology, and Interoperability: ASTP/ONC Deregulatory Actions to Unleash Property proposed rule. Clinical Lab Reform - Sent letter of support of the RESULTS Act (H.R. 5269, S. 2761) in response to the House Energy and Commerce Subcommittee on Healths legislative hearing. Prior Authorization - Submitted a statement for the record in response to the House Ways and Means and Energy and Commerces hearings on healthcare affordability supporting the Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816). Fraud - Responded to CMS request for information on ways to reduce fraud in Medicare.
Strengthening Medicare for Patients and Providers Act
Client: MEDICAL GROUP MANAGEMENT ASSN · Firm: MEDICAL GROUP MANAGEMENT ASSN
Medicare Payment - Submitted testimony for House Energy and Commerce Subcommittee on Health hearing on opportunities for Medicare payment reform that included support for the Strengthening Medicare for Patients and Providers Act (H.R. 6160) to include annual inflationary updates to Medicare and the Provider Reimbursement Stability Act (H.R. 8163) to modernize budget neutrality rules in Medicare. Joined letter of support for the Provider Reimbursement Stability Act ahead of a Ways and Means Committee markup of the bill. Prior Authorization - Supported the Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816) to reform prior authorization. Joined healthcare organizations comment letter on CMS proposed rule on electronic prior authorization for drugs. Submitted our own comments on CMS proposed rule on electronic prior authorization for drugs. Sent letter of support for the Medicare Advantage Improvement Act (H.R. 8375, S. 4384) that would reform prior authorization for Medicare Advantage plans. MIPS Reform - Sent letter of support for the Medicare Physician Data-driven Performance Payment System Act of 2026 (H.R. 8622) to reform the Merit-based Incentive Payment System (MIPS). Supported reforming MIPS in our testimony to the House Energy and Commerce Subcommittee on Healths hearing on opportunities for Medicare payment reform. Value-Based Care - Supported alternative payment model (APM) reforms in our testimony to the House Energy and Commerce Subcommittee on Health hearing on opportunities for Medicare payment reform. Physician Workforce - Joined letter to the Department of State and Department of Homeland Security on addressing physician visa processing delays. No Surprises Act - Joined letter of support for the No Surprises Act Enforcement Act (H.R. 4710, S. 2420). Joined letter to Department of Health and Human Services (HHS), Department of Labor, and Department of the Treasury on strengthening oversight of the No Surprises Act. Section 504 - Sent letter to HHS asking for a delay of effective dates related to a 2024 final rule making changes to regulations under Section 504 of the Rehabilitation Act of 1973. Chronic Care Management - Joined letter of support for the Chronic Care Management Improvement Act (H.R. 8261) to remove patient cost-sharing obligations for the Chronic Care Management code.
Strengthening Medicare for Patients and Providers Act
Client: MEDICAL GROUP MANAGEMENT ASSN · Firm: MEDICAL GROUP MANAGEMENT ASSN
Senate Special Committee on Aging Testimony on Regulatory Burden and Physician Burnout - Testified in front of the Senate Special Committee on Aging on how regulatory burden is impacting physician burnout. Supported policies to reduce administration burden and improve Medicare payment, as well as the following legislation to address the myriad factors impacting burnout: Resident Physicians Shortage Reduction Act of 2025 (S. 2439), Medicare Advantage Prompt Pay Act (S. 2879), Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816), and Strengthening Medicare for Patients and Providers Act (H.R. 6160). Consolidated Appropriations Act, 2026 - Sent letter to congressional leadership regarding policies in the Consolidated Appropriations Act, 2026 (H.R. 7148). The letter supported the reinstatement of the Advanced APM incentive payment, lowering the Qualifying APM Participant threshold, extending telehealth flexibilities, delaying clinical lab cuts, and extending the 1.0 work GPCI floor. Medicare Payment Reform - Supported the reintroduction of the Provider Reimbursement Stability Act (H.R. 8163) to reform Medicares budget neutrality requirements. Value-Based Care - Joined letter to Congress discussing proposals to reform the Medicare Access and CHIP Reauthorization Act (MACRA) to support value-based care. Healthcare Workforce - Sent letter of support for the H-1Bs for Physicians and the Healthcare Workforce Act (H.R.7961). Joined letter of support for the Rural Residency Planning and Development Act of 2025 (H.R. 4731). Submitted a statement for the record for the Ways and Means Subcommittee on Healths hearing, Advancing the Next Generation of Americas Healthcare Workforce, that supported policies to expand graduate medical education and address education financing issues. Supported a bipartisan congressional letter requesting exemptions for healthcare workers from the H-1B visa application fee. No Surprises Act - Joined a letter to HHS, the Department of Labor, and Department of Treasury supporting policy recommendations to the improve the administration of the Independent Dispute Resolution process under the No Surprises Act and supporting the No Suprises Enforcement Act (H.R. 4710). Artificial Intelligence - Responded to HHS request for information on the adoption of artificial intelligence. Healthcare Costs - Submitted statement for the record in response to the House Energy and Commerce Subcommittee on Healths hearing on lowering healthcare costs and examining the provider landscape. The letter supported Medicare Part B payment reform, addressing prior authorization burden, reforming the quality payment program, addressing challenges within Medicare Advantage, and reforming the Stark Law. Health Information Technology - Commented on the Health Data, Technology, and Interoperability: ASTP/ONC Deregulatory Actions to Unleash Property proposed rule. Clinical Lab Reform - Sent letter of support of the RESULTS Act (H.R. 5269, S. 2761) in response to the House Energy and Commerce Subcommittee on Healths legislative hearing. Prior Authorization - Submitted a statement for the record in response to the House Ways and Means and Energy and Commerces hearings on healthcare affordability supporting the Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816). Fraud - Responded to CMS request for information on ways to reduce fraud in Medicare.
Strengthening Medicare for Patients and Providers Act
Client: MEDICAL GROUP MANAGEMENT ASSN · Firm: MEDICAL GROUP MANAGEMENT ASSN
Medicare Payment - Submitted testimony for House Energy and Commerce Subcommittee on Health hearing on opportunities for Medicare payment reform that included support for the Strengthening Medicare for Patients and Providers Act (H.R. 6160) to include annual inflationary updates to Medicare and the Provider Reimbursement Stability Act (H.R. 8163) to modernize budget neutrality rules in Medicare. Joined letter of support for the Provider Reimbursement Stability Act ahead of a Ways and Means Committee markup of the bill. Prior Authorization - Supported the Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816) to reform prior authorization. Joined healthcare organizations comment letter on CMS proposed rule on electronic prior authorization for drugs. Submitted our own comments on CMS proposed rule on electronic prior authorization for drugs. Sent letter of support for the Medicare Advantage Improvement Act (H.R. 8375, S. 4384) that would reform prior authorization for Medicare Advantage plans. MIPS Reform - Sent letter of support for the Medicare Physician Data-driven Performance Payment System Act of 2026 (H.R. 8622) to reform the Merit-based Incentive Payment System (MIPS). Supported reforming MIPS in our testimony to the House Energy and Commerce Subcommittee on Healths hearing on opportunities for Medicare payment reform. Value-Based Care - Supported alternative payment model (APM) reforms in our testimony to the House Energy and Commerce Subcommittee on Health hearing on opportunities for Medicare payment reform. Physician Workforce - Joined letter to the Department of State and Department of Homeland Security on addressing physician visa processing delays. No Surprises Act - Joined letter of support for the No Surprises Act Enforcement Act (H.R. 4710, S. 2420). Joined letter to Department of Health and Human Services (HHS), Department of Labor, and Department of the Treasury on strengthening oversight of the No Surprises Act. Section 504 - Sent letter to HHS asking for a delay of effective dates related to a 2024 final rule making changes to regulations under Section 504 of the Rehabilitation Act of 1973. Chronic Care Management - Joined letter of support for the Chronic Care Management Improvement Act (H.R. 8261) to remove patient cost-sharing obligations for the Chronic Care Management code.
Strengthening Medicare for Patients and Providers Act
Client: MEDICAL GROUP MANAGEMENT ASSN · Firm: MEDICAL GROUP MANAGEMENT ASSN
Senate Special Committee on Aging Testimony on Regulatory Burden and Physician Burnout - Testified in front of the Senate Special Committee on Aging on how regulatory burden is impacting physician burnout. Supported policies to reduce administration burden and improve Medicare payment, as well as the following legislation to address the myriad factors impacting burnout: Resident Physicians Shortage Reduction Act of 2025 (S. 2439), Medicare Advantage Prompt Pay Act (S. 2879), Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816), and Strengthening Medicare for Patients and Providers Act (H.R. 6160). Consolidated Appropriations Act, 2026 - Sent letter to congressional leadership regarding policies in the Consolidated Appropriations Act, 2026 (H.R. 7148). The letter supported the reinstatement of the Advanced APM incentive payment, lowering the Qualifying APM Participant threshold, extending telehealth flexibilities, delaying clinical lab cuts, and extending the 1.0 work GPCI floor. Medicare Payment Reform - Supported the reintroduction of the Provider Reimbursement Stability Act (H.R. 8163) to reform Medicares budget neutrality requirements. Value-Based Care - Joined letter to Congress discussing proposals to reform the Medicare Access and CHIP Reauthorization Act (MACRA) to support value-based care. Healthcare Workforce - Sent letter of support for the H-1Bs for Physicians and the Healthcare Workforce Act (H.R.7961). Joined letter of support for the Rural Residency Planning and Development Act of 2025 (H.R. 4731). Submitted a statement for the record for the Ways and Means Subcommittee on Healths hearing, Advancing the Next Generation of Americas Healthcare Workforce, that supported policies to expand graduate medical education and address education financing issues. Supported a bipartisan congressional letter requesting exemptions for healthcare workers from the H-1B visa application fee. No Surprises Act - Joined a letter to HHS, the Department of Labor, and Department of Treasury supporting policy recommendations to the improve the administration of the Independent Dispute Resolution process under the No Surprises Act and supporting the No Surprises Enforcement Act (H.R. 4710). Artificial Intelligence - Responded to HHS request for information on the adoption of artificial intelligence. Healthcare Costs - Submitted statement for the record in response to the House Energy and Commerce Subcommittee on Healths hearing on lowering healthcare costs and examining the provider landscape. The letter supported Medicare Part B payment reform, addressing prior authorization burden, reforming the quality payment program, addressing challenges within Medicare Advantage, and reforming the Stark Law. Health Information Technology - Commented on the Health Data, Technology, and Interoperability: ASTP/ONC Deregulatory Actions to Unleash Property proposed rule. Clinical Lab Reform - Sent letter of support of the RESULTS Act (H.R. 5269, S. 2761) in response to the House Energy and Commerce Subcommittee on Healths legislative hearing. Prior Authorization - Submitted a statement for the record in response to the House Ways and Means and Energy and Commerces hearings on healthcare affordability supporting the Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816). Fraud - Responded to CMS request for information on ways to reduce fraud in Medicare.
Consolidated Appropriations Act, 2026
Client: MEDICAL GROUP MANAGEMENT ASSN · Firm: MEDICAL GROUP MANAGEMENT ASSN
Senate Special Committee on Aging Testimony on Regulatory Burden and Physician Burnout - Testified in front of the Senate Special Committee on Aging on how regulatory burden is impacting physician burnout. Supported policies to reduce administration burden and improve Medicare payment, as well as the following legislation to address the myriad factors impacting burnout: Resident Physicians Shortage Reduction Act of 2025 (S. 2439), Medicare Advantage Prompt Pay Act (S. 2879), Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816), and Strengthening Medicare for Patients and Providers Act (H.R. 6160). Consolidated Appropriations Act, 2026 - Sent letter to congressional leadership regarding policies in the Consolidated Appropriations Act, 2026 (H.R. 7148). The letter supported the reinstatement of the Advanced APM incentive payment, lowering the Qualifying APM Participant threshold, extending telehealth flexibilities, delaying clinical lab cuts, and extending the 1.0 work GPCI floor. Medicare Payment Reform - Supported the reintroduction of the Provider Reimbursement Stability Act (H.R. 8163) to reform Medicares budget neutrality requirements. Value-Based Care - Joined letter to Congress discussing proposals to reform the Medicare Access and CHIP Reauthorization Act (MACRA) to support value-based care. Healthcare Workforce - Sent letter of support for the H-1Bs for Physicians and the Healthcare Workforce Act (H.R.7961). Joined letter of support for the Rural Residency Planning and Development Act of 2025 (H.R. 4731). Submitted a statement for the record for the Ways and Means Subcommittee on Healths hearing, Advancing the Next Generation of Americas Healthcare Workforce, that supported policies to expand graduate medical education and address education financing issues. Supported a bipartisan congressional letter requesting exemptions for healthcare workers from the H-1B visa application fee. No Surprises Act - Joined a letter to HHS, the Department of Labor, and Department of Treasury supporting policy recommendations to the improve the administration of the Independent Dispute Resolution process under the No Surprises Act and supporting the No Surprises Enforcement Act (H.R. 4710). Artificial Intelligence - Responded to HHS request for information on the adoption of artificial intelligence. Healthcare Costs - Submitted statement for the record in response to the House Energy and Commerce Subcommittee on Healths hearing on lowering healthcare costs and examining the provider landscape. The letter supported Medicare Part B payment reform, addressing prior authorization burden, reforming the quality payment program, addressing challenges within Medicare Advantage, and reforming the Stark Law. Health Information Technology - Commented on the Health Data, Technology, and Interoperability: ASTP/ONC Deregulatory Actions to Unleash Property proposed rule. Clinical Lab Reform - Sent letter of support of the RESULTS Act (H.R. 5269, S. 2761) in response to the House Energy and Commerce Subcommittee on Healths legislative hearing. Prior Authorization - Submitted a statement for the record in response to the House Ways and Means and Energy and Commerces hearings on healthcare affordability supporting the Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816). Fraud - Responded to CMS request for information on ways to reduce fraud in Medicare.
Consolidated Appropriations Act, 2026
Client: MEDICAL GROUP MANAGEMENT ASSN · Firm: MEDICAL GROUP MANAGEMENT ASSN
Senate Special Committee on Aging Testimony on Regulatory Burden and Physician Burnout - Testified in front of the Senate Special Committee on Aging on how regulatory burden is impacting physician burnout. Supported policies to reduce administration burden and improve Medicare payment, as well as the following legislation to address the myriad factors impacting burnout: Resident Physicians Shortage Reduction Act of 2025 (S. 2439), Medicare Advantage Prompt Pay Act (S. 2879), Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816), and Strengthening Medicare for Patients and Providers Act (H.R. 6160). Consolidated Appropriations Act, 2026 - Sent letter to congressional leadership regarding policies in the Consolidated Appropriations Act, 2026 (H.R. 7148). The letter supported the reinstatement of the Advanced APM incentive payment, lowering the Qualifying APM Participant threshold, extending telehealth flexibilities, delaying clinical lab cuts, and extending the 1.0 work GPCI floor. Medicare Payment Reform - Supported the reintroduction of the Provider Reimbursement Stability Act (H.R. 8163) to reform Medicares budget neutrality requirements. Value-Based Care - Joined letter to Congress discussing proposals to reform the Medicare Access and CHIP Reauthorization Act (MACRA) to support value-based care. Healthcare Workforce - Sent letter of support for the H-1Bs for Physicians and the Healthcare Workforce Act (H.R.7961). Joined letter of support for the Rural Residency Planning and Development Act of 2025 (H.R. 4731). Submitted a statement for the record for the Ways and Means Subcommittee on Healths hearing, Advancing the Next Generation of Americas Healthcare Workforce, that supported policies to expand graduate medical education and address education financing issues. Supported a bipartisan congressional letter requesting exemptions for healthcare workers from the H-1B visa application fee. No Surprises Act - Joined a letter to HHS, the Department of Labor, and Department of Treasury supporting policy recommendations to the improve the administration of the Independent Dispute Resolution process under the No Surprises Act and supporting the No Suprises Enforcement Act (H.R. 4710). Artificial Intelligence - Responded to HHS request for information on the adoption of artificial intelligence. Healthcare Costs - Submitted statement for the record in response to the House Energy and Commerce Subcommittee on Healths hearing on lowering healthcare costs and examining the provider landscape. The letter supported Medicare Part B payment reform, addressing prior authorization burden, reforming the quality payment program, addressing challenges within Medicare Advantage, and reforming the Stark Law. Health Information Technology - Commented on the Health Data, Technology, and Interoperability: ASTP/ONC Deregulatory Actions to Unleash Property proposed rule. Clinical Lab Reform - Sent letter of support of the RESULTS Act (H.R. 5269, S. 2761) in response to the House Energy and Commerce Subcommittee on Healths legislative hearing. Prior Authorization - Submitted a statement for the record in response to the House Ways and Means and Energy and Commerces hearings on healthcare affordability supporting the Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816). Fraud - Responded to CMS request for information on ways to reduce fraud in Medicare.
H–1Bs for Physicians and the Healthcare Workforce Act
Client: MEDICAL GROUP MANAGEMENT ASSN · Firm: MEDICAL GROUP MANAGEMENT ASSN
Senate Special Committee on Aging Testimony on Regulatory Burden and Physician Burnout - Testified in front of the Senate Special Committee on Aging on how regulatory burden is impacting physician burnout. Supported policies to reduce administration burden and improve Medicare payment, as well as the following legislation to address the myriad factors impacting burnout: Resident Physicians Shortage Reduction Act of 2025 (S. 2439), Medicare Advantage Prompt Pay Act (S. 2879), Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816), and Strengthening Medicare for Patients and Providers Act (H.R. 6160). Consolidated Appropriations Act, 2026 - Sent letter to congressional leadership regarding policies in the Consolidated Appropriations Act, 2026 (H.R. 7148). The letter supported the reinstatement of the Advanced APM incentive payment, lowering the Qualifying APM Participant threshold, extending telehealth flexibilities, delaying clinical lab cuts, and extending the 1.0 work GPCI floor. Medicare Payment Reform - Supported the reintroduction of the Provider Reimbursement Stability Act (H.R. 8163) to reform Medicares budget neutrality requirements. Value-Based Care - Joined letter to Congress discussing proposals to reform the Medicare Access and CHIP Reauthorization Act (MACRA) to support value-based care. Healthcare Workforce - Sent letter of support for the H-1Bs for Physicians and the Healthcare Workforce Act (H.R.7961). Joined letter of support for the Rural Residency Planning and Development Act of 2025 (H.R. 4731). Submitted a statement for the record for the Ways and Means Subcommittee on Healths hearing, Advancing the Next Generation of Americas Healthcare Workforce, that supported policies to expand graduate medical education and address education financing issues. Supported a bipartisan congressional letter requesting exemptions for healthcare workers from the H-1B visa application fee. No Surprises Act - Joined a letter to HHS, the Department of Labor, and Department of Treasury supporting policy recommendations to the improve the administration of the Independent Dispute Resolution process under the No Surprises Act and supporting the No Surprises Enforcement Act (H.R. 4710). Artificial Intelligence - Responded to HHS request for information on the adoption of artificial intelligence. Healthcare Costs - Submitted statement for the record in response to the House Energy and Commerce Subcommittee on Healths hearing on lowering healthcare costs and examining the provider landscape. The letter supported Medicare Part B payment reform, addressing prior authorization burden, reforming the quality payment program, addressing challenges within Medicare Advantage, and reforming the Stark Law. Health Information Technology - Commented on the Health Data, Technology, and Interoperability: ASTP/ONC Deregulatory Actions to Unleash Property proposed rule. Clinical Lab Reform - Sent letter of support of the RESULTS Act (H.R. 5269, S. 2761) in response to the House Energy and Commerce Subcommittee on Healths legislative hearing. Prior Authorization - Submitted a statement for the record in response to the House Ways and Means and Energy and Commerces hearings on healthcare affordability supporting the Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816). Fraud - Responded to CMS request for information on ways to reduce fraud in Medicare.
H–1Bs for Physicians and the Healthcare Workforce Act
Client: MEDICAL GROUP MANAGEMENT ASSN · Firm: MEDICAL GROUP MANAGEMENT ASSN
Senate Special Committee on Aging Testimony on Regulatory Burden and Physician Burnout - Testified in front of the Senate Special Committee on Aging on how regulatory burden is impacting physician burnout. Supported policies to reduce administration burden and improve Medicare payment, as well as the following legislation to address the myriad factors impacting burnout: Resident Physicians Shortage Reduction Act of 2025 (S. 2439), Medicare Advantage Prompt Pay Act (S. 2879), Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816), and Strengthening Medicare for Patients and Providers Act (H.R. 6160). Consolidated Appropriations Act, 2026 - Sent letter to congressional leadership regarding policies in the Consolidated Appropriations Act, 2026 (H.R. 7148). The letter supported the reinstatement of the Advanced APM incentive payment, lowering the Qualifying APM Participant threshold, extending telehealth flexibilities, delaying clinical lab cuts, and extending the 1.0 work GPCI floor. Medicare Payment Reform - Supported the reintroduction of the Provider Reimbursement Stability Act (H.R. 8163) to reform Medicares budget neutrality requirements. Value-Based Care - Joined letter to Congress discussing proposals to reform the Medicare Access and CHIP Reauthorization Act (MACRA) to support value-based care. Healthcare Workforce - Sent letter of support for the H-1Bs for Physicians and the Healthcare Workforce Act (H.R.7961). Joined letter of support for the Rural Residency Planning and Development Act of 2025 (H.R. 4731). Submitted a statement for the record for the Ways and Means Subcommittee on Healths hearing, Advancing the Next Generation of Americas Healthcare Workforce, that supported policies to expand graduate medical education and address education financing issues. Supported a bipartisan congressional letter requesting exemptions for healthcare workers from the H-1B visa application fee. No Surprises Act - Joined a letter to HHS, the Department of Labor, and Department of Treasury supporting policy recommendations to the improve the administration of the Independent Dispute Resolution process under the No Surprises Act and supporting the No Suprises Enforcement Act (H.R. 4710). Artificial Intelligence - Responded to HHS request for information on the adoption of artificial intelligence. Healthcare Costs - Submitted statement for the record in response to the House Energy and Commerce Subcommittee on Healths hearing on lowering healthcare costs and examining the provider landscape. The letter supported Medicare Part B payment reform, addressing prior authorization burden, reforming the quality payment program, addressing challenges within Medicare Advantage, and reforming the Stark Law. Health Information Technology - Commented on the Health Data, Technology, and Interoperability: ASTP/ONC Deregulatory Actions to Unleash Property proposed rule. Clinical Lab Reform - Sent letter of support of the RESULTS Act (H.R. 5269, S. 2761) in response to the House Energy and Commerce Subcommittee on Healths legislative hearing. Prior Authorization - Submitted a statement for the record in response to the House Ways and Means and Energy and Commerces hearings on healthcare affordability supporting the Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816). Fraud - Responded to CMS request for information on ways to reduce fraud in Medicare.
Provider Reimbursement Stability Act of 2026
Client: MEDICAL GROUP MANAGEMENT ASSN · Firm: MEDICAL GROUP MANAGEMENT ASSN
2027 Medicare Physician Fee Schedule Proposed Rule: Submitted comments in response to the 2027 Medicare Physician Fee Schedule Proposed Rule that included recommendations on proposals related to Medicare physician payment, value-based care, MIPS, remote patient monitoring, and more. Joined coalition letter urging CMS to withdraw proposed changes to remote patient monitoring. Joined coalition of physician specialty organizations in urging CMS and the Administration (OMB and DPC) to withdraw its proposed policy to reduce payment by 50 percent when a separately identifiable office/outpatient (O/O) evaluation and management (E/M) service reported with modifier -25 is furnished on the same day as a procedure with a 0-, 10-, or 90-day global period. Medicare Physician Payment: Submitted Statement for the Record supporting the Patients First Act (H.R. 9693), the Provider Reimbursement Stability Act (H.R. 8163), and the Medicare Physician Data-driven Performance Payment System Act (H.R. 8622), three pieces of Medicare payment legislation that were discussed in the House Energy and Commerce Subcommittee on Health legislative hearing. Supported the introduction of the Patients First Act (H.R. 9693) that would make structural reforms to Medicare reimbursement. Medicare Enrollment: Submitted comments in response to the 2027 Home Health Prospective Payment System Proposed Rule urging CMS to withdraw Medicare enrollment proposals. Joined a coalition letter of provider organizations urging CMS to reconsider its proposed Medicare enrollment changes. H-1B: Submitted comments urging the Department of Homeland Security to exempt all healthcare workers from proposed $103,265 H-1B visa fees. Value-Based Care: Joined a coalition of provider groups in a letter to CMS urging the agency to support accountable care in Medicare. Prior Authorization: Supported the passage of the Improving Seniors Timely Access to Care Act (H.R. 3514), legislation that would reform prior authorization in Medicare Advantage, through both the Ways and Means and Energy and Commerce Committee. Medicare Advantage: Supported the introduction of the Protecting Approved Care Act (H.R. 10394) that would prohibit Medicare Advantage organizations from reversing payment decisions or downcoding after the plan approves prior authorization for an item or service.
Provider Reimbursement Stability Act of 2026
Client: MEDICAL GROUP MANAGEMENT ASSN · Firm: MEDICAL GROUP MANAGEMENT ASSN
2027 Medicare Physician Fee Schedule Proposed Rule: Submitted comments in response to the 2027 Medicare Physician Fee Schedule Proposed Rule that included recommendations on proposals related to Medicare physician payment, value-based care, MIPS, remote patient monitoring, and more. Joined coalition letter urging CMS to withdraw proposed changes to remote patient monitoring. Joined coalition of physician specialty organizations in urging CMS and the Administration (OMB and DPC) to withdraw its proposed policy to reduce payment by 50 percent when a separately identifiable office/outpatient (O/O) evaluation and management (E/M) service reported with modifier -25 is furnished on the same day as a procedure with a 0-, 10-, or 90-day global period. Medicare Physician Payment: Submitted Statement for the Record supporting the Patients First Act (H.R. 9693), the Provider Reimbursement Stability Act (H.R. 8163), and the Medicare Physician Data-driven Performance Payment System Act (H.R. 8622), three pieces of Medicare payment legislation that were discussed in the House Energy and Commerce Subcommittee on Health legislative hearing. Supported the introduction of the Patients First Act (H.R. 9693) that would make structural reforms to Medicare reimbursement. Medicare Enrollment: Submitted comments in response to the 2027 Home Health Prospective Payment System Proposed Rule urging CMS to withdraw Medicare enrollment proposals. Joined a coalition letter of provider organizations urging CMS to reconsider its proposed Medicare enrollment changes. H-1B: Submitted comments urging the Department of Homeland Security to exempt all healthcare workers from proposed $103,265 H-1B visa fees. Value-Based Care: Joined a coalition of provider groups in a letter to CMS urging the agency to support accountable care in Medicare. Prior Authorization: Supported the passage of the Improving Seniors Timely Access to Care Act (H.R. 3514), legislation that would reform prior authorization in Medicare Advantage, through both the Ways and Means and Energy and Commerce Committee. Medicare Advantage: Supported the introduction of the Protecting Approved Care Act (H.R. 10394) that would prohibit Medicare Advantage organizations from reversing payment decisions or downcoding after the plan approves prior authorization for an item or service.
Provider Reimbursement Stability Act of 2026
Client: MEDICAL GROUP MANAGEMENT ASSN · Firm: MEDICAL GROUP MANAGEMENT ASSN
Senate Special Committee on Aging Testimony on Regulatory Burden and Physician Burnout - Testified in front of the Senate Special Committee on Aging on how regulatory burden is impacting physician burnout. Supported policies to reduce administration burden and improve Medicare payment, as well as the following legislation to address the myriad factors impacting burnout: Resident Physicians Shortage Reduction Act of 2025 (S. 2439), Medicare Advantage Prompt Pay Act (S. 2879), Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816), and Strengthening Medicare for Patients and Providers Act (H.R. 6160). Consolidated Appropriations Act, 2026 - Sent letter to congressional leadership regarding policies in the Consolidated Appropriations Act, 2026 (H.R. 7148). The letter supported the reinstatement of the Advanced APM incentive payment, lowering the Qualifying APM Participant threshold, extending telehealth flexibilities, delaying clinical lab cuts, and extending the 1.0 work GPCI floor. Medicare Payment Reform - Supported the reintroduction of the Provider Reimbursement Stability Act (H.R. 8163) to reform Medicares budget neutrality requirements. Value-Based Care - Joined letter to Congress discussing proposals to reform the Medicare Access and CHIP Reauthorization Act (MACRA) to support value-based care. Healthcare Workforce - Sent letter of support for the H-1Bs for Physicians and the Healthcare Workforce Act (H.R.7961). Joined letter of support for the Rural Residency Planning and Development Act of 2025 (H.R. 4731). Submitted a statement for the record for the Ways and Means Subcommittee on Healths hearing, Advancing the Next Generation of Americas Healthcare Workforce, that supported policies to expand graduate medical education and address education financing issues. Supported a bipartisan congressional letter requesting exemptions for healthcare workers from the H-1B visa application fee. No Surprises Act - Joined a letter to HHS, the Department of Labor, and Department of Treasury supporting policy recommendations to the improve the administration of the Independent Dispute Resolution process under the No Surprises Act and supporting the No Surprises Enforcement Act (H.R. 4710). Artificial Intelligence - Responded to HHS request for information on the adoption of artificial intelligence. Healthcare Costs - Submitted statement for the record in response to the House Energy and Commerce Subcommittee on Healths hearing on lowering healthcare costs and examining the provider landscape. The letter supported Medicare Part B payment reform, addressing prior authorization burden, reforming the quality payment program, addressing challenges within Medicare Advantage, and reforming the Stark Law. Health Information Technology - Commented on the Health Data, Technology, and Interoperability: ASTP/ONC Deregulatory Actions to Unleash Property proposed rule. Clinical Lab Reform - Sent letter of support of the RESULTS Act (H.R. 5269, S. 2761) in response to the House Energy and Commerce Subcommittee on Healths legislative hearing. Prior Authorization - Submitted a statement for the record in response to the House Ways and Means and Energy and Commerces hearings on healthcare affordability supporting the Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816). Fraud - Responded to CMS request for information on ways to reduce fraud in Medicare.
Provider Reimbursement Stability Act of 2026
Client: MEDICAL GROUP MANAGEMENT ASSN · Firm: MEDICAL GROUP MANAGEMENT ASSN
Medicare Payment - Submitted testimony for House Energy and Commerce Subcommittee on Health hearing on opportunities for Medicare payment reform that included support for the Strengthening Medicare for Patients and Providers Act (H.R. 6160) to include annual inflationary updates to Medicare and the Provider Reimbursement Stability Act (H.R. 8163) to modernize budget neutrality rules in Medicare. Joined letter of support for the Provider Reimbursement Stability Act ahead of a Ways and Means Committee markup of the bill. Prior Authorization - Supported the Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816) to reform prior authorization. Joined healthcare organizations comment letter on CMS proposed rule on electronic prior authorization for drugs. Submitted our own comments on CMS proposed rule on electronic prior authorization for drugs. Sent letter of support for the Medicare Advantage Improvement Act (H.R. 8375, S. 4384) that would reform prior authorization for Medicare Advantage plans. MIPS Reform - Sent letter of support for the Medicare Physician Data-driven Performance Payment System Act of 2026 (H.R. 8622) to reform the Merit-based Incentive Payment System (MIPS). Supported reforming MIPS in our testimony to the House Energy and Commerce Subcommittee on Healths hearing on opportunities for Medicare payment reform. Value-Based Care - Supported alternative payment model (APM) reforms in our testimony to the House Energy and Commerce Subcommittee on Health hearing on opportunities for Medicare payment reform. Physician Workforce - Joined letter to the Department of State and Department of Homeland Security on addressing physician visa processing delays. No Surprises Act - Joined letter of support for the No Surprises Act Enforcement Act (H.R. 4710, S. 2420). Joined letter to Department of Health and Human Services (HHS), Department of Labor, and Department of the Treasury on strengthening oversight of the No Surprises Act. Section 504 - Sent letter to HHS asking for a delay of effective dates related to a 2024 final rule making changes to regulations under Section 504 of the Rehabilitation Act of 1973. Chronic Care Management - Joined letter of support for the Chronic Care Management Improvement Act (H.R. 8261) to remove patient cost-sharing obligations for the Chronic Care Management code.
Provider Reimbursement Stability Act of 2026
Client: MEDICAL GROUP MANAGEMENT ASSN · Firm: MEDICAL GROUP MANAGEMENT ASSN
Medicare Payment - Submitted testimony for House Energy and Commerce Subcommittee on Health hearing on opportunities for Medicare payment reform that included support for the Strengthening Medicare for Patients and Providers Act (H.R. 6160) to include annual inflationary updates to Medicare and the Provider Reimbursement Stability Act (H.R. 8163) to modernize budget neutrality rules in Medicare. Joined letter of support for the Provider Reimbursement Stability Act ahead of a Ways and Means Committee markup of the bill. Prior Authorization - Supported the Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816) to reform prior authorization. Joined healthcare organizations comment letter on CMS proposed rule on electronic prior authorization for drugs. Submitted our own comments on CMS proposed rule on electronic prior authorization for drugs. Sent letter of support for the Medicare Advantage Improvement Act (H.R. 8375, S. 4384) that would reform prior authorization for Medicare Advantage plans. MIPS Reform - Sent letter of support for the Medicare Physician Data-driven Performance Payment System Act of 2026 (H.R. 8622) to reform the Merit-based Incentive Payment System (MIPS). Supported reforming MIPS in our testimony to the House Energy and Commerce Subcommittee on Healths hearing on opportunities for Medicare payment reform. Value-Based Care - Supported alternative payment model (APM) reforms in our testimony to the House Energy and Commerce Subcommittee on Health hearing on opportunities for Medicare payment reform. Physician Workforce - Joined letter to the Department of State and Department of Homeland Security on addressing physician visa processing delays. No Surprises Act - Joined letter of support for the No Surprises Act Enforcement Act (H.R. 4710, S. 2420). Joined letter to Department of Health and Human Services (HHS), Department of Labor, and Department of the Treasury on strengthening oversight of the No Surprises Act. Section 504 - Sent letter to HHS asking for a delay of effective dates related to a 2024 final rule making changes to regulations under Section 504 of the Rehabilitation Act of 1973. Chronic Care Management - Joined letter of support for the Chronic Care Management Improvement Act (H.R. 8261) to remove patient cost-sharing obligations for the Chronic Care Management code.
Provider Reimbursement Stability Act of 2026
Client: MEDICAL GROUP MANAGEMENT ASSN · Firm: MEDICAL GROUP MANAGEMENT ASSN
Senate Special Committee on Aging Testimony on Regulatory Burden and Physician Burnout - Testified in front of the Senate Special Committee on Aging on how regulatory burden is impacting physician burnout. Supported policies to reduce administration burden and improve Medicare payment, as well as the following legislation to address the myriad factors impacting burnout: Resident Physicians Shortage Reduction Act of 2025 (S. 2439), Medicare Advantage Prompt Pay Act (S. 2879), Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816), and Strengthening Medicare for Patients and Providers Act (H.R. 6160). Consolidated Appropriations Act, 2026 - Sent letter to congressional leadership regarding policies in the Consolidated Appropriations Act, 2026 (H.R. 7148). The letter supported the reinstatement of the Advanced APM incentive payment, lowering the Qualifying APM Participant threshold, extending telehealth flexibilities, delaying clinical lab cuts, and extending the 1.0 work GPCI floor. Medicare Payment Reform - Supported the reintroduction of the Provider Reimbursement Stability Act (H.R. 8163) to reform Medicares budget neutrality requirements. Value-Based Care - Joined letter to Congress discussing proposals to reform the Medicare Access and CHIP Reauthorization Act (MACRA) to support value-based care. Healthcare Workforce - Sent letter of support for the H-1Bs for Physicians and the Healthcare Workforce Act (H.R.7961). Joined letter of support for the Rural Residency Planning and Development Act of 2025 (H.R. 4731). Submitted a statement for the record for the Ways and Means Subcommittee on Healths hearing, Advancing the Next Generation of Americas Healthcare Workforce, that supported policies to expand graduate medical education and address education financing issues. Supported a bipartisan congressional letter requesting exemptions for healthcare workers from the H-1B visa application fee. No Surprises Act - Joined a letter to HHS, the Department of Labor, and Department of Treasury supporting policy recommendations to the improve the administration of the Independent Dispute Resolution process under the No Surprises Act and supporting the No Suprises Enforcement Act (H.R. 4710). Artificial Intelligence - Responded to HHS request for information on the adoption of artificial intelligence. Healthcare Costs - Submitted statement for the record in response to the House Energy and Commerce Subcommittee on Healths hearing on lowering healthcare costs and examining the provider landscape. The letter supported Medicare Part B payment reform, addressing prior authorization burden, reforming the quality payment program, addressing challenges within Medicare Advantage, and reforming the Stark Law. Health Information Technology - Commented on the Health Data, Technology, and Interoperability: ASTP/ONC Deregulatory Actions to Unleash Property proposed rule. Clinical Lab Reform - Sent letter of support of the RESULTS Act (H.R. 5269, S. 2761) in response to the House Energy and Commerce Subcommittee on Healths legislative hearing. Prior Authorization - Submitted a statement for the record in response to the House Ways and Means and Energy and Commerces hearings on healthcare affordability supporting the Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816). Fraud - Responded to CMS request for information on ways to reduce fraud in Medicare.
Medicare Advantage Improvement Act of 2026
Client: MEDICAL GROUP MANAGEMENT ASSN · Firm: MEDICAL GROUP MANAGEMENT ASSN
Medicare Payment - Submitted testimony for House Energy and Commerce Subcommittee on Health hearing on opportunities for Medicare payment reform that included support for the Strengthening Medicare for Patients and Providers Act (H.R. 6160) to include annual inflationary updates to Medicare and the Provider Reimbursement Stability Act (H.R. 8163) to modernize budget neutrality rules in Medicare. Joined letter of support for the Provider Reimbursement Stability Act ahead of a Ways and Means Committee markup of the bill. Prior Authorization - Supported the Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816) to reform prior authorization. Joined healthcare organizations comment letter on CMS proposed rule on electronic prior authorization for drugs. Submitted our own comments on CMS proposed rule on electronic prior authorization for drugs. Sent letter of support for the Medicare Advantage Improvement Act (H.R. 8375, S. 4384) that would reform prior authorization for Medicare Advantage plans. MIPS Reform - Sent letter of support for the Medicare Physician Data-driven Performance Payment System Act of 2026 (H.R. 8622) to reform the Merit-based Incentive Payment System (MIPS). Supported reforming MIPS in our testimony to the House Energy and Commerce Subcommittee on Healths hearing on opportunities for Medicare payment reform. Value-Based Care - Supported alternative payment model (APM) reforms in our testimony to the House Energy and Commerce Subcommittee on Health hearing on opportunities for Medicare payment reform. Physician Workforce - Joined letter to the Department of State and Department of Homeland Security on addressing physician visa processing delays. No Surprises Act - Joined letter of support for the No Surprises Act Enforcement Act (H.R. 4710, S. 2420). Joined letter to Department of Health and Human Services (HHS), Department of Labor, and Department of the Treasury on strengthening oversight of the No Surprises Act. Section 504 - Sent letter to HHS asking for a delay of effective dates related to a 2024 final rule making changes to regulations under Section 504 of the Rehabilitation Act of 1973. Chronic Care Management - Joined letter of support for the Chronic Care Management Improvement Act (H.R. 8261) to remove patient cost-sharing obligations for the Chronic Care Management code.
Medicare Advantage Improvement Act of 2026
Client: MEDICAL GROUP MANAGEMENT ASSN · Firm: MEDICAL GROUP MANAGEMENT ASSN
Medicare Payment - Submitted testimony for House Energy and Commerce Subcommittee on Health hearing on opportunities for Medicare payment reform that included support for the Strengthening Medicare for Patients and Providers Act (H.R. 6160) to include annual inflationary updates to Medicare and the Provider Reimbursement Stability Act (H.R. 8163) to modernize budget neutrality rules in Medicare. Joined letter of support for the Provider Reimbursement Stability Act ahead of a Ways and Means Committee markup of the bill. Prior Authorization - Supported the Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816) to reform prior authorization. Joined healthcare organizations comment letter on CMS proposed rule on electronic prior authorization for drugs. Submitted our own comments on CMS proposed rule on electronic prior authorization for drugs. Sent letter of support for the Medicare Advantage Improvement Act (H.R. 8375, S. 4384) that would reform prior authorization for Medicare Advantage plans. MIPS Reform - Sent letter of support for the Medicare Physician Data-driven Performance Payment System Act of 2026 (H.R. 8622) to reform the Merit-based Incentive Payment System (MIPS). Supported reforming MIPS in our testimony to the House Energy and Commerce Subcommittee on Healths hearing on opportunities for Medicare payment reform. Value-Based Care - Supported alternative payment model (APM) reforms in our testimony to the House Energy and Commerce Subcommittee on Health hearing on opportunities for Medicare payment reform. Physician Workforce - Joined letter to the Department of State and Department of Homeland Security on addressing physician visa processing delays. No Surprises Act - Joined letter of support for the No Surprises Act Enforcement Act (H.R. 4710, S. 2420). Joined letter to Department of Health and Human Services (HHS), Department of Labor, and Department of the Treasury on strengthening oversight of the No Surprises Act. Section 504 - Sent letter to HHS asking for a delay of effective dates related to a 2024 final rule making changes to regulations under Section 504 of the Rehabilitation Act of 1973. Chronic Care Management - Joined letter of support for the Chronic Care Management Improvement Act (H.R. 8261) to remove patient cost-sharing obligations for the Chronic Care Management code.
Medicare Physician Data-driven Performance Payment System Act of 2026
Client: MEDICAL GROUP MANAGEMENT ASSN · Firm: MEDICAL GROUP MANAGEMENT ASSN
2027 Medicare Physician Fee Schedule Proposed Rule: Submitted comments in response to the 2027 Medicare Physician Fee Schedule Proposed Rule that included recommendations on proposals related to Medicare physician payment, value-based care, MIPS, remote patient monitoring, and more. Joined coalition letter urging CMS to withdraw proposed changes to remote patient monitoring. Joined coalition of physician specialty organizations in urging CMS and the Administration (OMB and DPC) to withdraw its proposed policy to reduce payment by 50 percent when a separately identifiable office/outpatient (O/O) evaluation and management (E/M) service reported with modifier -25 is furnished on the same day as a procedure with a 0-, 10-, or 90-day global period. Medicare Physician Payment: Submitted Statement for the Record supporting the Patients First Act (H.R. 9693), the Provider Reimbursement Stability Act (H.R. 8163), and the Medicare Physician Data-driven Performance Payment System Act (H.R. 8622), three pieces of Medicare payment legislation that were discussed in the House Energy and Commerce Subcommittee on Health legislative hearing. Supported the introduction of the Patients First Act (H.R. 9693) that would make structural reforms to Medicare reimbursement. Medicare Enrollment: Submitted comments in response to the 2027 Home Health Prospective Payment System Proposed Rule urging CMS to withdraw Medicare enrollment proposals. Joined a coalition letter of provider organizations urging CMS to reconsider its proposed Medicare enrollment changes. H-1B: Submitted comments urging the Department of Homeland Security to exempt all healthcare workers from proposed $103,265 H-1B visa fees. Value-Based Care: Joined a coalition of provider groups in a letter to CMS urging the agency to support accountable care in Medicare. Prior Authorization: Supported the passage of the Improving Seniors Timely Access to Care Act (H.R. 3514), legislation that would reform prior authorization in Medicare Advantage, through both the Ways and Means and Energy and Commerce Committee. Medicare Advantage: Supported the introduction of the Protecting Approved Care Act (H.R. 10394) that would prohibit Medicare Advantage organizations from reversing payment decisions or downcoding after the plan approves prior authorization for an item or service.
Medicare Physician Data-driven Performance Payment System Act of 2026
Client: MEDICAL GROUP MANAGEMENT ASSN · Firm: MEDICAL GROUP MANAGEMENT ASSN
Medicare Payment - Submitted testimony for House Energy and Commerce Subcommittee on Health hearing on opportunities for Medicare payment reform that included support for the Strengthening Medicare for Patients and Providers Act (H.R. 6160) to include annual inflationary updates to Medicare and the Provider Reimbursement Stability Act (H.R. 8163) to modernize budget neutrality rules in Medicare. Joined letter of support for the Provider Reimbursement Stability Act ahead of a Ways and Means Committee markup of the bill. Prior Authorization - Supported the Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816) to reform prior authorization. Joined healthcare organizations comment letter on CMS proposed rule on electronic prior authorization for drugs. Submitted our own comments on CMS proposed rule on electronic prior authorization for drugs. Sent letter of support for the Medicare Advantage Improvement Act (H.R. 8375, S. 4384) that would reform prior authorization for Medicare Advantage plans. MIPS Reform - Sent letter of support for the Medicare Physician Data-driven Performance Payment System Act of 2026 (H.R. 8622) to reform the Merit-based Incentive Payment System (MIPS). Supported reforming MIPS in our testimony to the House Energy and Commerce Subcommittee on Healths hearing on opportunities for Medicare payment reform. Value-Based Care - Supported alternative payment model (APM) reforms in our testimony to the House Energy and Commerce Subcommittee on Health hearing on opportunities for Medicare payment reform. Physician Workforce - Joined letter to the Department of State and Department of Homeland Security on addressing physician visa processing delays. No Surprises Act - Joined letter of support for the No Surprises Act Enforcement Act (H.R. 4710, S. 2420). Joined letter to Department of Health and Human Services (HHS), Department of Labor, and Department of the Treasury on strengthening oversight of the No Surprises Act. Section 504 - Sent letter to HHS asking for a delay of effective dates related to a 2024 final rule making changes to regulations under Section 504 of the Rehabilitation Act of 1973. Chronic Care Management - Joined letter of support for the Chronic Care Management Improvement Act (H.R. 8261) to remove patient cost-sharing obligations for the Chronic Care Management code.
Medicare Physician Data-driven Performance Payment System Act of 2026
Client: MEDICAL GROUP MANAGEMENT ASSN · Firm: MEDICAL GROUP MANAGEMENT ASSN
Medicare Payment - Submitted testimony for House Energy and Commerce Subcommittee on Health hearing on opportunities for Medicare payment reform that included support for the Strengthening Medicare for Patients and Providers Act (H.R. 6160) to include annual inflationary updates to Medicare and the Provider Reimbursement Stability Act (H.R. 8163) to modernize budget neutrality rules in Medicare. Joined letter of support for the Provider Reimbursement Stability Act ahead of a Ways and Means Committee markup of the bill. Prior Authorization - Supported the Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816) to reform prior authorization. Joined healthcare organizations comment letter on CMS proposed rule on electronic prior authorization for drugs. Submitted our own comments on CMS proposed rule on electronic prior authorization for drugs. Sent letter of support for the Medicare Advantage Improvement Act (H.R. 8375, S. 4384) that would reform prior authorization for Medicare Advantage plans. MIPS Reform - Sent letter of support for the Medicare Physician Data-driven Performance Payment System Act of 2026 (H.R. 8622) to reform the Merit-based Incentive Payment System (MIPS). Supported reforming MIPS in our testimony to the House Energy and Commerce Subcommittee on Healths hearing on opportunities for Medicare payment reform. Value-Based Care - Supported alternative payment model (APM) reforms in our testimony to the House Energy and Commerce Subcommittee on Health hearing on opportunities for Medicare payment reform. Physician Workforce - Joined letter to the Department of State and Department of Homeland Security on addressing physician visa processing delays. No Surprises Act - Joined letter of support for the No Surprises Act Enforcement Act (H.R. 4710, S. 2420). Joined letter to Department of Health and Human Services (HHS), Department of Labor, and Department of the Treasury on strengthening oversight of the No Surprises Act. Section 504 - Sent letter to HHS asking for a delay of effective dates related to a 2024 final rule making changes to regulations under Section 504 of the Rehabilitation Act of 1973. Chronic Care Management - Joined letter of support for the Chronic Care Management Improvement Act (H.R. 8261) to remove patient cost-sharing obligations for the Chronic Care Management code.
Medicare Physician Data-driven Performance Payment System Act of 2026
Client: MEDICAL GROUP MANAGEMENT ASSN · Firm: MEDICAL GROUP MANAGEMENT ASSN
2027 Medicare Physician Fee Schedule Proposed Rule: Submitted comments in response to the 2027 Medicare Physician Fee Schedule Proposed Rule that included recommendations on proposals related to Medicare physician payment, value-based care, MIPS, remote patient monitoring, and more. Joined coalition letter urging CMS to withdraw proposed changes to remote patient monitoring. Joined coalition of physician specialty organizations in urging CMS and the Administration (OMB and DPC) to withdraw its proposed policy to reduce payment by 50 percent when a separately identifiable office/outpatient (O/O) evaluation and management (E/M) service reported with modifier -25 is furnished on the same day as a procedure with a 0-, 10-, or 90-day global period. Medicare Physician Payment: Submitted Statement for the Record supporting the Patients First Act (H.R. 9693), the Provider Reimbursement Stability Act (H.R. 8163), and the Medicare Physician Data-driven Performance Payment System Act (H.R. 8622), three pieces of Medicare payment legislation that were discussed in the House Energy and Commerce Subcommittee on Health legislative hearing. Supported the introduction of the Patients First Act (H.R. 9693) that would make structural reforms to Medicare reimbursement. Medicare Enrollment: Submitted comments in response to the 2027 Home Health Prospective Payment System Proposed Rule urging CMS to withdraw Medicare enrollment proposals. Joined a coalition letter of provider organizations urging CMS to reconsider its proposed Medicare enrollment changes. H-1B: Submitted comments urging the Department of Homeland Security to exempt all healthcare workers from proposed $103,265 H-1B visa fees. Value-Based Care: Joined a coalition of provider groups in a letter to CMS urging the agency to support accountable care in Medicare. Prior Authorization: Supported the passage of the Improving Seniors Timely Access to Care Act (H.R. 3514), legislation that would reform prior authorization in Medicare Advantage, through both the Ways and Means and Energy and Commerce Committee. Medicare Advantage: Supported the introduction of the Protecting Approved Care Act (H.R. 10394) that would prohibit Medicare Advantage organizations from reversing payment decisions or downcoding after the plan approves prior authorization for an item or service.
Patients First Act of 2026
Client: MEDICAL GROUP MANAGEMENT ASSN · Firm: MEDICAL GROUP MANAGEMENT ASSN
2027 Medicare Physician Fee Schedule Proposed Rule: Submitted comments in response to the 2027 Medicare Physician Fee Schedule Proposed Rule that included recommendations on proposals related to Medicare physician payment, value-based care, MIPS, remote patient monitoring, and more. Joined coalition letter urging CMS to withdraw proposed changes to remote patient monitoring. Joined coalition of physician specialty organizations in urging CMS and the Administration (OMB and DPC) to withdraw its proposed policy to reduce payment by 50 percent when a separately identifiable office/outpatient (O/O) evaluation and management (E/M) service reported with modifier -25 is furnished on the same day as a procedure with a 0-, 10-, or 90-day global period. Medicare Physician Payment: Submitted Statement for the Record supporting the Patients First Act (H.R. 9693), the Provider Reimbursement Stability Act (H.R. 8163), and the Medicare Physician Data-driven Performance Payment System Act (H.R. 8622), three pieces of Medicare payment legislation that were discussed in the House Energy and Commerce Subcommittee on Health legislative hearing. Supported the introduction of the Patients First Act (H.R. 9693) that would make structural reforms to Medicare reimbursement. Medicare Enrollment: Submitted comments in response to the 2027 Home Health Prospective Payment System Proposed Rule urging CMS to withdraw Medicare enrollment proposals. Joined a coalition letter of provider organizations urging CMS to reconsider its proposed Medicare enrollment changes. H-1B: Submitted comments urging the Department of Homeland Security to exempt all healthcare workers from proposed $103,265 H-1B visa fees. Value-Based Care: Joined a coalition of provider groups in a letter to CMS urging the agency to support accountable care in Medicare. Prior Authorization: Supported the passage of the Improving Seniors Timely Access to Care Act (H.R. 3514), legislation that would reform prior authorization in Medicare Advantage, through both the Ways and Means and Energy and Commerce Committee. Medicare Advantage: Supported the introduction of the Protecting Approved Care Act (H.R. 10394) that would prohibit Medicare Advantage organizations from reversing payment decisions or downcoding after the plan approves prior authorization for an item or service.
Patients First Act of 2026
Client: MEDICAL GROUP MANAGEMENT ASSN · Firm: MEDICAL GROUP MANAGEMENT ASSN
2027 Medicare Physician Fee Schedule Proposed Rule: Submitted comments in response to the 2027 Medicare Physician Fee Schedule Proposed Rule that included recommendations on proposals related to Medicare physician payment, value-based care, MIPS, remote patient monitoring, and more. Joined coalition letter urging CMS to withdraw proposed changes to remote patient monitoring. Joined coalition of physician specialty organizations in urging CMS and the Administration (OMB and DPC) to withdraw its proposed policy to reduce payment by 50 percent when a separately identifiable office/outpatient (O/O) evaluation and management (E/M) service reported with modifier -25 is furnished on the same day as a procedure with a 0-, 10-, or 90-day global period. Medicare Physician Payment: Submitted Statement for the Record supporting the Patients First Act (H.R. 9693), the Provider Reimbursement Stability Act (H.R. 8163), and the Medicare Physician Data-driven Performance Payment System Act (H.R. 8622), three pieces of Medicare payment legislation that were discussed in the House Energy and Commerce Subcommittee on Health legislative hearing. Supported the introduction of the Patients First Act (H.R. 9693) that would make structural reforms to Medicare reimbursement. Medicare Enrollment: Submitted comments in response to the 2027 Home Health Prospective Payment System Proposed Rule urging CMS to withdraw Medicare enrollment proposals. Joined a coalition letter of provider organizations urging CMS to reconsider its proposed Medicare enrollment changes. H-1B: Submitted comments urging the Department of Homeland Security to exempt all healthcare workers from proposed $103,265 H-1B visa fees. Value-Based Care: Joined a coalition of provider groups in a letter to CMS urging the agency to support accountable care in Medicare. Prior Authorization: Supported the passage of the Improving Seniors Timely Access to Care Act (H.R. 3514), legislation that would reform prior authorization in Medicare Advantage, through both the Ways and Means and Energy and Commerce Committee. Medicare Advantage: Supported the introduction of the Protecting Approved Care Act (H.R. 10394) that would prohibit Medicare Advantage organizations from reversing payment decisions or downcoding after the plan approves prior authorization for an item or service.
Improving Seniors’ Timely Access to Care Act of 2025
Client: MEDICAL GROUP MANAGEMENT ASSN · Firm: MEDICAL GROUP MANAGEMENT ASSN
Medicare Payment - Submitted testimony for House Energy and Commerce Subcommittee on Health hearing on opportunities for Medicare payment reform that included support for the Strengthening Medicare for Patients and Providers Act (H.R. 6160) to include annual inflationary updates to Medicare and the Provider Reimbursement Stability Act (H.R. 8163) to modernize budget neutrality rules in Medicare. Joined letter of support for the Provider Reimbursement Stability Act ahead of a Ways and Means Committee markup of the bill. Prior Authorization - Supported the Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816) to reform prior authorization. Joined healthcare organizations comment letter on CMS proposed rule on electronic prior authorization for drugs. Submitted our own comments on CMS proposed rule on electronic prior authorization for drugs. Sent letter of support for the Medicare Advantage Improvement Act (H.R. 8375, S. 4384) that would reform prior authorization for Medicare Advantage plans. MIPS Reform - Sent letter of support for the Medicare Physician Data-driven Performance Payment System Act of 2026 (H.R. 8622) to reform the Merit-based Incentive Payment System (MIPS). Supported reforming MIPS in our testimony to the House Energy and Commerce Subcommittee on Healths hearing on opportunities for Medicare payment reform. Value-Based Care - Supported alternative payment model (APM) reforms in our testimony to the House Energy and Commerce Subcommittee on Health hearing on opportunities for Medicare payment reform. Physician Workforce - Joined letter to the Department of State and Department of Homeland Security on addressing physician visa processing delays. No Surprises Act - Joined letter of support for the No Surprises Act Enforcement Act (H.R. 4710, S. 2420). Joined letter to Department of Health and Human Services (HHS), Department of Labor, and Department of the Treasury on strengthening oversight of the No Surprises Act. Section 504 - Sent letter to HHS asking for a delay of effective dates related to a 2024 final rule making changes to regulations under Section 504 of the Rehabilitation Act of 1973. Chronic Care Management - Joined letter of support for the Chronic Care Management Improvement Act (H.R. 8261) to remove patient cost-sharing obligations for the Chronic Care Management code.
Improving Seniors’ Timely Access to Care Act of 2025
Client: MEDICAL GROUP MANAGEMENT ASSN · Firm: MEDICAL GROUP MANAGEMENT ASSN
Senate Special Committee on Aging Testimony on Regulatory Burden and Physician Burnout - Testified in front of the Senate Special Committee on Aging on how regulatory burden is impacting physician burnout. Supported policies to reduce administration burden and improve Medicare payment, as well as the following legislation to address the myriad factors impacting burnout: Resident Physicians Shortage Reduction Act of 2025 (S. 2439), Medicare Advantage Prompt Pay Act (S. 2879), Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816), and Strengthening Medicare for Patients and Providers Act (H.R. 6160). Consolidated Appropriations Act, 2026 - Sent letter to congressional leadership regarding policies in the Consolidated Appropriations Act, 2026 (H.R. 7148). The letter supported the reinstatement of the Advanced APM incentive payment, lowering the Qualifying APM Participant threshold, extending telehealth flexibilities, delaying clinical lab cuts, and extending the 1.0 work GPCI floor. Medicare Payment Reform - Supported the reintroduction of the Provider Reimbursement Stability Act (H.R. 8163) to reform Medicares budget neutrality requirements. Value-Based Care - Joined letter to Congress discussing proposals to reform the Medicare Access and CHIP Reauthorization Act (MACRA) to support value-based care. Healthcare Workforce - Sent letter of support for the H-1Bs for Physicians and the Healthcare Workforce Act (H.R.7961). Joined letter of support for the Rural Residency Planning and Development Act of 2025 (H.R. 4731). Submitted a statement for the record for the Ways and Means Subcommittee on Healths hearing, Advancing the Next Generation of Americas Healthcare Workforce, that supported policies to expand graduate medical education and address education financing issues. Supported a bipartisan congressional letter requesting exemptions for healthcare workers from the H-1B visa application fee. No Surprises Act - Joined a letter to HHS, the Department of Labor, and Department of Treasury supporting policy recommendations to the improve the administration of the Independent Dispute Resolution process under the No Surprises Act and supporting the No Suprises Enforcement Act (H.R. 4710). Artificial Intelligence - Responded to HHS request for information on the adoption of artificial intelligence. Healthcare Costs - Submitted statement for the record in response to the House Energy and Commerce Subcommittee on Healths hearing on lowering healthcare costs and examining the provider landscape. The letter supported Medicare Part B payment reform, addressing prior authorization burden, reforming the quality payment program, addressing challenges within Medicare Advantage, and reforming the Stark Law. Health Information Technology - Commented on the Health Data, Technology, and Interoperability: ASTP/ONC Deregulatory Actions to Unleash Property proposed rule. Clinical Lab Reform - Sent letter of support of the RESULTS Act (H.R. 5269, S. 2761) in response to the House Energy and Commerce Subcommittee on Healths legislative hearing. Prior Authorization - Submitted a statement for the record in response to the House Ways and Means and Energy and Commerces hearings on healthcare affordability supporting the Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816). Fraud - Responded to CMS request for information on ways to reduce fraud in Medicare.
Improving Seniors’ Timely Access to Care Act of 2025
Client: MEDICAL GROUP MANAGEMENT ASSN · Firm: MEDICAL GROUP MANAGEMENT ASSN
Senate Special Committee on Aging Testimony on Regulatory Burden and Physician Burnout - Testified in front of the Senate Special Committee on Aging on how regulatory burden is impacting physician burnout. Supported policies to reduce administration burden and improve Medicare payment, as well as the following legislation to address the myriad factors impacting burnout: Resident Physicians Shortage Reduction Act of 2025 (S. 2439), Medicare Advantage Prompt Pay Act (S. 2879), Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816), and Strengthening Medicare for Patients and Providers Act (H.R. 6160). Consolidated Appropriations Act, 2026 - Sent letter to congressional leadership regarding policies in the Consolidated Appropriations Act, 2026 (H.R. 7148). The letter supported the reinstatement of the Advanced APM incentive payment, lowering the Qualifying APM Participant threshold, extending telehealth flexibilities, delaying clinical lab cuts, and extending the 1.0 work GPCI floor. Medicare Payment Reform - Supported the reintroduction of the Provider Reimbursement Stability Act (H.R. 8163) to reform Medicares budget neutrality requirements. Value-Based Care - Joined letter to Congress discussing proposals to reform the Medicare Access and CHIP Reauthorization Act (MACRA) to support value-based care. Healthcare Workforce - Sent letter of support for the H-1Bs for Physicians and the Healthcare Workforce Act (H.R.7961). Joined letter of support for the Rural Residency Planning and Development Act of 2025 (H.R. 4731). Submitted a statement for the record for the Ways and Means Subcommittee on Healths hearing, Advancing the Next Generation of Americas Healthcare Workforce, that supported policies to expand graduate medical education and address education financing issues. Supported a bipartisan congressional letter requesting exemptions for healthcare workers from the H-1B visa application fee. No Surprises Act - Joined a letter to HHS, the Department of Labor, and Department of Treasury supporting policy recommendations to the improve the administration of the Independent Dispute Resolution process under the No Surprises Act and supporting the No Surprises Enforcement Act (H.R. 4710). Artificial Intelligence - Responded to HHS request for information on the adoption of artificial intelligence. Healthcare Costs - Submitted statement for the record in response to the House Energy and Commerce Subcommittee on Healths hearing on lowering healthcare costs and examining the provider landscape. The letter supported Medicare Part B payment reform, addressing prior authorization burden, reforming the quality payment program, addressing challenges within Medicare Advantage, and reforming the Stark Law. Health Information Technology - Commented on the Health Data, Technology, and Interoperability: ASTP/ONC Deregulatory Actions to Unleash Property proposed rule. Clinical Lab Reform - Sent letter of support of the RESULTS Act (H.R. 5269, S. 2761) in response to the House Energy and Commerce Subcommittee on Healths legislative hearing. Prior Authorization - Submitted a statement for the record in response to the House Ways and Means and Energy and Commerces hearings on healthcare affordability supporting the Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816). Fraud - Responded to CMS request for information on ways to reduce fraud in Medicare.
Improving Seniors’ Timely Access to Care Act of 2025
Client: MEDICAL GROUP MANAGEMENT ASSN · Firm: MEDICAL GROUP MANAGEMENT ASSN
Medicare Payment - Submitted testimony for House Energy and Commerce Subcommittee on Health hearing on opportunities for Medicare payment reform that included support for the Strengthening Medicare for Patients and Providers Act (H.R. 6160) to include annual inflationary updates to Medicare and the Provider Reimbursement Stability Act (H.R. 8163) to modernize budget neutrality rules in Medicare. Joined letter of support for the Provider Reimbursement Stability Act ahead of a Ways and Means Committee markup of the bill. Prior Authorization - Supported the Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816) to reform prior authorization. Joined healthcare organizations comment letter on CMS proposed rule on electronic prior authorization for drugs. Submitted our own comments on CMS proposed rule on electronic prior authorization for drugs. Sent letter of support for the Medicare Advantage Improvement Act (H.R. 8375, S. 4384) that would reform prior authorization for Medicare Advantage plans. MIPS Reform - Sent letter of support for the Medicare Physician Data-driven Performance Payment System Act of 2026 (H.R. 8622) to reform the Merit-based Incentive Payment System (MIPS). Supported reforming MIPS in our testimony to the House Energy and Commerce Subcommittee on Healths hearing on opportunities for Medicare payment reform. Value-Based Care - Supported alternative payment model (APM) reforms in our testimony to the House Energy and Commerce Subcommittee on Health hearing on opportunities for Medicare payment reform. Physician Workforce - Joined letter to the Department of State and Department of Homeland Security on addressing physician visa processing delays. No Surprises Act - Joined letter of support for the No Surprises Act Enforcement Act (H.R. 4710, S. 2420). Joined letter to Department of Health and Human Services (HHS), Department of Labor, and Department of the Treasury on strengthening oversight of the No Surprises Act. Section 504 - Sent letter to HHS asking for a delay of effective dates related to a 2024 final rule making changes to regulations under Section 504 of the Rehabilitation Act of 1973. Chronic Care Management - Joined letter of support for the Chronic Care Management Improvement Act (H.R. 8261) to remove patient cost-sharing obligations for the Chronic Care Management code.
No Surprises Act Enforcement Act
Client: MEDICAL GROUP MANAGEMENT ASSN · Firm: MEDICAL GROUP MANAGEMENT ASSN
Medicare Payment - Submitted testimony for House Energy and Commerce Subcommittee on Health hearing on opportunities for Medicare payment reform that included support for the Strengthening Medicare for Patients and Providers Act (H.R. 6160) to include annual inflationary updates to Medicare and the Provider Reimbursement Stability Act (H.R. 8163) to modernize budget neutrality rules in Medicare. Joined letter of support for the Provider Reimbursement Stability Act ahead of a Ways and Means Committee markup of the bill. Prior Authorization - Supported the Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816) to reform prior authorization. Joined healthcare organizations comment letter on CMS proposed rule on electronic prior authorization for drugs. Submitted our own comments on CMS proposed rule on electronic prior authorization for drugs. Sent letter of support for the Medicare Advantage Improvement Act (H.R. 8375, S. 4384) that would reform prior authorization for Medicare Advantage plans. MIPS Reform - Sent letter of support for the Medicare Physician Data-driven Performance Payment System Act of 2026 (H.R. 8622) to reform the Merit-based Incentive Payment System (MIPS). Supported reforming MIPS in our testimony to the House Energy and Commerce Subcommittee on Healths hearing on opportunities for Medicare payment reform. Value-Based Care - Supported alternative payment model (APM) reforms in our testimony to the House Energy and Commerce Subcommittee on Health hearing on opportunities for Medicare payment reform. Physician Workforce - Joined letter to the Department of State and Department of Homeland Security on addressing physician visa processing delays. No Surprises Act - Joined letter of support for the No Surprises Act Enforcement Act (H.R. 4710, S. 2420). Joined letter to Department of Health and Human Services (HHS), Department of Labor, and Department of the Treasury on strengthening oversight of the No Surprises Act. Section 504 - Sent letter to HHS asking for a delay of effective dates related to a 2024 final rule making changes to regulations under Section 504 of the Rehabilitation Act of 1973. Chronic Care Management - Joined letter of support for the Chronic Care Management Improvement Act (H.R. 8261) to remove patient cost-sharing obligations for the Chronic Care Management code.
No Surprises Act Enforcement Act
Client: MEDICAL GROUP MANAGEMENT ASSN · Firm: MEDICAL GROUP MANAGEMENT ASSN
Medicare Payment - Submitted testimony for House Energy and Commerce Subcommittee on Health hearing on opportunities for Medicare payment reform that included support for the Strengthening Medicare for Patients and Providers Act (H.R. 6160) to include annual inflationary updates to Medicare and the Provider Reimbursement Stability Act (H.R. 8163) to modernize budget neutrality rules in Medicare. Joined letter of support for the Provider Reimbursement Stability Act ahead of a Ways and Means Committee markup of the bill. Prior Authorization - Supported the Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816) to reform prior authorization. Joined healthcare organizations comment letter on CMS proposed rule on electronic prior authorization for drugs. Submitted our own comments on CMS proposed rule on electronic prior authorization for drugs. Sent letter of support for the Medicare Advantage Improvement Act (H.R. 8375, S. 4384) that would reform prior authorization for Medicare Advantage plans. MIPS Reform - Sent letter of support for the Medicare Physician Data-driven Performance Payment System Act of 2026 (H.R. 8622) to reform the Merit-based Incentive Payment System (MIPS). Supported reforming MIPS in our testimony to the House Energy and Commerce Subcommittee on Healths hearing on opportunities for Medicare payment reform. Value-Based Care - Supported alternative payment model (APM) reforms in our testimony to the House Energy and Commerce Subcommittee on Health hearing on opportunities for Medicare payment reform. Physician Workforce - Joined letter to the Department of State and Department of Homeland Security on addressing physician visa processing delays. No Surprises Act - Joined letter of support for the No Surprises Act Enforcement Act (H.R. 4710, S. 2420). Joined letter to Department of Health and Human Services (HHS), Department of Labor, and Department of the Treasury on strengthening oversight of the No Surprises Act. Section 504 - Sent letter to HHS asking for a delay of effective dates related to a 2024 final rule making changes to regulations under Section 504 of the Rehabilitation Act of 1973. Chronic Care Management - Joined letter of support for the Chronic Care Management Improvement Act (H.R. 8261) to remove patient cost-sharing obligations for the Chronic Care Management code.
Resident Physician Shortage Reduction Act of 2025
Client: MEDICAL GROUP MANAGEMENT ASSN · Firm: MEDICAL GROUP MANAGEMENT ASSN
Senate Special Committee on Aging Testimony on Regulatory Burden and Physician Burnout - Testified in front of the Senate Special Committee on Aging on how regulatory burden is impacting physician burnout. Supported policies to reduce administration burden and improve Medicare payment, as well as the following legislation to address the myriad factors impacting burnout: Resident Physicians Shortage Reduction Act of 2025 (S. 2439), Medicare Advantage Prompt Pay Act (S. 2879), Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816), and Strengthening Medicare for Patients and Providers Act (H.R. 6160). Consolidated Appropriations Act, 2026 - Sent letter to congressional leadership regarding policies in the Consolidated Appropriations Act, 2026 (H.R. 7148). The letter supported the reinstatement of the Advanced APM incentive payment, lowering the Qualifying APM Participant threshold, extending telehealth flexibilities, delaying clinical lab cuts, and extending the 1.0 work GPCI floor. Medicare Payment Reform - Supported the reintroduction of the Provider Reimbursement Stability Act (H.R. 8163) to reform Medicares budget neutrality requirements. Value-Based Care - Joined letter to Congress discussing proposals to reform the Medicare Access and CHIP Reauthorization Act (MACRA) to support value-based care. Healthcare Workforce - Sent letter of support for the H-1Bs for Physicians and the Healthcare Workforce Act (H.R.7961). Joined letter of support for the Rural Residency Planning and Development Act of 2025 (H.R. 4731). Submitted a statement for the record for the Ways and Means Subcommittee on Healths hearing, Advancing the Next Generation of Americas Healthcare Workforce, that supported policies to expand graduate medical education and address education financing issues. Supported a bipartisan congressional letter requesting exemptions for healthcare workers from the H-1B visa application fee. No Surprises Act - Joined a letter to HHS, the Department of Labor, and Department of Treasury supporting policy recommendations to the improve the administration of the Independent Dispute Resolution process under the No Surprises Act and supporting the No Suprises Enforcement Act (H.R. 4710). Artificial Intelligence - Responded to HHS request for information on the adoption of artificial intelligence. Healthcare Costs - Submitted statement for the record in response to the House Energy and Commerce Subcommittee on Healths hearing on lowering healthcare costs and examining the provider landscape. The letter supported Medicare Part B payment reform, addressing prior authorization burden, reforming the quality payment program, addressing challenges within Medicare Advantage, and reforming the Stark Law. Health Information Technology - Commented on the Health Data, Technology, and Interoperability: ASTP/ONC Deregulatory Actions to Unleash Property proposed rule. Clinical Lab Reform - Sent letter of support of the RESULTS Act (H.R. 5269, S. 2761) in response to the House Energy and Commerce Subcommittee on Healths legislative hearing. Prior Authorization - Submitted a statement for the record in response to the House Ways and Means and Energy and Commerces hearings on healthcare affordability supporting the Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816). Fraud - Responded to CMS request for information on ways to reduce fraud in Medicare.
Resident Physician Shortage Reduction Act of 2025
Client: MEDICAL GROUP MANAGEMENT ASSN · Firm: MEDICAL GROUP MANAGEMENT ASSN
Senate Special Committee on Aging Testimony on Regulatory Burden and Physician Burnout - Testified in front of the Senate Special Committee on Aging on how regulatory burden is impacting physician burnout. Supported policies to reduce administration burden and improve Medicare payment, as well as the following legislation to address the myriad factors impacting burnout: Resident Physicians Shortage Reduction Act of 2025 (S. 2439), Medicare Advantage Prompt Pay Act (S. 2879), Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816), and Strengthening Medicare for Patients and Providers Act (H.R. 6160). Consolidated Appropriations Act, 2026 - Sent letter to congressional leadership regarding policies in the Consolidated Appropriations Act, 2026 (H.R. 7148). The letter supported the reinstatement of the Advanced APM incentive payment, lowering the Qualifying APM Participant threshold, extending telehealth flexibilities, delaying clinical lab cuts, and extending the 1.0 work GPCI floor. Medicare Payment Reform - Supported the reintroduction of the Provider Reimbursement Stability Act (H.R. 8163) to reform Medicares budget neutrality requirements. Value-Based Care - Joined letter to Congress discussing proposals to reform the Medicare Access and CHIP Reauthorization Act (MACRA) to support value-based care. Healthcare Workforce - Sent letter of support for the H-1Bs for Physicians and the Healthcare Workforce Act (H.R.7961). Joined letter of support for the Rural Residency Planning and Development Act of 2025 (H.R. 4731). Submitted a statement for the record for the Ways and Means Subcommittee on Healths hearing, Advancing the Next Generation of Americas Healthcare Workforce, that supported policies to expand graduate medical education and address education financing issues. Supported a bipartisan congressional letter requesting exemptions for healthcare workers from the H-1B visa application fee. No Surprises Act - Joined a letter to HHS, the Department of Labor, and Department of Treasury supporting policy recommendations to the improve the administration of the Independent Dispute Resolution process under the No Surprises Act and supporting the No Surprises Enforcement Act (H.R. 4710). Artificial Intelligence - Responded to HHS request for information on the adoption of artificial intelligence. Healthcare Costs - Submitted statement for the record in response to the House Energy and Commerce Subcommittee on Healths hearing on lowering healthcare costs and examining the provider landscape. The letter supported Medicare Part B payment reform, addressing prior authorization burden, reforming the quality payment program, addressing challenges within Medicare Advantage, and reforming the Stark Law. Health Information Technology - Commented on the Health Data, Technology, and Interoperability: ASTP/ONC Deregulatory Actions to Unleash Property proposed rule. Clinical Lab Reform - Sent letter of support of the RESULTS Act (H.R. 5269, S. 2761) in response to the House Energy and Commerce Subcommittee on Healths legislative hearing. Prior Authorization - Submitted a statement for the record in response to the House Ways and Means and Energy and Commerces hearings on healthcare affordability supporting the Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816). Fraud - Responded to CMS request for information on ways to reduce fraud in Medicare.
Senate Special Committee on Aging Testimony on Regulatory Burden and Physician Burnout - Testified in front of the Senate Special Committee on Aging on how regulatory burden is impacting physician burnout. Supported policies to reduce administration burden and improve Medicare payment, as well as the following legislation to address the myriad factors impacting burnout: Resident Physicians Shortage Reduction Act of 2025 (S. 2439), Medicare Advantage Prompt Pay Act (S. 2879), Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816), and Strengthening Medicare for Patients and Providers Act (H.R. 6160). Consolidated Appropriations Act, 2026 - Sent letter to congressional leadership regarding policies in the Consolidated Appropriations Act, 2026 (H.R. 7148). The letter supported the reinstatement of the Advanced APM incentive payment, lowering the Qualifying APM Participant threshold, extending telehealth flexibilities, delaying clinical lab cuts, and extending the 1.0 work GPCI floor. Medicare Payment Reform - Supported the reintroduction of the Provider Reimbursement Stability Act (H.R. 8163) to reform Medicares budget neutrality requirements. Value-Based Care - Joined letter to Congress discussing proposals to reform the Medicare Access and CHIP Reauthorization Act (MACRA) to support value-based care. Healthcare Workforce - Sent letter of support for the H-1Bs for Physicians and the Healthcare Workforce Act (H.R.7961). Joined letter of support for the Rural Residency Planning and Development Act of 2025 (H.R. 4731). Submitted a statement for the record for the Ways and Means Subcommittee on Healths hearing, Advancing the Next Generation of Americas Healthcare Workforce, that supported policies to expand graduate medical education and address education financing issues. Supported a bipartisan congressional letter requesting exemptions for healthcare workers from the H-1B visa application fee. No Surprises Act - Joined a letter to HHS, the Department of Labor, and Department of Treasury supporting policy recommendations to the improve the administration of the Independent Dispute Resolution process under the No Surprises Act and supporting the No Surprises Enforcement Act (H.R. 4710). Artificial Intelligence - Responded to HHS request for information on the adoption of artificial intelligence. Healthcare Costs - Submitted statement for the record in response to the House Energy and Commerce Subcommittee on Healths hearing on lowering healthcare costs and examining the provider landscape. The letter supported Medicare Part B payment reform, addressing prior authorization burden, reforming the quality payment program, addressing challenges within Medicare Advantage, and reforming the Stark Law. Health Information Technology - Commented on the Health Data, Technology, and Interoperability: ASTP/ONC Deregulatory Actions to Unleash Property proposed rule. Clinical Lab Reform - Sent letter of support of the RESULTS Act (H.R. 5269, S. 2761) in response to the House Energy and Commerce Subcommittee on Healths legislative hearing. Prior Authorization - Submitted a statement for the record in response to the House Ways and Means and Energy and Commerces hearings on healthcare affordability supporting the Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816). Fraud - Responded to CMS request for information on ways to reduce fraud in Medicare.
Senate Special Committee on Aging Testimony on Regulatory Burden and Physician Burnout - Testified in front of the Senate Special Committee on Aging on how regulatory burden is impacting physician burnout. Supported policies to reduce administration burden and improve Medicare payment, as well as the following legislation to address the myriad factors impacting burnout: Resident Physicians Shortage Reduction Act of 2025 (S. 2439), Medicare Advantage Prompt Pay Act (S. 2879), Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816), and Strengthening Medicare for Patients and Providers Act (H.R. 6160). Consolidated Appropriations Act, 2026 - Sent letter to congressional leadership regarding policies in the Consolidated Appropriations Act, 2026 (H.R. 7148). The letter supported the reinstatement of the Advanced APM incentive payment, lowering the Qualifying APM Participant threshold, extending telehealth flexibilities, delaying clinical lab cuts, and extending the 1.0 work GPCI floor. Medicare Payment Reform - Supported the reintroduction of the Provider Reimbursement Stability Act (H.R. 8163) to reform Medicares budget neutrality requirements. Value-Based Care - Joined letter to Congress discussing proposals to reform the Medicare Access and CHIP Reauthorization Act (MACRA) to support value-based care. Healthcare Workforce - Sent letter of support for the H-1Bs for Physicians and the Healthcare Workforce Act (H.R.7961). Joined letter of support for the Rural Residency Planning and Development Act of 2025 (H.R. 4731). Submitted a statement for the record for the Ways and Means Subcommittee on Healths hearing, Advancing the Next Generation of Americas Healthcare Workforce, that supported policies to expand graduate medical education and address education financing issues. Supported a bipartisan congressional letter requesting exemptions for healthcare workers from the H-1B visa application fee. No Surprises Act - Joined a letter to HHS, the Department of Labor, and Department of Treasury supporting policy recommendations to the improve the administration of the Independent Dispute Resolution process under the No Surprises Act and supporting the No Suprises Enforcement Act (H.R. 4710). Artificial Intelligence - Responded to HHS request for information on the adoption of artificial intelligence. Healthcare Costs - Submitted statement for the record in response to the House Energy and Commerce Subcommittee on Healths hearing on lowering healthcare costs and examining the provider landscape. The letter supported Medicare Part B payment reform, addressing prior authorization burden, reforming the quality payment program, addressing challenges within Medicare Advantage, and reforming the Stark Law. Health Information Technology - Commented on the Health Data, Technology, and Interoperability: ASTP/ONC Deregulatory Actions to Unleash Property proposed rule. Clinical Lab Reform - Sent letter of support of the RESULTS Act (H.R. 5269, S. 2761) in response to the House Energy and Commerce Subcommittee on Healths legislative hearing. Prior Authorization - Submitted a statement for the record in response to the House Ways and Means and Energy and Commerces hearings on healthcare affordability supporting the Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816). Fraud - Responded to CMS request for information on ways to reduce fraud in Medicare.
Medicare Advantage Prompt Pay Act
Client: MEDICAL GROUP MANAGEMENT ASSN · Firm: MEDICAL GROUP MANAGEMENT ASSN
Senate Special Committee on Aging Testimony on Regulatory Burden and Physician Burnout - Testified in front of the Senate Special Committee on Aging on how regulatory burden is impacting physician burnout. Supported policies to reduce administration burden and improve Medicare payment, as well as the following legislation to address the myriad factors impacting burnout: Resident Physicians Shortage Reduction Act of 2025 (S. 2439), Medicare Advantage Prompt Pay Act (S. 2879), Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816), and Strengthening Medicare for Patients and Providers Act (H.R. 6160). Consolidated Appropriations Act, 2026 - Sent letter to congressional leadership regarding policies in the Consolidated Appropriations Act, 2026 (H.R. 7148). The letter supported the reinstatement of the Advanced APM incentive payment, lowering the Qualifying APM Participant threshold, extending telehealth flexibilities, delaying clinical lab cuts, and extending the 1.0 work GPCI floor. Medicare Payment Reform - Supported the reintroduction of the Provider Reimbursement Stability Act (H.R. 8163) to reform Medicares budget neutrality requirements. Value-Based Care - Joined letter to Congress discussing proposals to reform the Medicare Access and CHIP Reauthorization Act (MACRA) to support value-based care. Healthcare Workforce - Sent letter of support for the H-1Bs for Physicians and the Healthcare Workforce Act (H.R.7961). Joined letter of support for the Rural Residency Planning and Development Act of 2025 (H.R. 4731). Submitted a statement for the record for the Ways and Means Subcommittee on Healths hearing, Advancing the Next Generation of Americas Healthcare Workforce, that supported policies to expand graduate medical education and address education financing issues. Supported a bipartisan congressional letter requesting exemptions for healthcare workers from the H-1B visa application fee. No Surprises Act - Joined a letter to HHS, the Department of Labor, and Department of Treasury supporting policy recommendations to the improve the administration of the Independent Dispute Resolution process under the No Surprises Act and supporting the No Surprises Enforcement Act (H.R. 4710). Artificial Intelligence - Responded to HHS request for information on the adoption of artificial intelligence. Healthcare Costs - Submitted statement for the record in response to the House Energy and Commerce Subcommittee on Healths hearing on lowering healthcare costs and examining the provider landscape. The letter supported Medicare Part B payment reform, addressing prior authorization burden, reforming the quality payment program, addressing challenges within Medicare Advantage, and reforming the Stark Law. Health Information Technology - Commented on the Health Data, Technology, and Interoperability: ASTP/ONC Deregulatory Actions to Unleash Property proposed rule. Clinical Lab Reform - Sent letter of support of the RESULTS Act (H.R. 5269, S. 2761) in response to the House Energy and Commerce Subcommittee on Healths legislative hearing. Prior Authorization - Submitted a statement for the record in response to the House Ways and Means and Energy and Commerces hearings on healthcare affordability supporting the Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816). Fraud - Responded to CMS request for information on ways to reduce fraud in Medicare.
Medicare Advantage Prompt Pay Act
Client: MEDICAL GROUP MANAGEMENT ASSN · Firm: MEDICAL GROUP MANAGEMENT ASSN
Senate Special Committee on Aging Testimony on Regulatory Burden and Physician Burnout - Testified in front of the Senate Special Committee on Aging on how regulatory burden is impacting physician burnout. Supported policies to reduce administration burden and improve Medicare payment, as well as the following legislation to address the myriad factors impacting burnout: Resident Physicians Shortage Reduction Act of 2025 (S. 2439), Medicare Advantage Prompt Pay Act (S. 2879), Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816), and Strengthening Medicare for Patients and Providers Act (H.R. 6160). Consolidated Appropriations Act, 2026 - Sent letter to congressional leadership regarding policies in the Consolidated Appropriations Act, 2026 (H.R. 7148). The letter supported the reinstatement of the Advanced APM incentive payment, lowering the Qualifying APM Participant threshold, extending telehealth flexibilities, delaying clinical lab cuts, and extending the 1.0 work GPCI floor. Medicare Payment Reform - Supported the reintroduction of the Provider Reimbursement Stability Act (H.R. 8163) to reform Medicares budget neutrality requirements. Value-Based Care - Joined letter to Congress discussing proposals to reform the Medicare Access and CHIP Reauthorization Act (MACRA) to support value-based care. Healthcare Workforce - Sent letter of support for the H-1Bs for Physicians and the Healthcare Workforce Act (H.R.7961). Joined letter of support for the Rural Residency Planning and Development Act of 2025 (H.R. 4731). Submitted a statement for the record for the Ways and Means Subcommittee on Healths hearing, Advancing the Next Generation of Americas Healthcare Workforce, that supported policies to expand graduate medical education and address education financing issues. Supported a bipartisan congressional letter requesting exemptions for healthcare workers from the H-1B visa application fee. No Surprises Act - Joined a letter to HHS, the Department of Labor, and Department of Treasury supporting policy recommendations to the improve the administration of the Independent Dispute Resolution process under the No Surprises Act and supporting the No Suprises Enforcement Act (H.R. 4710). Artificial Intelligence - Responded to HHS request for information on the adoption of artificial intelligence. Healthcare Costs - Submitted statement for the record in response to the House Energy and Commerce Subcommittee on Healths hearing on lowering healthcare costs and examining the provider landscape. The letter supported Medicare Part B payment reform, addressing prior authorization burden, reforming the quality payment program, addressing challenges within Medicare Advantage, and reforming the Stark Law. Health Information Technology - Commented on the Health Data, Technology, and Interoperability: ASTP/ONC Deregulatory Actions to Unleash Property proposed rule. Clinical Lab Reform - Sent letter of support of the RESULTS Act (H.R. 5269, S. 2761) in response to the House Energy and Commerce Subcommittee on Healths legislative hearing. Prior Authorization - Submitted a statement for the record in response to the House Ways and Means and Energy and Commerces hearings on healthcare affordability supporting the Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816). Fraud - Responded to CMS request for information on ways to reduce fraud in Medicare.
Medicare Advantage Improvement Act of 2026
Client: MEDICAL GROUP MANAGEMENT ASSN · Firm: MEDICAL GROUP MANAGEMENT ASSN
Medicare Payment - Submitted testimony for House Energy and Commerce Subcommittee on Health hearing on opportunities for Medicare payment reform that included support for the Strengthening Medicare for Patients and Providers Act (H.R. 6160) to include annual inflationary updates to Medicare and the Provider Reimbursement Stability Act (H.R. 8163) to modernize budget neutrality rules in Medicare. Joined letter of support for the Provider Reimbursement Stability Act ahead of a Ways and Means Committee markup of the bill. Prior Authorization - Supported the Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816) to reform prior authorization. Joined healthcare organizations comment letter on CMS proposed rule on electronic prior authorization for drugs. Submitted our own comments on CMS proposed rule on electronic prior authorization for drugs. Sent letter of support for the Medicare Advantage Improvement Act (H.R. 8375, S. 4384) that would reform prior authorization for Medicare Advantage plans. MIPS Reform - Sent letter of support for the Medicare Physician Data-driven Performance Payment System Act of 2026 (H.R. 8622) to reform the Merit-based Incentive Payment System (MIPS). Supported reforming MIPS in our testimony to the House Energy and Commerce Subcommittee on Healths hearing on opportunities for Medicare payment reform. Value-Based Care - Supported alternative payment model (APM) reforms in our testimony to the House Energy and Commerce Subcommittee on Health hearing on opportunities for Medicare payment reform. Physician Workforce - Joined letter to the Department of State and Department of Homeland Security on addressing physician visa processing delays. No Surprises Act - Joined letter of support for the No Surprises Act Enforcement Act (H.R. 4710, S. 2420). Joined letter to Department of Health and Human Services (HHS), Department of Labor, and Department of the Treasury on strengthening oversight of the No Surprises Act. Section 504 - Sent letter to HHS asking for a delay of effective dates related to a 2024 final rule making changes to regulations under Section 504 of the Rehabilitation Act of 1973. Chronic Care Management - Joined letter of support for the Chronic Care Management Improvement Act (H.R. 8261) to remove patient cost-sharing obligations for the Chronic Care Management code.
Medicare Advantage Improvement Act of 2026
Client: MEDICAL GROUP MANAGEMENT ASSN · Firm: MEDICAL GROUP MANAGEMENT ASSN
Medicare Payment - Submitted testimony for House Energy and Commerce Subcommittee on Health hearing on opportunities for Medicare payment reform that included support for the Strengthening Medicare for Patients and Providers Act (H.R. 6160) to include annual inflationary updates to Medicare and the Provider Reimbursement Stability Act (H.R. 8163) to modernize budget neutrality rules in Medicare. Joined letter of support for the Provider Reimbursement Stability Act ahead of a Ways and Means Committee markup of the bill. Prior Authorization - Supported the Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816) to reform prior authorization. Joined healthcare organizations comment letter on CMS proposed rule on electronic prior authorization for drugs. Submitted our own comments on CMS proposed rule on electronic prior authorization for drugs. Sent letter of support for the Medicare Advantage Improvement Act (H.R. 8375, S. 4384) that would reform prior authorization for Medicare Advantage plans. MIPS Reform - Sent letter of support for the Medicare Physician Data-driven Performance Payment System Act of 2026 (H.R. 8622) to reform the Merit-based Incentive Payment System (MIPS). Supported reforming MIPS in our testimony to the House Energy and Commerce Subcommittee on Healths hearing on opportunities for Medicare payment reform. Value-Based Care - Supported alternative payment model (APM) reforms in our testimony to the House Energy and Commerce Subcommittee on Health hearing on opportunities for Medicare payment reform. Physician Workforce - Joined letter to the Department of State and Department of Homeland Security on addressing physician visa processing delays. No Surprises Act - Joined letter of support for the No Surprises Act Enforcement Act (H.R. 4710, S. 2420). Joined letter to Department of Health and Human Services (HHS), Department of Labor, and Department of the Treasury on strengthening oversight of the No Surprises Act. Section 504 - Sent letter to HHS asking for a delay of effective dates related to a 2024 final rule making changes to regulations under Section 504 of the Rehabilitation Act of 1973. Chronic Care Management - Joined letter of support for the Chronic Care Management Improvement Act (H.R. 8261) to remove patient cost-sharing obligations for the Chronic Care Management code.
Improving Seniors’ Timely Access to Care Act of 2025
Client: MEDICAL GROUP MANAGEMENT ASSN · Firm: MEDICAL GROUP MANAGEMENT ASSN
Medicare payment reform - Sent letter of support to the bill sponsors of the Strengthening Medicare for Patients and Providers Act (H.R. 6160) that would add an inflationary update to Medicare Part B reimbursement as measured by the Medicare Economic Index (MEI). Sent letter to congressional leadership with our end of 2025 Medicare payment reform priorities - add an inflationary update, reform the budget neutrality aspect of Medicare, permanently extend the 1.0 work GPCI floor. Prior Authorization - Supported the Improving Seniors Timely Access to Care Act (S. 1816, H.R. 3514) in Congress to reform prior authorization, joined a letter to congressional leadership in support of the bill. Joined letter to Congress on the need to reform the Medicare Wasteful and Inappropriate Service Reduction (WISeR) Model that is being tested under the CMS Innovation Center. Sent a letter of support to the bill sponsors for reintroducing the Safe Step Act (H.R. 5509) to reform step therapy protocols. Telehealth - Joined a letter to OMB and the DEA urging for the extension of flexibilities related to prescribing controlled substances via telehealth. Joined a letter to Congress to act to extend telehealth flexibilities long-term that were at the time expired during the government shutdown. Sent letter to congressional leadership with our end of 2025 telehealth policy priorities. Physician-Owned Hospitals - Joined a letter to Congress in support of repealing the ban on physician-owned hospitals. Joined a letter of support of the Patient Access to Higher Quality Health Care Act of 2025 (H.R. 4002) that would repeal statutory restrictions on the whole hospital exception to Stark physician self- referral law. Cybersecurity - Joined a letter to HHS opposing the finalization of the proposed rule to make changes to HIPAA cybersecurity regulations. Artificial Intelligence (AI) - Joined a coalition letter on artificial intelligence policies for medical groups in response to the White House Office of Science and Technology Policy request for information on AI reform. Value-Based Care - Sent letter to congressional leadership supporting the Preserving Patient Access to Accountable Care Act (H.R. 786, S. 1460). Joined a letter to CMS urging them to use existing authority to ensure ACOs and MIPS eligible clinicians are held harmless from challenges posed by increased billing for skin substitutes. Expiration of healthcare policies due to lapse in federal government funding - Sent letter to congressional leadership urging them to reinstate the healthcare provisions (telehealth flexibilities, the 1.0 work GPCI floor) that expired on September 30 as part of the government shutdown. Urged CMS to release claims that were being held as a result of the pause on processing Medicare claims from the government shutdown. Sent letter to CMS requesting guidance on the rebilling of claims following the government shutdown and subsequent legislation extending numerous healthcare policies. Supported Congress extending healthcare policies that expired during the government shutdown and urged permanent reform to enshrine these policies. Enhanced ACA Tax Credits - Urged Congress to extend the enhanced Marketplace premium tax credits as part of our end of 2025 legislative priorities. Clinical Lab Cuts -Joined a coalition letter of support to the bill sponsors for the RESULTS Act (H.R. 5269) that would reform the clinical laboratory fee schedule and stop potential cuts to laboratory reimbursement. Included support for the RESULTS Act in our end of 2025 legislative priorities. Medicare Advantage - Sent letter of support to bill sponsors of the Medicare Advantage Prompt Pay Act (H.R. 5454) that would help ensure prompt payment to medical groups from Medicare Advantage plans.
Improving Seniors’ Timely Access to Care Act of 2025
Client: MEDICAL GROUP MANAGEMENT ASSN · Firm: MEDICAL GROUP MANAGEMENT ASSN
Medicare payment reform - Sent letter of support to the bill sponsors of the Strengthening Medicare for Patients and Providers Act (H.R. 6160) that would add an inflationary update to Medicare Part B reimbursement as measured by the Medicare Economic Index (MEI). Sent letter to congressional leadership with our end of 2025 Medicare payment reform priorities - add an inflationary update, reform the budget neutrality aspect of Medicare, permanently extend the 1.0 work GPCI floor. Prior Authorization - Supported the Improving Seniors Timely Access to Care Act (S. 1816, H.R. 3514) in Congress to reform prior authorization, joined a letter to congressional leadership in support of the bill. Joined letter to Congress on the need to reform the Medicare Wasteful and Inappropriate Service Reduction (WISeR) Model that is being tested under the CMS Innovation Center. Sent a letter of support to the bill sponsors for reintroducing the Safe Step Act (H.R. 5509) to reform step therapy protocols. Telehealth - Joined a letter to OMB and the DEA urging for the extension of flexibilities related to prescribing controlled substances via telehealth. Joined a letter to Congress to act to extend telehealth flexibilities long-term that were at the time expired during the government shutdown. Sent letter to congressional leadership with our end of 2025 telehealth policy priorities. Physician-Owned Hospitals - Joined a letter to Congress in support of repealing the ban on physician-owned hospitals. Joined a letter of support of the Patient Access to Higher Quality Health Care Act of 2025 (H.R. 4002) that would repeal statutory restrictions on the whole hospital exception to Stark physician self- referral law. Cybersecurity - Joined a letter to HHS opposing the finalization of the proposed rule to make changes to HIPAA cybersecurity regulations. Artificial Intelligence (AI) - Joined a coalition letter on artificial intelligence policies for medical groups in response to the White House Office of Science and Technology Policy request for information on AI reform. Value-Based Care - Sent letter to congressional leadership supporting the Preserving Patient Access to Accountable Care Act (H.R. 786, S. 1460). Joined a letter to CMS urging them to use existing authority to ensure ACOs and MIPS eligible clinicians are held harmless from challenges posed by increased billing for skin substitutes. Expiration of healthcare policies due to lapse in federal government funding - Sent letter to congressional leadership urging them to reinstate the healthcare provisions (telehealth flexibilities, the 1.0 work GPCI floor) that expired on September 30 as part of the government shutdown. Urged CMS to release claims that were being held as a result of the pause on processing Medicare claims from the government shutdown. Sent letter to CMS requesting guidance on the rebilling of claims following the government shutdown and subsequent legislation extending numerous healthcare policies. Supported Congress extending healthcare policies that expired during the government shutdown and urged permanent reform to enshrine these policies. Enhanced ACA Tax Credits - Urged Congress to extend the enhanced Marketplace premium tax credits as part of our end of 2025 legislative priorities. Clinical Lab Cuts -Joined a coalition letter of support to the bill sponsors for the RESULTS Act (H.R. 5269) that would reform the clinical laboratory fee schedule and stop potential cuts to laboratory reimbursement. Included support for the RESULTS Act in our end of 2025 legislative priorities. Medicare Advantage - Sent letter of support to bill sponsors of the Medicare Advantage Prompt Pay Act (H.R. 5454) that would help ensure prompt payment to medical groups from Medicare Advantage plans.
Patient Access to Higher Quality Health Care Act of 2025
Client: MEDICAL GROUP MANAGEMENT ASSN · Firm: MEDICAL GROUP MANAGEMENT ASSN
Medicare payment reform - Sent letter of support to the bill sponsors of the Strengthening Medicare for Patients and Providers Act (H.R. 6160) that would add an inflationary update to Medicare Part B reimbursement as measured by the Medicare Economic Index (MEI). Sent letter to congressional leadership with our end of 2025 Medicare payment reform priorities - add an inflationary update, reform the budget neutrality aspect of Medicare, permanently extend the 1.0 work GPCI floor. Prior Authorization - Supported the Improving Seniors Timely Access to Care Act (S. 1816, H.R. 3514) in Congress to reform prior authorization, joined a letter to congressional leadership in support of the bill. Joined letter to Congress on the need to reform the Medicare Wasteful and Inappropriate Service Reduction (WISeR) Model that is being tested under the CMS Innovation Center. Sent a letter of support to the bill sponsors for reintroducing the Safe Step Act (H.R. 5509) to reform step therapy protocols. Telehealth - Joined a letter to OMB and the DEA urging for the extension of flexibilities related to prescribing controlled substances via telehealth. Joined a letter to Congress to act to extend telehealth flexibilities long-term that were at the time expired during the government shutdown. Sent letter to congressional leadership with our end of 2025 telehealth policy priorities. Physician-Owned Hospitals - Joined a letter to Congress in support of repealing the ban on physician-owned hospitals. Joined a letter of support of the Patient Access to Higher Quality Health Care Act of 2025 (H.R. 4002) that would repeal statutory restrictions on the whole hospital exception to Stark physician self- referral law. Cybersecurity - Joined a letter to HHS opposing the finalization of the proposed rule to make changes to HIPAA cybersecurity regulations. Artificial Intelligence (AI) - Joined a coalition letter on artificial intelligence policies for medical groups in response to the White House Office of Science and Technology Policy request for information on AI reform. Value-Based Care - Sent letter to congressional leadership supporting the Preserving Patient Access to Accountable Care Act (H.R. 786, S. 1460). Joined a letter to CMS urging them to use existing authority to ensure ACOs and MIPS eligible clinicians are held harmless from challenges posed by increased billing for skin substitutes. Expiration of healthcare policies due to lapse in federal government funding - Sent letter to congressional leadership urging them to reinstate the healthcare provisions (telehealth flexibilities, the 1.0 work GPCI floor) that expired on September 30 as part of the government shutdown. Urged CMS to release claims that were being held as a result of the pause on processing Medicare claims from the government shutdown. Sent letter to CMS requesting guidance on the rebilling of claims following the government shutdown and subsequent legislation extending numerous healthcare policies. Supported Congress extending healthcare policies that expired during the government shutdown and urged permanent reform to enshrine these policies. Enhanced ACA Tax Credits - Urged Congress to extend the enhanced Marketplace premium tax credits as part of our end of 2025 legislative priorities. Clinical Lab Cuts -Joined a coalition letter of support to the bill sponsors for the RESULTS Act (H.R. 5269) that would reform the clinical laboratory fee schedule and stop potential cuts to laboratory reimbursement. Included support for the RESULTS Act in our end of 2025 legislative priorities. Medicare Advantage - Sent letter of support to bill sponsors of the Medicare Advantage Prompt Pay Act (H.R. 5454) that would help ensure prompt payment to medical groups from Medicare Advantage plans.
Patient Access to Higher Quality Health Care Act of 2025
Client: MEDICAL GROUP MANAGEMENT ASSN · Firm: MEDICAL GROUP MANAGEMENT ASSN
Medicare payment reform - Sent letter of support to the bill sponsors of the Strengthening Medicare for Patients and Providers Act (H.R. 6160) that would add an inflationary update to Medicare Part B reimbursement as measured by the Medicare Economic Index (MEI). Sent letter to congressional leadership with our end of 2025 Medicare payment reform priorities - add an inflationary update, reform the budget neutrality aspect of Medicare, permanently extend the 1.0 work GPCI floor. Prior Authorization - Supported the Improving Seniors Timely Access to Care Act (S. 1816, H.R. 3514) in Congress to reform prior authorization, joined a letter to congressional leadership in support of the bill. Joined letter to Congress on the need to reform the Medicare Wasteful and Inappropriate Service Reduction (WISeR) Model that is being tested under the CMS Innovation Center. Sent a letter of support to the bill sponsors for reintroducing the Safe Step Act (H.R. 5509) to reform step therapy protocols. Telehealth - Joined a letter to OMB and the DEA urging for the extension of flexibilities related to prescribing controlled substances via telehealth. Joined a letter to Congress to act to extend telehealth flexibilities long-term that were at the time expired during the government shutdown. Sent letter to congressional leadership with our end of 2025 telehealth policy priorities. Physician-Owned Hospitals - Joined a letter to Congress in support of repealing the ban on physician-owned hospitals. Joined a letter of support of the Patient Access to Higher Quality Health Care Act of 2025 (H.R. 4002) that would repeal statutory restrictions on the whole hospital exception to Stark physician self- referral law. Cybersecurity - Joined a letter to HHS opposing the finalization of the proposed rule to make changes to HIPAA cybersecurity regulations. Artificial Intelligence (AI) - Joined a coalition letter on artificial intelligence policies for medical groups in response to the White House Office of Science and Technology Policy request for information on AI reform. Value-Based Care - Sent letter to congressional leadership supporting the Preserving Patient Access to Accountable Care Act (H.R. 786, S. 1460). Joined a letter to CMS urging them to use existing authority to ensure ACOs and MIPS eligible clinicians are held harmless from challenges posed by increased billing for skin substitutes. Expiration of healthcare policies due to lapse in federal government funding - Sent letter to congressional leadership urging them to reinstate the healthcare provisions (telehealth flexibilities, the 1.0 work GPCI floor) that expired on September 30 as part of the government shutdown. Urged CMS to release claims that were being held as a result of the pause on processing Medicare claims from the government shutdown. Sent letter to CMS requesting guidance on the rebilling of claims following the government shutdown and subsequent legislation extending numerous healthcare policies. Supported Congress extending healthcare policies that expired during the government shutdown and urged permanent reform to enshrine these policies. Enhanced ACA Tax Credits - Urged Congress to extend the enhanced Marketplace premium tax credits as part of our end of 2025 legislative priorities. Clinical Lab Cuts -Joined a coalition letter of support to the bill sponsors for the RESULTS Act (H.R. 5269) that would reform the clinical laboratory fee schedule and stop potential cuts to laboratory reimbursement. Included support for the RESULTS Act in our end of 2025 legislative priorities. Medicare Advantage - Sent letter of support to bill sponsors of the Medicare Advantage Prompt Pay Act (H.R. 5454) that would help ensure prompt payment to medical groups from Medicare Advantage plans.
Medicare payment reform - Sent letter of support to the bill sponsors of the Strengthening Medicare for Patients and Providers Act (H.R. 6160) that would add an inflationary update to Medicare Part B reimbursement as measured by the Medicare Economic Index (MEI). Sent letter to congressional leadership with our end of 2025 Medicare payment reform priorities - add an inflationary update, reform the budget neutrality aspect of Medicare, permanently extend the 1.0 work GPCI floor. Prior Authorization - Supported the Improving Seniors Timely Access to Care Act (S. 1816, H.R. 3514) in Congress to reform prior authorization, joined a letter to congressional leadership in support of the bill. Joined letter to Congress on the need to reform the Medicare Wasteful and Inappropriate Service Reduction (WISeR) Model that is being tested under the CMS Innovation Center. Sent a letter of support to the bill sponsors for reintroducing the Safe Step Act (H.R. 5509) to reform step therapy protocols. Telehealth - Joined a letter to OMB and the DEA urging for the extension of flexibilities related to prescribing controlled substances via telehealth. Joined a letter to Congress to act to extend telehealth flexibilities long-term that were at the time expired during the government shutdown. Sent letter to congressional leadership with our end of 2025 telehealth policy priorities. Physician-Owned Hospitals - Joined a letter to Congress in support of repealing the ban on physician-owned hospitals. Joined a letter of support of the Patient Access to Higher Quality Health Care Act of 2025 (H.R. 4002) that would repeal statutory restrictions on the whole hospital exception to Stark physician self- referral law. Cybersecurity - Joined a letter to HHS opposing the finalization of the proposed rule to make changes to HIPAA cybersecurity regulations. Artificial Intelligence (AI) - Joined a coalition letter on artificial intelligence policies for medical groups in response to the White House Office of Science and Technology Policy request for information on AI reform. Value-Based Care - Sent letter to congressional leadership supporting the Preserving Patient Access to Accountable Care Act (H.R. 786, S. 1460). Joined a letter to CMS urging them to use existing authority to ensure ACOs and MIPS eligible clinicians are held harmless from challenges posed by increased billing for skin substitutes. Expiration of healthcare policies due to lapse in federal government funding - Sent letter to congressional leadership urging them to reinstate the healthcare provisions (telehealth flexibilities, the 1.0 work GPCI floor) that expired on September 30 as part of the government shutdown. Urged CMS to release claims that were being held as a result of the pause on processing Medicare claims from the government shutdown. Sent letter to CMS requesting guidance on the rebilling of claims following the government shutdown and subsequent legislation extending numerous healthcare policies. Supported Congress extending healthcare policies that expired during the government shutdown and urged permanent reform to enshrine these policies. Enhanced ACA Tax Credits - Urged Congress to extend the enhanced Marketplace premium tax credits as part of our end of 2025 legislative priorities. Clinical Lab Cuts -Joined a coalition letter of support to the bill sponsors for the RESULTS Act (H.R. 5269) that would reform the clinical laboratory fee schedule and stop potential cuts to laboratory reimbursement. Included support for the RESULTS Act in our end of 2025 legislative priorities. Medicare Advantage - Sent letter of support to bill sponsors of the Medicare Advantage Prompt Pay Act (H.R. 5454) that would help ensure prompt payment to medical groups from Medicare Advantage plans.
Medicare payment reform - Sent letter of support to the bill sponsors of the Strengthening Medicare for Patients and Providers Act (H.R. 6160) that would add an inflationary update to Medicare Part B reimbursement as measured by the Medicare Economic Index (MEI). Sent letter to congressional leadership with our end of 2025 Medicare payment reform priorities - add an inflationary update, reform the budget neutrality aspect of Medicare, permanently extend the 1.0 work GPCI floor. Prior Authorization - Supported the Improving Seniors Timely Access to Care Act (S. 1816, H.R. 3514) in Congress to reform prior authorization, joined a letter to congressional leadership in support of the bill. Joined letter to Congress on the need to reform the Medicare Wasteful and Inappropriate Service Reduction (WISeR) Model that is being tested under the CMS Innovation Center. Sent a letter of support to the bill sponsors for reintroducing the Safe Step Act (H.R. 5509) to reform step therapy protocols. Telehealth - Joined a letter to OMB and the DEA urging for the extension of flexibilities related to prescribing controlled substances via telehealth. Joined a letter to Congress to act to extend telehealth flexibilities long-term that were at the time expired during the government shutdown. Sent letter to congressional leadership with our end of 2025 telehealth policy priorities. Physician-Owned Hospitals - Joined a letter to Congress in support of repealing the ban on physician-owned hospitals. Joined a letter of support of the Patient Access to Higher Quality Health Care Act of 2025 (H.R. 4002) that would repeal statutory restrictions on the whole hospital exception to Stark physician self- referral law. Cybersecurity - Joined a letter to HHS opposing the finalization of the proposed rule to make changes to HIPAA cybersecurity regulations. Artificial Intelligence (AI) - Joined a coalition letter on artificial intelligence policies for medical groups in response to the White House Office of Science and Technology Policy request for information on AI reform. Value-Based Care - Sent letter to congressional leadership supporting the Preserving Patient Access to Accountable Care Act (H.R. 786, S. 1460). Joined a letter to CMS urging them to use existing authority to ensure ACOs and MIPS eligible clinicians are held harmless from challenges posed by increased billing for skin substitutes. Expiration of healthcare policies due to lapse in federal government funding - Sent letter to congressional leadership urging them to reinstate the healthcare provisions (telehealth flexibilities, the 1.0 work GPCI floor) that expired on September 30 as part of the government shutdown. Urged CMS to release claims that were being held as a result of the pause on processing Medicare claims from the government shutdown. Sent letter to CMS requesting guidance on the rebilling of claims following the government shutdown and subsequent legislation extending numerous healthcare policies. Supported Congress extending healthcare policies that expired during the government shutdown and urged permanent reform to enshrine these policies. Enhanced ACA Tax Credits - Urged Congress to extend the enhanced Marketplace premium tax credits as part of our end of 2025 legislative priorities. Clinical Lab Cuts -Joined a coalition letter of support to the bill sponsors for the RESULTS Act (H.R. 5269) that would reform the clinical laboratory fee schedule and stop potential cuts to laboratory reimbursement. Included support for the RESULTS Act in our end of 2025 legislative priorities. Medicare Advantage - Sent letter of support to bill sponsors of the Medicare Advantage Prompt Pay Act (H.R. 5454) that would help ensure prompt payment to medical groups from Medicare Advantage plans.
Medicare Advantage Prompt Pay Act
Client: MEDICAL GROUP MANAGEMENT ASSN · Firm: MEDICAL GROUP MANAGEMENT ASSN
Medicare payment reform - Sent letter of support to the bill sponsors of the Strengthening Medicare for Patients and Providers Act (H.R. 6160) that would add an inflationary update to Medicare Part B reimbursement as measured by the Medicare Economic Index (MEI). Sent letter to congressional leadership with our end of 2025 Medicare payment reform priorities - add an inflationary update, reform the budget neutrality aspect of Medicare, permanently extend the 1.0 work GPCI floor. Prior Authorization - Supported the Improving Seniors Timely Access to Care Act (S. 1816, H.R. 3514) in Congress to reform prior authorization, joined a letter to congressional leadership in support of the bill. Joined letter to Congress on the need to reform the Medicare Wasteful and Inappropriate Service Reduction (WISeR) Model that is being tested under the CMS Innovation Center. Sent a letter of support to the bill sponsors for reintroducing the Safe Step Act (H.R. 5509) to reform step therapy protocols. Telehealth - Joined a letter to OMB and the DEA urging for the extension of flexibilities related to prescribing controlled substances via telehealth. Joined a letter to Congress to act to extend telehealth flexibilities long-term that were at the time expired during the government shutdown. Sent letter to congressional leadership with our end of 2025 telehealth policy priorities. Physician-Owned Hospitals - Joined a letter to Congress in support of repealing the ban on physician-owned hospitals. Joined a letter of support of the Patient Access to Higher Quality Health Care Act of 2025 (H.R. 4002) that would repeal statutory restrictions on the whole hospital exception to Stark physician self- referral law. Cybersecurity - Joined a letter to HHS opposing the finalization of the proposed rule to make changes to HIPAA cybersecurity regulations. Artificial Intelligence (AI) - Joined a coalition letter on artificial intelligence policies for medical groups in response to the White House Office of Science and Technology Policy request for information on AI reform. Value-Based Care - Sent letter to congressional leadership supporting the Preserving Patient Access to Accountable Care Act (H.R. 786, S. 1460). Joined a letter to CMS urging them to use existing authority to ensure ACOs and MIPS eligible clinicians are held harmless from challenges posed by increased billing for skin substitutes. Expiration of healthcare policies due to lapse in federal government funding - Sent letter to congressional leadership urging them to reinstate the healthcare provisions (telehealth flexibilities, the 1.0 work GPCI floor) that expired on September 30 as part of the government shutdown. Urged CMS to release claims that were being held as a result of the pause on processing Medicare claims from the government shutdown. Sent letter to CMS requesting guidance on the rebilling of claims following the government shutdown and subsequent legislation extending numerous healthcare policies. Supported Congress extending healthcare policies that expired during the government shutdown and urged permanent reform to enshrine these policies. Enhanced ACA Tax Credits - Urged Congress to extend the enhanced Marketplace premium tax credits as part of our end of 2025 legislative priorities. Clinical Lab Cuts -Joined a coalition letter of support to the bill sponsors for the RESULTS Act (H.R. 5269) that would reform the clinical laboratory fee schedule and stop potential cuts to laboratory reimbursement. Included support for the RESULTS Act in our end of 2025 legislative priorities. Medicare Advantage - Sent letter of support to bill sponsors of the Medicare Advantage Prompt Pay Act (H.R. 5454) that would help ensure prompt payment to medical groups from Medicare Advantage plans.
Medicare Advantage Prompt Pay Act
Client: MEDICAL GROUP MANAGEMENT ASSN · Firm: MEDICAL GROUP MANAGEMENT ASSN
Medicare payment reform - Sent letter of support to the bill sponsors of the Strengthening Medicare for Patients and Providers Act (H.R. 6160) that would add an inflationary update to Medicare Part B reimbursement as measured by the Medicare Economic Index (MEI). Sent letter to congressional leadership with our end of 2025 Medicare payment reform priorities - add an inflationary update, reform the budget neutrality aspect of Medicare, permanently extend the 1.0 work GPCI floor. Prior Authorization - Supported the Improving Seniors Timely Access to Care Act (S. 1816, H.R. 3514) in Congress to reform prior authorization, joined a letter to congressional leadership in support of the bill. Joined letter to Congress on the need to reform the Medicare Wasteful and Inappropriate Service Reduction (WISeR) Model that is being tested under the CMS Innovation Center. Sent a letter of support to the bill sponsors for reintroducing the Safe Step Act (H.R. 5509) to reform step therapy protocols. Telehealth - Joined a letter to OMB and the DEA urging for the extension of flexibilities related to prescribing controlled substances via telehealth. Joined a letter to Congress to act to extend telehealth flexibilities long-term that were at the time expired during the government shutdown. Sent letter to congressional leadership with our end of 2025 telehealth policy priorities. Physician-Owned Hospitals - Joined a letter to Congress in support of repealing the ban on physician-owned hospitals. Joined a letter of support of the Patient Access to Higher Quality Health Care Act of 2025 (H.R. 4002) that would repeal statutory restrictions on the whole hospital exception to Stark physician self- referral law. Cybersecurity - Joined a letter to HHS opposing the finalization of the proposed rule to make changes to HIPAA cybersecurity regulations. Artificial Intelligence (AI) - Joined a coalition letter on artificial intelligence policies for medical groups in response to the White House Office of Science and Technology Policy request for information on AI reform. Value-Based Care - Sent letter to congressional leadership supporting the Preserving Patient Access to Accountable Care Act (H.R. 786, S. 1460). Joined a letter to CMS urging them to use existing authority to ensure ACOs and MIPS eligible clinicians are held harmless from challenges posed by increased billing for skin substitutes. Expiration of healthcare policies due to lapse in federal government funding - Sent letter to congressional leadership urging them to reinstate the healthcare provisions (telehealth flexibilities, the 1.0 work GPCI floor) that expired on September 30 as part of the government shutdown. Urged CMS to release claims that were being held as a result of the pause on processing Medicare claims from the government shutdown. Sent letter to CMS requesting guidance on the rebilling of claims following the government shutdown and subsequent legislation extending numerous healthcare policies. Supported Congress extending healthcare policies that expired during the government shutdown and urged permanent reform to enshrine these policies. Enhanced ACA Tax Credits - Urged Congress to extend the enhanced Marketplace premium tax credits as part of our end of 2025 legislative priorities. Clinical Lab Cuts -Joined a coalition letter of support to the bill sponsors for the RESULTS Act (H.R. 5269) that would reform the clinical laboratory fee schedule and stop potential cuts to laboratory reimbursement. Included support for the RESULTS Act in our end of 2025 legislative priorities. Medicare Advantage - Sent letter of support to bill sponsors of the Medicare Advantage Prompt Pay Act (H.R. 5454) that would help ensure prompt payment to medical groups from Medicare Advantage plans.
Medicare payment reform - Sent letter of support to the bill sponsors of the Strengthening Medicare for Patients and Providers Act (H.R. 6160) that would add an inflationary update to Medicare Part B reimbursement as measured by the Medicare Economic Index (MEI). Sent letter to congressional leadership with our end of 2025 Medicare payment reform priorities - add an inflationary update, reform the budget neutrality aspect of Medicare, permanently extend the 1.0 work GPCI floor. Prior Authorization - Supported the Improving Seniors Timely Access to Care Act (S. 1816, H.R. 3514) in Congress to reform prior authorization, joined a letter to congressional leadership in support of the bill. Joined letter to Congress on the need to reform the Medicare Wasteful and Inappropriate Service Reduction (WISeR) Model that is being tested under the CMS Innovation Center. Sent a letter of support to the bill sponsors for reintroducing the Safe Step Act (H.R. 5509) to reform step therapy protocols. Telehealth - Joined a letter to OMB and the DEA urging for the extension of flexibilities related to prescribing controlled substances via telehealth. Joined a letter to Congress to act to extend telehealth flexibilities long-term that were at the time expired during the government shutdown. Sent letter to congressional leadership with our end of 2025 telehealth policy priorities. Physician-Owned Hospitals - Joined a letter to Congress in support of repealing the ban on physician-owned hospitals. Joined a letter of support of the Patient Access to Higher Quality Health Care Act of 2025 (H.R. 4002) that would repeal statutory restrictions on the whole hospital exception to Stark physician self- referral law. Cybersecurity - Joined a letter to HHS opposing the finalization of the proposed rule to make changes to HIPAA cybersecurity regulations. Artificial Intelligence (AI) - Joined a coalition letter on artificial intelligence policies for medical groups in response to the White House Office of Science and Technology Policy request for information on AI reform. Value-Based Care - Sent letter to congressional leadership supporting the Preserving Patient Access to Accountable Care Act (H.R. 786, S. 1460). Joined a letter to CMS urging them to use existing authority to ensure ACOs and MIPS eligible clinicians are held harmless from challenges posed by increased billing for skin substitutes. Expiration of healthcare policies due to lapse in federal government funding - Sent letter to congressional leadership urging them to reinstate the healthcare provisions (telehealth flexibilities, the 1.0 work GPCI floor) that expired on September 30 as part of the government shutdown. Urged CMS to release claims that were being held as a result of the pause on processing Medicare claims from the government shutdown. Sent letter to CMS requesting guidance on the rebilling of claims following the government shutdown and subsequent legislation extending numerous healthcare policies. Supported Congress extending healthcare policies that expired during the government shutdown and urged permanent reform to enshrine these policies. Enhanced ACA Tax Credits - Urged Congress to extend the enhanced Marketplace premium tax credits as part of our end of 2025 legislative priorities. Clinical Lab Cuts -Joined a coalition letter of support to the bill sponsors for the RESULTS Act (H.R. 5269) that would reform the clinical laboratory fee schedule and stop potential cuts to laboratory reimbursement. Included support for the RESULTS Act in our end of 2025 legislative priorities. Medicare Advantage - Sent letter of support to bill sponsors of the Medicare Advantage Prompt Pay Act (H.R. 5454) that would help ensure prompt payment to medical groups from Medicare Advantage plans.
Medicare payment reform - Sent letter of support to the bill sponsors of the Strengthening Medicare for Patients and Providers Act (H.R. 6160) that would add an inflationary update to Medicare Part B reimbursement as measured by the Medicare Economic Index (MEI). Sent letter to congressional leadership with our end of 2025 Medicare payment reform priorities - add an inflationary update, reform the budget neutrality aspect of Medicare, permanently extend the 1.0 work GPCI floor. Prior Authorization - Supported the Improving Seniors Timely Access to Care Act (S. 1816, H.R. 3514) in Congress to reform prior authorization, joined a letter to congressional leadership in support of the bill. Joined letter to Congress on the need to reform the Medicare Wasteful and Inappropriate Service Reduction (WISeR) Model that is being tested under the CMS Innovation Center. Sent a letter of support to the bill sponsors for reintroducing the Safe Step Act (H.R. 5509) to reform step therapy protocols. Telehealth - Joined a letter to OMB and the DEA urging for the extension of flexibilities related to prescribing controlled substances via telehealth. Joined a letter to Congress to act to extend telehealth flexibilities long-term that were at the time expired during the government shutdown. Sent letter to congressional leadership with our end of 2025 telehealth policy priorities. Physician-Owned Hospitals - Joined a letter to Congress in support of repealing the ban on physician-owned hospitals. Joined a letter of support of the Patient Access to Higher Quality Health Care Act of 2025 (H.R. 4002) that would repeal statutory restrictions on the whole hospital exception to Stark physician self- referral law. Cybersecurity - Joined a letter to HHS opposing the finalization of the proposed rule to make changes to HIPAA cybersecurity regulations. Artificial Intelligence (AI) - Joined a coalition letter on artificial intelligence policies for medical groups in response to the White House Office of Science and Technology Policy request for information on AI reform. Value-Based Care - Sent letter to congressional leadership supporting the Preserving Patient Access to Accountable Care Act (H.R. 786, S. 1460). Joined a letter to CMS urging them to use existing authority to ensure ACOs and MIPS eligible clinicians are held harmless from challenges posed by increased billing for skin substitutes. Expiration of healthcare policies due to lapse in federal government funding - Sent letter to congressional leadership urging them to reinstate the healthcare provisions (telehealth flexibilities, the 1.0 work GPCI floor) that expired on September 30 as part of the government shutdown. Urged CMS to release claims that were being held as a result of the pause on processing Medicare claims from the government shutdown. Sent letter to CMS requesting guidance on the rebilling of claims following the government shutdown and subsequent legislation extending numerous healthcare policies. Supported Congress extending healthcare policies that expired during the government shutdown and urged permanent reform to enshrine these policies. Enhanced ACA Tax Credits - Urged Congress to extend the enhanced Marketplace premium tax credits as part of our end of 2025 legislative priorities. Clinical Lab Cuts -Joined a coalition letter of support to the bill sponsors for the RESULTS Act (H.R. 5269) that would reform the clinical laboratory fee schedule and stop potential cuts to laboratory reimbursement. Included support for the RESULTS Act in our end of 2025 legislative priorities. Medicare Advantage - Sent letter of support to bill sponsors of the Medicare Advantage Prompt Pay Act (H.R. 5454) that would help ensure prompt payment to medical groups from Medicare Advantage plans.
Strengthening Medicare for Patients and Providers Act
Client: MEDICAL GROUP MANAGEMENT ASSN · Firm: MEDICAL GROUP MANAGEMENT ASSN
Medicare payment reform - Sent letter of support to the bill sponsors of the Strengthening Medicare for Patients and Providers Act (H.R. 6160) that would add an inflationary update to Medicare Part B reimbursement as measured by the Medicare Economic Index (MEI). Sent letter to congressional leadership with our end of 2025 Medicare payment reform priorities - add an inflationary update, reform the budget neutrality aspect of Medicare, permanently extend the 1.0 work GPCI floor. Prior Authorization - Supported the Improving Seniors Timely Access to Care Act (S. 1816, H.R. 3514) in Congress to reform prior authorization, joined a letter to congressional leadership in support of the bill. Joined letter to Congress on the need to reform the Medicare Wasteful and Inappropriate Service Reduction (WISeR) Model that is being tested under the CMS Innovation Center. Sent a letter of support to the bill sponsors for reintroducing the Safe Step Act (H.R. 5509) to reform step therapy protocols. Telehealth - Joined a letter to OMB and the DEA urging for the extension of flexibilities related to prescribing controlled substances via telehealth. Joined a letter to Congress to act to extend telehealth flexibilities long-term that were at the time expired during the government shutdown. Sent letter to congressional leadership with our end of 2025 telehealth policy priorities. Physician-Owned Hospitals - Joined a letter to Congress in support of repealing the ban on physician-owned hospitals. Joined a letter of support of the Patient Access to Higher Quality Health Care Act of 2025 (H.R. 4002) that would repeal statutory restrictions on the whole hospital exception to Stark physician self- referral law. Cybersecurity - Joined a letter to HHS opposing the finalization of the proposed rule to make changes to HIPAA cybersecurity regulations. Artificial Intelligence (AI) - Joined a coalition letter on artificial intelligence policies for medical groups in response to the White House Office of Science and Technology Policy request for information on AI reform. Value-Based Care - Sent letter to congressional leadership supporting the Preserving Patient Access to Accountable Care Act (H.R. 786, S. 1460). Joined a letter to CMS urging them to use existing authority to ensure ACOs and MIPS eligible clinicians are held harmless from challenges posed by increased billing for skin substitutes. Expiration of healthcare policies due to lapse in federal government funding - Sent letter to congressional leadership urging them to reinstate the healthcare provisions (telehealth flexibilities, the 1.0 work GPCI floor) that expired on September 30 as part of the government shutdown. Urged CMS to release claims that were being held as a result of the pause on processing Medicare claims from the government shutdown. Sent letter to CMS requesting guidance on the rebilling of claims following the government shutdown and subsequent legislation extending numerous healthcare policies. Supported Congress extending healthcare policies that expired during the government shutdown and urged permanent reform to enshrine these policies. Enhanced ACA Tax Credits - Urged Congress to extend the enhanced Marketplace premium tax credits as part of our end of 2025 legislative priorities. Clinical Lab Cuts -Joined a coalition letter of support to the bill sponsors for the RESULTS Act (H.R. 5269) that would reform the clinical laboratory fee schedule and stop potential cuts to laboratory reimbursement. Included support for the RESULTS Act in our end of 2025 legislative priorities. Medicare Advantage - Sent letter of support to bill sponsors of the Medicare Advantage Prompt Pay Act (H.R. 5454) that would help ensure prompt payment to medical groups from Medicare Advantage plans.
Strengthening Medicare for Patients and Providers Act
Client: MEDICAL GROUP MANAGEMENT ASSN · Firm: MEDICAL GROUP MANAGEMENT ASSN
Medicare payment reform - Sent letter of support to the bill sponsors of the Strengthening Medicare for Patients and Providers Act (H.R. 6160) that would add an inflationary update to Medicare Part B reimbursement as measured by the Medicare Economic Index (MEI). Sent letter to congressional leadership with our end of 2025 Medicare payment reform priorities - add an inflationary update, reform the budget neutrality aspect of Medicare, permanently extend the 1.0 work GPCI floor. Prior Authorization - Supported the Improving Seniors Timely Access to Care Act (S. 1816, H.R. 3514) in Congress to reform prior authorization, joined a letter to congressional leadership in support of the bill. Joined letter to Congress on the need to reform the Medicare Wasteful and Inappropriate Service Reduction (WISeR) Model that is being tested under the CMS Innovation Center. Sent a letter of support to the bill sponsors for reintroducing the Safe Step Act (H.R. 5509) to reform step therapy protocols. Telehealth - Joined a letter to OMB and the DEA urging for the extension of flexibilities related to prescribing controlled substances via telehealth. Joined a letter to Congress to act to extend telehealth flexibilities long-term that were at the time expired during the government shutdown. Sent letter to congressional leadership with our end of 2025 telehealth policy priorities. Physician-Owned Hospitals - Joined a letter to Congress in support of repealing the ban on physician-owned hospitals. Joined a letter of support of the Patient Access to Higher Quality Health Care Act of 2025 (H.R. 4002) that would repeal statutory restrictions on the whole hospital exception to Stark physician self- referral law. Cybersecurity - Joined a letter to HHS opposing the finalization of the proposed rule to make changes to HIPAA cybersecurity regulations. Artificial Intelligence (AI) - Joined a coalition letter on artificial intelligence policies for medical groups in response to the White House Office of Science and Technology Policy request for information on AI reform. Value-Based Care - Sent letter to congressional leadership supporting the Preserving Patient Access to Accountable Care Act (H.R. 786, S. 1460). Joined a letter to CMS urging them to use existing authority to ensure ACOs and MIPS eligible clinicians are held harmless from challenges posed by increased billing for skin substitutes. Expiration of healthcare policies due to lapse in federal government funding - Sent letter to congressional leadership urging them to reinstate the healthcare provisions (telehealth flexibilities, the 1.0 work GPCI floor) that expired on September 30 as part of the government shutdown. Urged CMS to release claims that were being held as a result of the pause on processing Medicare claims from the government shutdown. Sent letter to CMS requesting guidance on the rebilling of claims following the government shutdown and subsequent legislation extending numerous healthcare policies. Supported Congress extending healthcare policies that expired during the government shutdown and urged permanent reform to enshrine these policies. Enhanced ACA Tax Credits - Urged Congress to extend the enhanced Marketplace premium tax credits as part of our end of 2025 legislative priorities. Clinical Lab Cuts -Joined a coalition letter of support to the bill sponsors for the RESULTS Act (H.R. 5269) that would reform the clinical laboratory fee schedule and stop potential cuts to laboratory reimbursement. Included support for the RESULTS Act in our end of 2025 legislative priorities. Medicare Advantage - Sent letter of support to bill sponsors of the Medicare Advantage Prompt Pay Act (H.R. 5454) that would help ensure prompt payment to medical groups from Medicare Advantage plans.
Preserving Patient Access to Accountable Care Act
Client: MEDICAL GROUP MANAGEMENT ASSN · Firm: MEDICAL GROUP MANAGEMENT ASSN
Medicare payment reform - Sent letter of support to the bill sponsors of the Strengthening Medicare for Patients and Providers Act (H.R. 6160) that would add an inflationary update to Medicare Part B reimbursement as measured by the Medicare Economic Index (MEI). Sent letter to congressional leadership with our end of 2025 Medicare payment reform priorities - add an inflationary update, reform the budget neutrality aspect of Medicare, permanently extend the 1.0 work GPCI floor. Prior Authorization - Supported the Improving Seniors Timely Access to Care Act (S. 1816, H.R. 3514) in Congress to reform prior authorization, joined a letter to congressional leadership in support of the bill. Joined letter to Congress on the need to reform the Medicare Wasteful and Inappropriate Service Reduction (WISeR) Model that is being tested under the CMS Innovation Center. Sent a letter of support to the bill sponsors for reintroducing the Safe Step Act (H.R. 5509) to reform step therapy protocols. Telehealth - Joined a letter to OMB and the DEA urging for the extension of flexibilities related to prescribing controlled substances via telehealth. Joined a letter to Congress to act to extend telehealth flexibilities long-term that were at the time expired during the government shutdown. Sent letter to congressional leadership with our end of 2025 telehealth policy priorities. Physician-Owned Hospitals - Joined a letter to Congress in support of repealing the ban on physician-owned hospitals. Joined a letter of support of the Patient Access to Higher Quality Health Care Act of 2025 (H.R. 4002) that would repeal statutory restrictions on the whole hospital exception to Stark physician self- referral law. Cybersecurity - Joined a letter to HHS opposing the finalization of the proposed rule to make changes to HIPAA cybersecurity regulations. Artificial Intelligence (AI) - Joined a coalition letter on artificial intelligence policies for medical groups in response to the White House Office of Science and Technology Policy request for information on AI reform. Value-Based Care - Sent letter to congressional leadership supporting the Preserving Patient Access to Accountable Care Act (H.R. 786, S. 1460). Joined a letter to CMS urging them to use existing authority to ensure ACOs and MIPS eligible clinicians are held harmless from challenges posed by increased billing for skin substitutes. Expiration of healthcare policies due to lapse in federal government funding - Sent letter to congressional leadership urging them to reinstate the healthcare provisions (telehealth flexibilities, the 1.0 work GPCI floor) that expired on September 30 as part of the government shutdown. Urged CMS to release claims that were being held as a result of the pause on processing Medicare claims from the government shutdown. Sent letter to CMS requesting guidance on the rebilling of claims following the government shutdown and subsequent legislation extending numerous healthcare policies. Supported Congress extending healthcare policies that expired during the government shutdown and urged permanent reform to enshrine these policies. Enhanced ACA Tax Credits - Urged Congress to extend the enhanced Marketplace premium tax credits as part of our end of 2025 legislative priorities. Clinical Lab Cuts -Joined a coalition letter of support to the bill sponsors for the RESULTS Act (H.R. 5269) that would reform the clinical laboratory fee schedule and stop potential cuts to laboratory reimbursement. Included support for the RESULTS Act in our end of 2025 legislative priorities. Medicare Advantage - Sent letter of support to bill sponsors of the Medicare Advantage Prompt Pay Act (H.R. 5454) that would help ensure prompt payment to medical groups from Medicare Advantage plans.
Preserving Patient Access to Accountable Care Act
Client: MEDICAL GROUP MANAGEMENT ASSN · Firm: MEDICAL GROUP MANAGEMENT ASSN
Medicare payment reform - Sent letter of support to the bill sponsors of the Strengthening Medicare for Patients and Providers Act (H.R. 6160) that would add an inflationary update to Medicare Part B reimbursement as measured by the Medicare Economic Index (MEI). Sent letter to congressional leadership with our end of 2025 Medicare payment reform priorities - add an inflationary update, reform the budget neutrality aspect of Medicare, permanently extend the 1.0 work GPCI floor. Prior Authorization - Supported the Improving Seniors Timely Access to Care Act (S. 1816, H.R. 3514) in Congress to reform prior authorization, joined a letter to congressional leadership in support of the bill. Joined letter to Congress on the need to reform the Medicare Wasteful and Inappropriate Service Reduction (WISeR) Model that is being tested under the CMS Innovation Center. Sent a letter of support to the bill sponsors for reintroducing the Safe Step Act (H.R. 5509) to reform step therapy protocols. Telehealth - Joined a letter to OMB and the DEA urging for the extension of flexibilities related to prescribing controlled substances via telehealth. Joined a letter to Congress to act to extend telehealth flexibilities long-term that were at the time expired during the government shutdown. Sent letter to congressional leadership with our end of 2025 telehealth policy priorities. Physician-Owned Hospitals - Joined a letter to Congress in support of repealing the ban on physician-owned hospitals. Joined a letter of support of the Patient Access to Higher Quality Health Care Act of 2025 (H.R. 4002) that would repeal statutory restrictions on the whole hospital exception to Stark physician self- referral law. Cybersecurity - Joined a letter to HHS opposing the finalization of the proposed rule to make changes to HIPAA cybersecurity regulations. Artificial Intelligence (AI) - Joined a coalition letter on artificial intelligence policies for medical groups in response to the White House Office of Science and Technology Policy request for information on AI reform. Value-Based Care - Sent letter to congressional leadership supporting the Preserving Patient Access to Accountable Care Act (H.R. 786, S. 1460). Joined a letter to CMS urging them to use existing authority to ensure ACOs and MIPS eligible clinicians are held harmless from challenges posed by increased billing for skin substitutes. Expiration of healthcare policies due to lapse in federal government funding - Sent letter to congressional leadership urging them to reinstate the healthcare provisions (telehealth flexibilities, the 1.0 work GPCI floor) that expired on September 30 as part of the government shutdown. Urged CMS to release claims that were being held as a result of the pause on processing Medicare claims from the government shutdown. Sent letter to CMS requesting guidance on the rebilling of claims following the government shutdown and subsequent legislation extending numerous healthcare policies. Supported Congress extending healthcare policies that expired during the government shutdown and urged permanent reform to enshrine these policies. Enhanced ACA Tax Credits - Urged Congress to extend the enhanced Marketplace premium tax credits as part of our end of 2025 legislative priorities. Clinical Lab Cuts -Joined a coalition letter of support to the bill sponsors for the RESULTS Act (H.R. 5269) that would reform the clinical laboratory fee schedule and stop potential cuts to laboratory reimbursement. Included support for the RESULTS Act in our end of 2025 legislative priorities. Medicare Advantage - Sent letter of support to bill sponsors of the Medicare Advantage Prompt Pay Act (H.R. 5454) that would help ensure prompt payment to medical groups from Medicare Advantage plans.
Preserving Patient Access to Accountable Care Act
Client: MEDICAL GROUP MANAGEMENT ASSN · Firm: MEDICAL GROUP MANAGEMENT ASSN
Medicare payment reform - Sent letter of support to the bill sponsors of the Strengthening Medicare for Patients and Providers Act (H.R. 6160) that would add an inflationary update to Medicare Part B reimbursement as measured by the Medicare Economic Index (MEI). Sent letter to congressional leadership with our end of 2025 Medicare payment reform priorities - add an inflationary update, reform the budget neutrality aspect of Medicare, permanently extend the 1.0 work GPCI floor. Prior Authorization - Supported the Improving Seniors Timely Access to Care Act (S. 1816, H.R. 3514) in Congress to reform prior authorization, joined a letter to congressional leadership in support of the bill. Joined letter to Congress on the need to reform the Medicare Wasteful and Inappropriate Service Reduction (WISeR) Model that is being tested under the CMS Innovation Center. Sent a letter of support to the bill sponsors for reintroducing the Safe Step Act (H.R. 5509) to reform step therapy protocols. Telehealth - Joined a letter to OMB and the DEA urging for the extension of flexibilities related to prescribing controlled substances via telehealth. Joined a letter to Congress to act to extend telehealth flexibilities long-term that were at the time expired during the government shutdown. Sent letter to congressional leadership with our end of 2025 telehealth policy priorities. Physician-Owned Hospitals - Joined a letter to Congress in support of repealing the ban on physician-owned hospitals. Joined a letter of support of the Patient Access to Higher Quality Health Care Act of 2025 (H.R. 4002) that would repeal statutory restrictions on the whole hospital exception to Stark physician self- referral law. Cybersecurity - Joined a letter to HHS opposing the finalization of the proposed rule to make changes to HIPAA cybersecurity regulations. Artificial Intelligence (AI) - Joined a coalition letter on artificial intelligence policies for medical groups in response to the White House Office of Science and Technology Policy request for information on AI reform. Value-Based Care - Sent letter to congressional leadership supporting the Preserving Patient Access to Accountable Care Act (H.R. 786, S. 1460). Joined a letter to CMS urging them to use existing authority to ensure ACOs and MIPS eligible clinicians are held harmless from challenges posed by increased billing for skin substitutes. Expiration of healthcare policies due to lapse in federal government funding - Sent letter to congressional leadership urging them to reinstate the healthcare provisions (telehealth flexibilities, the 1.0 work GPCI floor) that expired on September 30 as part of the government shutdown. Urged CMS to release claims that were being held as a result of the pause on processing Medicare claims from the government shutdown. Sent letter to CMS requesting guidance on the rebilling of claims following the government shutdown and subsequent legislation extending numerous healthcare policies. Supported Congress extending healthcare policies that expired during the government shutdown and urged permanent reform to enshrine these policies. Enhanced ACA Tax Credits - Urged Congress to extend the enhanced Marketplace premium tax credits as part of our end of 2025 legislative priorities. Clinical Lab Cuts -Joined a coalition letter of support to the bill sponsors for the RESULTS Act (H.R. 5269) that would reform the clinical laboratory fee schedule and stop potential cuts to laboratory reimbursement. Included support for the RESULTS Act in our end of 2025 legislative priorities. Medicare Advantage - Sent letter of support to bill sponsors of the Medicare Advantage Prompt Pay Act (H.R. 5454) that would help ensure prompt payment to medical groups from Medicare Advantage plans.
Preserving Patient Access to Accountable Care Act
Client: MEDICAL GROUP MANAGEMENT ASSN · Firm: MEDICAL GROUP MANAGEMENT ASSN
Medicare payment reform - Sent letter of support to the bill sponsors of the Strengthening Medicare for Patients and Providers Act (H.R. 6160) that would add an inflationary update to Medicare Part B reimbursement as measured by the Medicare Economic Index (MEI). Sent letter to congressional leadership with our end of 2025 Medicare payment reform priorities - add an inflationary update, reform the budget neutrality aspect of Medicare, permanently extend the 1.0 work GPCI floor. Prior Authorization - Supported the Improving Seniors Timely Access to Care Act (S. 1816, H.R. 3514) in Congress to reform prior authorization, joined a letter to congressional leadership in support of the bill. Joined letter to Congress on the need to reform the Medicare Wasteful and Inappropriate Service Reduction (WISeR) Model that is being tested under the CMS Innovation Center. Sent a letter of support to the bill sponsors for reintroducing the Safe Step Act (H.R. 5509) to reform step therapy protocols. Telehealth - Joined a letter to OMB and the DEA urging for the extension of flexibilities related to prescribing controlled substances via telehealth. Joined a letter to Congress to act to extend telehealth flexibilities long-term that were at the time expired during the government shutdown. Sent letter to congressional leadership with our end of 2025 telehealth policy priorities. Physician-Owned Hospitals - Joined a letter to Congress in support of repealing the ban on physician-owned hospitals. Joined a letter of support of the Patient Access to Higher Quality Health Care Act of 2025 (H.R. 4002) that would repeal statutory restrictions on the whole hospital exception to Stark physician self- referral law. Cybersecurity - Joined a letter to HHS opposing the finalization of the proposed rule to make changes to HIPAA cybersecurity regulations. Artificial Intelligence (AI) - Joined a coalition letter on artificial intelligence policies for medical groups in response to the White House Office of Science and Technology Policy request for information on AI reform. Value-Based Care - Sent letter to congressional leadership supporting the Preserving Patient Access to Accountable Care Act (H.R. 786, S. 1460). Joined a letter to CMS urging them to use existing authority to ensure ACOs and MIPS eligible clinicians are held harmless from challenges posed by increased billing for skin substitutes. Expiration of healthcare policies due to lapse in federal government funding - Sent letter to congressional leadership urging them to reinstate the healthcare provisions (telehealth flexibilities, the 1.0 work GPCI floor) that expired on September 30 as part of the government shutdown. Urged CMS to release claims that were being held as a result of the pause on processing Medicare claims from the government shutdown. Sent letter to CMS requesting guidance on the rebilling of claims following the government shutdown and subsequent legislation extending numerous healthcare policies. Supported Congress extending healthcare policies that expired during the government shutdown and urged permanent reform to enshrine these policies. Enhanced ACA Tax Credits - Urged Congress to extend the enhanced Marketplace premium tax credits as part of our end of 2025 legislative priorities. Clinical Lab Cuts -Joined a coalition letter of support to the bill sponsors for the RESULTS Act (H.R. 5269) that would reform the clinical laboratory fee schedule and stop potential cuts to laboratory reimbursement. Included support for the RESULTS Act in our end of 2025 legislative priorities. Medicare Advantage - Sent letter of support to bill sponsors of the Medicare Advantage Prompt Pay Act (H.R. 5454) that would help ensure prompt payment to medical groups from Medicare Advantage plans.
Improving Seniors’ Timely Access to Care Act of 2025
Client: MEDICAL GROUP MANAGEMENT ASSN · Firm: MEDICAL GROUP MANAGEMENT ASSN
Medicare payment reform - Sent letter of support to the bill sponsors of the Strengthening Medicare for Patients and Providers Act (H.R. 6160) that would add an inflationary update to Medicare Part B reimbursement as measured by the Medicare Economic Index (MEI). Sent letter to congressional leadership with our end of 2025 Medicare payment reform priorities - add an inflationary update, reform the budget neutrality aspect of Medicare, permanently extend the 1.0 work GPCI floor. Prior Authorization - Supported the Improving Seniors Timely Access to Care Act (S. 1816, H.R. 3514) in Congress to reform prior authorization, joined a letter to congressional leadership in support of the bill. Joined letter to Congress on the need to reform the Medicare Wasteful and Inappropriate Service Reduction (WISeR) Model that is being tested under the CMS Innovation Center. Sent a letter of support to the bill sponsors for reintroducing the Safe Step Act (H.R. 5509) to reform step therapy protocols. Telehealth - Joined a letter to OMB and the DEA urging for the extension of flexibilities related to prescribing controlled substances via telehealth. Joined a letter to Congress to act to extend telehealth flexibilities long-term that were at the time expired during the government shutdown. Sent letter to congressional leadership with our end of 2025 telehealth policy priorities. Physician-Owned Hospitals - Joined a letter to Congress in support of repealing the ban on physician-owned hospitals. Joined a letter of support of the Patient Access to Higher Quality Health Care Act of 2025 (H.R. 4002) that would repeal statutory restrictions on the whole hospital exception to Stark physician self- referral law. Cybersecurity - Joined a letter to HHS opposing the finalization of the proposed rule to make changes to HIPAA cybersecurity regulations. Artificial Intelligence (AI) - Joined a coalition letter on artificial intelligence policies for medical groups in response to the White House Office of Science and Technology Policy request for information on AI reform. Value-Based Care - Sent letter to congressional leadership supporting the Preserving Patient Access to Accountable Care Act (H.R. 786, S. 1460). Joined a letter to CMS urging them to use existing authority to ensure ACOs and MIPS eligible clinicians are held harmless from challenges posed by increased billing for skin substitutes. Expiration of healthcare policies due to lapse in federal government funding - Sent letter to congressional leadership urging them to reinstate the healthcare provisions (telehealth flexibilities, the 1.0 work GPCI floor) that expired on September 30 as part of the government shutdown. Urged CMS to release claims that were being held as a result of the pause on processing Medicare claims from the government shutdown. Sent letter to CMS requesting guidance on the rebilling of claims following the government shutdown and subsequent legislation extending numerous healthcare policies. Supported Congress extending healthcare policies that expired during the government shutdown and urged permanent reform to enshrine these policies. Enhanced ACA Tax Credits - Urged Congress to extend the enhanced Marketplace premium tax credits as part of our end of 2025 legislative priorities. Clinical Lab Cuts -Joined a coalition letter of support to the bill sponsors for the RESULTS Act (H.R. 5269) that would reform the clinical laboratory fee schedule and stop potential cuts to laboratory reimbursement. Included support for the RESULTS Act in our end of 2025 legislative priorities. Medicare Advantage - Sent letter of support to bill sponsors of the Medicare Advantage Prompt Pay Act (H.R. 5454) that would help ensure prompt payment to medical groups from Medicare Advantage plans.
Improving Seniors’ Timely Access to Care Act of 2025
Client: MEDICAL GROUP MANAGEMENT ASSN · Firm: MEDICAL GROUP MANAGEMENT ASSN
Medicare payment reform - Sent letter of support to the bill sponsors of the Strengthening Medicare for Patients and Providers Act (H.R. 6160) that would add an inflationary update to Medicare Part B reimbursement as measured by the Medicare Economic Index (MEI). Sent letter to congressional leadership with our end of 2025 Medicare payment reform priorities - add an inflationary update, reform the budget neutrality aspect of Medicare, permanently extend the 1.0 work GPCI floor. Prior Authorization - Supported the Improving Seniors Timely Access to Care Act (S. 1816, H.R. 3514) in Congress to reform prior authorization, joined a letter to congressional leadership in support of the bill. Joined letter to Congress on the need to reform the Medicare Wasteful and Inappropriate Service Reduction (WISeR) Model that is being tested under the CMS Innovation Center. Sent a letter of support to the bill sponsors for reintroducing the Safe Step Act (H.R. 5509) to reform step therapy protocols. Telehealth - Joined a letter to OMB and the DEA urging for the extension of flexibilities related to prescribing controlled substances via telehealth. Joined a letter to Congress to act to extend telehealth flexibilities long-term that were at the time expired during the government shutdown. Sent letter to congressional leadership with our end of 2025 telehealth policy priorities. Physician-Owned Hospitals - Joined a letter to Congress in support of repealing the ban on physician-owned hospitals. Joined a letter of support of the Patient Access to Higher Quality Health Care Act of 2025 (H.R. 4002) that would repeal statutory restrictions on the whole hospital exception to Stark physician self- referral law. Cybersecurity - Joined a letter to HHS opposing the finalization of the proposed rule to make changes to HIPAA cybersecurity regulations. Artificial Intelligence (AI) - Joined a coalition letter on artificial intelligence policies for medical groups in response to the White House Office of Science and Technology Policy request for information on AI reform. Value-Based Care - Sent letter to congressional leadership supporting the Preserving Patient Access to Accountable Care Act (H.R. 786, S. 1460). Joined a letter to CMS urging them to use existing authority to ensure ACOs and MIPS eligible clinicians are held harmless from challenges posed by increased billing for skin substitutes. Expiration of healthcare policies due to lapse in federal government funding - Sent letter to congressional leadership urging them to reinstate the healthcare provisions (telehealth flexibilities, the 1.0 work GPCI floor) that expired on September 30 as part of the government shutdown. Urged CMS to release claims that were being held as a result of the pause on processing Medicare claims from the government shutdown. Sent letter to CMS requesting guidance on the rebilling of claims following the government shutdown and subsequent legislation extending numerous healthcare policies. Supported Congress extending healthcare policies that expired during the government shutdown and urged permanent reform to enshrine these policies. Enhanced ACA Tax Credits - Urged Congress to extend the enhanced Marketplace premium tax credits as part of our end of 2025 legislative priorities. Clinical Lab Cuts -Joined a coalition letter of support to the bill sponsors for the RESULTS Act (H.R. 5269) that would reform the clinical laboratory fee schedule and stop potential cuts to laboratory reimbursement. Included support for the RESULTS Act in our end of 2025 legislative priorities. Medicare Advantage - Sent letter of support to bill sponsors of the Medicare Advantage Prompt Pay Act (H.R. 5454) that would help ensure prompt payment to medical groups from Medicare Advantage plans.
2027 Medicare Physician Fee Schedule Proposed Rule: Submitted comments in response to the 2027 Medicare Physician Fee Schedule Proposed Rule that included recommendations on proposals related to Medicare physician payment, value-based care, MIPS, remote patient monitoring, and more. Joined coalition letter urging CMS to withdraw proposed changes to remote patient monitoring. Joined coalition of physician specialty organizations in urging CMS and the Administration (OMB and DPC) to withdraw its proposed policy to reduce payment by 50 percent when a separately identifiable office/outpatient (O/O) evaluation and management (E/M) service reported with modifier -25 is furnished on the same day as a procedure with a 0-, 10-, or 90-day global period. Medicare Physician Payment: Submitted Statement for the Record supporting the Patients First Act (H.R. 9693), the Provider Reimbursement Stability Act (H.R. 8163), and the Medicare Physician Data-driven Performance Payment System Act (H.R. 8622), three pieces of Medicare payment legislation that were discussed in the House Energy and Commerce Subcommittee on Health legislative hearing. Supported the introduction of the Patients First Act (H.R. 9693) that would make structural reforms to Medicare reimbursement. Medicare Enrollment: Submitted comments in response to the 2027 Home Health Prospective Payment System Proposed Rule urging CMS to withdraw Medicare enrollment proposals. Joined a coalition letter of provider organizations urging CMS to reconsider its proposed Medicare enrollment changes. H-1B: Submitted comments urging the Department of Homeland Security to exempt all healthcare workers from proposed $103,265 H-1B visa fees. Value-Based Care: Joined a coalition of provider groups in a letter to CMS urging the agency to support accountable care in Medicare. Prior Authorization: Supported the passage of the Improving Seniors Timely Access to Care Act (H.R. 3514), legislation that would reform prior authorization in Medicare Advantage, through both the Ways and Means and Energy and Commerce Committee. Medicare Advantage: Supported the introduction of the Protecting Approved Care Act (H.R. 10394) that would prohibit Medicare Advantage organizations from reversing payment decisions or downcoding after the plan approves prior authorization for an item or service.
Filing targets: Centers For Medicare and Medicaid Services (CMS), Executive Office of the President (EOP), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Office of Management & Budget (OMB), SENATE
MEDICAL GROUP MANAGEMENT ASSN via MEDICAL GROUP MANAGEMENT ASSN
2026 · second_quarter · Q2
Medicare Payment - Submitted testimony for House Energy and Commerce Subcommittee on Health hearing on opportunities for Medicare payment reform that included support for the Strengthening Medicare for Patients and Providers Act (H.R. 6160) to include annual inflationary updates to Medicare and the Provider Reimbursement Stability Act (H.R. 8163) to modernize budget neutrality rules in Medicare. Joined letter of support for the Provider Reimbursement Stability Act ahead of a Ways and Means Committee markup of the bill. Prior Authorization - Supported the Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816) to reform prior authorization. Joined healthcare organizations comment letter on CMS proposed rule on electronic prior authorization for drugs. Submitted our own comments on CMS proposed rule on electronic prior authorization for drugs. Sent letter of support for the Medicare Advantage Improvement Act (H.R. 8375, S. 4384) that would reform prior authorization for Medicare Advantage plans. MIPS Reform - Sent letter of support for the Medicare Physician Data-driven Performance Payment System Act of 2026 (H.R. 8622) to reform the Merit-based Incentive Payment System (MIPS). Supported reforming MIPS in our testimony to the House Energy and Commerce Subcommittee on Healths hearing on opportunities for Medicare payment reform. Value-Based Care - Supported alternative payment model (APM) reforms in our testimony to the House Energy and Commerce Subcommittee on Health hearing on opportunities for Medicare payment reform. Physician Workforce - Joined letter to the Department of State and Department of Homeland Security on addressing physician visa processing delays. No Surprises Act - Joined letter of support for the No Surprises Act Enforcement Act (H.R. 4710, S. 2420). Joined letter to Department of Health and Human Services (HHS), Department of Labor, and Department of the Treasury on strengthening oversight of the No Surprises Act. Section 504 - Sent letter to HHS asking for a delay of effective dates related to a 2024 final rule making changes to regulations under Section 504 of the Rehabilitation Act of 1973. Chronic Care Management - Joined letter of support for the Chronic Care Management Improvement Act (H.R. 8261) to remove patient cost-sharing obligations for the Chronic Care Management code.
Medicare Payment - Submitted testimony for House Energy and Commerce Subcommittee on Health hearing on opportunities for Medicare payment reform that included support for the Strengthening Medicare for Patients and Providers Act (H.R. 6160) to include annual inflationary updates to Medicare and the Provider Reimbursement Stability Act (H.R. 8163) to modernize budget neutrality rules in Medicare. Joined letter of support for the Provider Reimbursement Stability Act ahead of a Ways and Means Committee markup of the bill. Prior Authorization - Supported the Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816) to reform prior authorization. Joined healthcare organizations comment letter on CMS proposed rule on electronic prior authorization for drugs. Submitted our own comments on CMS proposed rule on electronic prior authorization for drugs. Sent letter of support for the Medicare Advantage Improvement Act (H.R. 8375, S. 4384) that would reform prior authorization for Medicare Advantage plans. MIPS Reform - Sent letter of support for the Medicare Physician Data-driven Performance Payment System Act of 2026 (H.R. 8622) to reform the Merit-based Incentive Payment System (MIPS). Supported reforming MIPS in our testimony to the House Energy and Commerce Subcommittee on Healths hearing on opportunities for Medicare payment reform. Value-Based Care - Supported alternative payment model (APM) reforms in our testimony to the House Energy and Commerce Subcommittee on Health hearing on opportunities for Medicare payment reform. Physician Workforce - Joined letter to the Department of State and Department of Homeland Security on addressing physician visa processing delays. No Surprises Act - Joined letter of support for the No Surprises Act Enforcement Act (H.R. 4710, S. 2420). Joined letter to Department of Health and Human Services (HHS), Department of Labor, and Department of the Treasury on strengthening oversight of the No Surprises Act. Section 504 - Sent letter to HHS asking for a delay of effective dates related to a 2024 final rule making changes to regulations under Section 504 of the Rehabilitation Act of 1973. Chronic Care Management - Joined letter of support for the Chronic Care Management Improvement Act (H.R. 8261) to remove patient cost-sharing obligations for the Chronic Care Management code.
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Homeland Security, Dept of (DHS), Labor, Dept of (DOL), SENATE, State, Dept of (DOS), Treasury, Dept of
MEDICAL GROUP MANAGEMENT ASSN via MEDICAL GROUP MANAGEMENT ASSN
2026 · first_quarter · Q1
Senate Special Committee on Aging Testimony on Regulatory Burden and Physician Burnout - Testified in front of the Senate Special Committee on Aging on how regulatory burden is impacting physician burnout. Supported policies to reduce administration burden and improve Medicare payment, as well as the following legislation to address the myriad factors impacting burnout: Resident Physicians Shortage Reduction Act of 2025 (S. 2439), Medicare Advantage Prompt Pay Act (S. 2879), Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816), and Strengthening Medicare for Patients and Providers Act (H.R. 6160). Consolidated Appropriations Act, 2026 - Sent letter to congressional leadership regarding policies in the Consolidated Appropriations Act, 2026 (H.R. 7148). The letter supported the reinstatement of the Advanced APM incentive payment, lowering the Qualifying APM Participant threshold, extending telehealth flexibilities, delaying clinical lab cuts, and extending the 1.0 work GPCI floor. Medicare Payment Reform - Supported the reintroduction of the Provider Reimbursement Stability Act (H.R. 8163) to reform Medicares budget neutrality requirements. Value-Based Care - Joined letter to Congress discussing proposals to reform the Medicare Access and CHIP Reauthorization Act (MACRA) to support value-based care. Healthcare Workforce - Sent letter of support for the H-1Bs for Physicians and the Healthcare Workforce Act (H.R.7961). Joined letter of support for the Rural Residency Planning and Development Act of 2025 (H.R. 4731). Submitted a statement for the record for the Ways and Means Subcommittee on Healths hearing, Advancing the Next Generation of Americas Healthcare Workforce, that supported policies to expand graduate medical education and address education financing issues. Supported a bipartisan congressional letter requesting exemptions for healthcare workers from the H-1B visa application fee. No Surprises Act - Joined a letter to HHS, the Department of Labor, and Department of Treasury supporting policy recommendations to the improve the administration of the Independent Dispute Resolution process under the No Surprises Act and supporting the No Surprises Enforcement Act (H.R. 4710). Artificial Intelligence - Responded to HHS request for information on the adoption of artificial intelligence. Healthcare Costs - Submitted statement for the record in response to the House Energy and Commerce Subcommittee on Healths hearing on lowering healthcare costs and examining the provider landscape. The letter supported Medicare Part B payment reform, addressing prior authorization burden, reforming the quality payment program, addressing challenges within Medicare Advantage, and reforming the Stark Law. Health Information Technology - Commented on the Health Data, Technology, and Interoperability: ASTP/ONC Deregulatory Actions to Unleash Property proposed rule. Clinical Lab Reform - Sent letter of support of the RESULTS Act (H.R. 5269, S. 2761) in response to the House Energy and Commerce Subcommittee on Healths legislative hearing. Prior Authorization - Submitted a statement for the record in response to the House Ways and Means and Energy and Commerces hearings on healthcare affordability supporting the Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816). Fraud - Responded to CMS request for information on ways to reduce fraud in Medicare.
Senate Special Committee on Aging Testimony on Regulatory Burden and Physician Burnout - Testified in front of the Senate Special Committee on Aging on how regulatory burden is impacting physician burnout. Supported policies to reduce administration burden and improve Medicare payment, as well as the following legislation to address the myriad factors impacting burnout: Resident Physicians Shortage Reduction Act of 2025 (S. 2439), Medicare Advantage Prompt Pay Act (S. 2879), Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816), and Strengthening Medicare for Patients and Providers Act (H.R. 6160). Consolidated Appropriations Act, 2026 - Sent letter to congressional leadership regarding policies in the Consolidated Appropriations Act, 2026 (H.R. 7148). The letter supported the reinstatement of the Advanced APM incentive payment, lowering the Qualifying APM Participant threshold, extending telehealth flexibilities, delaying clinical lab cuts, and extending the 1.0 work GPCI floor. Medicare Payment Reform - Supported the reintroduction of the Provider Reimbursement Stability Act (H.R. 8163) to reform Medicares budget neutrality requirements. Value-Based Care - Joined letter to Congress discussing proposals to reform the Medicare Access and CHIP Reauthorization Act (MACRA) to support value-based care. Healthcare Workforce - Sent letter of support for the H-1Bs for Physicians and the Healthcare Workforce Act (H.R.7961). Joined letter of support for the Rural Residency Planning and Development Act of 2025 (H.R. 4731). Submitted a statement for the record for the Ways and Means Subcommittee on Healths hearing, Advancing the Next Generation of Americas Healthcare Workforce, that supported policies to expand graduate medical education and address education financing issues. Supported a bipartisan congressional letter requesting exemptions for healthcare workers from the H-1B visa application fee. No Surprises Act - Joined a letter to HHS, the Department of Labor, and Department of Treasury supporting policy recommendations to the improve the administration of the Independent Dispute Resolution process under the No Surprises Act and supporting the No Suprises Enforcement Act (H.R. 4710). Artificial Intelligence - Responded to HHS request for information on the adoption of artificial intelligence. Healthcare Costs - Submitted statement for the record in response to the House Energy and Commerce Subcommittee on Healths hearing on lowering healthcare costs and examining the provider landscape. The letter supported Medicare Part B payment reform, addressing prior authorization burden, reforming the quality payment program, addressing challenges within Medicare Advantage, and reforming the Stark Law. Health Information Technology - Commented on the Health Data, Technology, and Interoperability: ASTP/ONC Deregulatory Actions to Unleash Property proposed rule. Clinical Lab Reform - Sent letter of support of the RESULTS Act (H.R. 5269, S. 2761) in response to the House Energy and Commerce Subcommittee on Healths legislative hearing. Prior Authorization - Submitted a statement for the record in response to the House Ways and Means and Energy and Commerces hearings on healthcare affordability supporting the Improving Seniors Timely Access to Care Act (H.R. 3514, S. 1816). Fraud - Responded to CMS request for information on ways to reduce fraud in Medicare.
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Labor, Dept of (DOL), SENATE, Treasury, Dept of
MEDICAL GROUP MANAGEMENT ASSN via MEDICAL GROUP MANAGEMENT ASSN
2025 · fourth_quarter · Q4
Medicare payment reform - Sent letter of support to the bill sponsors of the Strengthening Medicare for Patients and Providers Act (H.R. 6160) that would add an inflationary update to Medicare Part B reimbursement as measured by the Medicare Economic Index (MEI). Sent letter to congressional leadership with our end of 2025 Medicare payment reform priorities - add an inflationary update, reform the budget neutrality aspect of Medicare, permanently extend the 1.0 work GPCI floor. Prior Authorization - Supported the Improving Seniors Timely Access to Care Act (S. 1816, H.R. 3514) in Congress to reform prior authorization, joined a letter to congressional leadership in support of the bill. Joined letter to Congress on the need to reform the Medicare Wasteful and Inappropriate Service Reduction (WISeR) Model that is being tested under the CMS Innovation Center. Sent a letter of support to the bill sponsors for reintroducing the Safe Step Act (H.R. 5509) to reform step therapy protocols. Telehealth - Joined a letter to OMB and the DEA urging for the extension of flexibilities related to prescribing controlled substances via telehealth. Joined a letter to Congress to act to extend telehealth flexibilities long-term that were at the time expired during the government shutdown. Sent letter to congressional leadership with our end of 2025 telehealth policy priorities. Physician-Owned Hospitals - Joined a letter to Congress in support of repealing the ban on physician-owned hospitals. Joined a letter of support of the Patient Access to Higher Quality Health Care Act of 2025 (H.R. 4002) that would repeal statutory restrictions on the whole hospital exception to Stark physician self- referral law. Cybersecurity - Joined a letter to HHS opposing the finalization of the proposed rule to make changes to HIPAA cybersecurity regulations. Artificial Intelligence (AI) - Joined a coalition letter on artificial intelligence policies for medical groups in response to the White House Office of Science and Technology Policy request for information on AI reform. Value-Based Care - Sent letter to congressional leadership supporting the Preserving Patient Access to Accountable Care Act (H.R. 786, S. 1460). Joined a letter to CMS urging them to use existing authority to ensure ACOs and MIPS eligible clinicians are held harmless from challenges posed by increased billing for skin substitutes. Expiration of healthcare policies due to lapse in federal government funding - Sent letter to congressional leadership urging them to reinstate the healthcare provisions (telehealth flexibilities, the 1.0 work GPCI floor) that expired on September 30 as part of the government shutdown. Urged CMS to release claims that were being held as a result of the pause on processing Medicare claims from the government shutdown. Sent letter to CMS requesting guidance on the rebilling of claims following the government shutdown and subsequent legislation extending numerous healthcare policies. Supported Congress extending healthcare policies that expired during the government shutdown and urged permanent reform to enshrine these policies. Enhanced ACA Tax Credits - Urged Congress to extend the enhanced Marketplace premium tax credits as part of our end of 2025 legislative priorities. Clinical Lab Cuts -Joined a coalition letter of support to the bill sponsors for the RESULTS Act (H.R. 5269) that would reform the clinical laboratory fee schedule and stop potential cuts to laboratory reimbursement. Included support for the RESULTS Act in our end of 2025 legislative priorities. Medicare Advantage - Sent letter of support to bill sponsors of the Medicare Advantage Prompt Pay Act (H.R. 5454) that would help ensure prompt payment to medical groups from Medicare Advantage plans.
Medicare payment reform - Sent letter of support to the bill sponsors of the Strengthening Medicare for Patients and Providers Act (H.R. 6160) that would add an inflationary update to Medicare Part B reimbursement as measured by the Medicare Economic Index (MEI). Sent letter to congressional leadership with our end of 2025 Medicare payment reform priorities - add an inflationary update, reform the budget neutrality aspect of Medicare, permanently extend the 1.0 work GPCI floor. Prior Authorization - Supported the Improving Seniors Timely Access to Care Act (S. 1816, H.R. 3514) in Congress to reform prior authorization, joined a letter to congressional leadership in support of the bill. Joined letter to Congress on the need to reform the Medicare Wasteful and Inappropriate Service Reduction (WISeR) Model that is being tested under the CMS Innovation Center. Sent a letter of support to the bill sponsors for reintroducing the Safe Step Act (H.R. 5509) to reform step therapy protocols. Telehealth - Joined a letter to OMB and the DEA urging for the extension of flexibilities related to prescribing controlled substances via telehealth. Joined a letter to Congress to act to extend telehealth flexibilities long-term that were at the time expired during the government shutdown. Sent letter to congressional leadership with our end of 2025 telehealth policy priorities. Physician-Owned Hospitals - Joined a letter to Congress in support of repealing the ban on physician-owned hospitals. Joined a letter of support of the Patient Access to Higher Quality Health Care Act of 2025 (H.R. 4002) that would repeal statutory restrictions on the whole hospital exception to Stark physician self- referral law. Cybersecurity - Joined a letter to HHS opposing the finalization of the proposed rule to make changes to HIPAA cybersecurity regulations. Artificial Intelligence (AI) - Joined a coalition letter on artificial intelligence policies for medical groups in response to the White House Office of Science and Technology Policy request for information on AI reform. Value-Based Care - Sent letter to congressional leadership supporting the Preserving Patient Access to Accountable Care Act (H.R. 786, S. 1460). Joined a letter to CMS urging them to use existing authority to ensure ACOs and MIPS eligible clinicians are held harmless from challenges posed by increased billing for skin substitutes. Expiration of healthcare policies due to lapse in federal government funding - Sent letter to congressional leadership urging them to reinstate the healthcare provisions (telehealth flexibilities, the 1.0 work GPCI floor) that expired on September 30 as part of the government shutdown. Urged CMS to release claims that were being held as a result of the pause on processing Medicare claims from the government shutdown. Sent letter to CMS requesting guidance on the rebilling of claims following the government shutdown and subsequent legislation extending numerous healthcare policies. Supported Congress extending healthcare policies that expired during the government shutdown and urged permanent reform to enshrine these policies. Enhanced ACA Tax Credits - Urged Congress to extend the enhanced Marketplace premium tax credits as part of our end of 2025 legislative priorities. Clinical Lab Cuts -Joined a coalition letter of support to the bill sponsors for the RESULTS Act (H.R. 5269) that would reform the clinical laboratory fee schedule and stop potential cuts to laboratory reimbursement. Included support for the RESULTS Act in our end of 2025 legislative priorities. Medicare Advantage - Sent letter of support to bill sponsors of the Medicare Advantage Prompt Pay Act (H.R. 5454) that would help ensure prompt payment to medical groups from Medicare Advantage plans.
Filing targets: Centers For Medicare and Medicaid Services (CMS), Drug Enforcement Administration (DEA), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), Office of Management & Budget (OMB), Office of Science & Technology Policy (OSTP), SENATE