• Value-based physician reimbursement; regulatory improvements in value-based payment models; improving the Medicare Advantage program; access to administrative claims data; chronic care management; Accountable Care Organization improvements; telehealth expansion/waivers; mental health reform; Preventing Medicare cuts; Advanced Alternative Payment Model incentives; Medicare provider privacy; healthcare worker violence prevention

Duration: November 1, 2007 to June 30, 2010

General Issues: Health Issues, Small Business

Spending: about $4,863,941 (But it's complicated. Here's why.)

It can be tricky to figure out how much an organization spent on a particular lobbying engagement. The law only requires lobbyists to report the amount they were paid for federal lobbying each quarter rounded to the nearest $10,000—and if it's less than $3,000 in a given quarter (or less than $13,000 for organizations with in-house lobbyists), they don't have to disclose it at all. Plus, some organizations include spending that doesn’t belong in the report—for instance, money spent lobbying state governments or other legal work.

Agencies lobbied since 2007: U.S. Senate, House of Representatives, Centers For Medicare and Medicaid Services (CMS), Health & Human Services - Dept of (HHS), Centers For Medicare and Medicaid Services (CMS), Agency for Health Care Policy & Research, Health & Human Services - Dept of (HHS), Health & Human Services - Dept of (HHS),, Centers For Medicare and Medicaid Services (CMS),, Y Y Center for Medicare and Medicaid Services (CMS) Department for Health and Human Services (HHS) Agency for Health Care Research and Quality (AHRQ)