• Medicare Advantage prior authorization; LTCH Payment Policies

Duration: June 15, 2017 to present

General Issues: Medicare/Medicaid, Health Issues, Manufacturing

Spending: about $853,968 (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 2017: House of Representatives, U.S. Senate, Centers For Medicare and Medicaid Services (CMS), Office of Management & Budget (OMB), Health & Human Services - Dept of (HHS), Government Accountability Office (GAO), Medicare Payment Advisory Commission (MedPAC), Defense - Dept of (DOD)

Affiliated organizations: Acuity Healthcare, LP; Acadiana Management Group, LLC; Cornerstone Healthcare Group; Landmark Hospital of Southwest Florida, LLC; New Life Care Management Services LLC dba LifeCare Hospitals; Post Acute Medical, LLC; Priority Hospital Group, LLC; Promise Healthcare Group, LLC; Vibra Healthcare