• MPFS inflationary update & budget neutrality reform. Issues related to services coming off of the Medicare inpatient only list. Development of alternative payment models. Maintaining patient access to total joint arthroplasty; especially high risk/medically complex patients. Prior Authorization reform.
• Advancing hip and knee patient care. Addressing violence against health care providers.

Duration: September 1, 2015 to present

General Issues: Medicare/Medicaid, Health Issues

Spending: about $1,030,000 (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 2015: House of Representatives, U.S. Senate, Centers For Medicare and Medicaid Services (CMS), Health & Human Services - Dept of (HHS), Office of Management & Budget (OMB)