• Issues involving bundled payments as they pertain to the Center for Medicare and Medicaid Innovation H.R. 1156/S. 1133 - Patient Access to Higher Quality Health Care Act of 2017 Issues related to Stark exemptions Comprehensive joint replacements Medicare Access and CHIP Reauthorization Act implementation Issues related to physician owned hospitals H.R. 4206/S. 2051 - Medicare Care Coordination Improvement Act of 2017 Issues related to total knee anthroplasty

Duration: May 19, 2014 to September 30, 2018

General Issues: Medicare/Medicaid

Spending: about $550,000 (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 2014: 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)