• Medicare wage index, Medicare reimbursement, implementation of Budget Control Act, impact of potential sequestration on Medicare, implementation of Affordable Care Act, Medicare physician payment reform, HR 2500 concerning healthcare technology incentive funding, HR 452 regarding Medicare Decision Accountability Act, Medicare payment rules including IPPS and home care, veterans health care issues, healthcare issues generally.

Duration: October 25, 2012 to September 30, 2013

General Issues: Health Issues, Medicare/Medicaid

Spending: about $170,000 (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 2012: House of Representatives, U.S. Senate, Centers For Medicare and Medicaid Services (CMS), White House Office,, White House Office