• Issues affecting integrated health care delivery systems including accelerating the movement to value-based payment; leveraging health information technology to improve care, including virtual care; efforts to advance interoperability, including efforts to accurately identify patients to their data; and efforts to enhance cybersecurity preparedness and resilience.
• Remove Section 510 that prohibits the promulgation or adoption of a unique patient health identifier so that patients can consistently and accurately be connecting to their health information.

Duration: November 1, 2007 to present

General Issues: Health Issues, Medicare/Medicaid, Budget/Appropriations

Spending: about $2,840,000 (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 2007: U.S. Senate, House of Representatives, Health & Human Services - Dept of (HHS), Centers For Medicare and Medicaid Services (CMS), Office of the Vice President of the United States, Office of Science & Technology Policy (OSTP), Office of Management & Budget (OMB), Federal Trade Commission (FTC), Executive Office of the President (EOP), Health & Human Services - Dept of (HHS), Centers For Medicare and Medicaid Services (CMS), Federal Trade Commission (FTC),, Government Accountability Office (GAO), Health & Human Services - Dept of (HHS),, Centers For Medicare and Medicaid Services (CMS),, Congressional Budget Office (CBO), Agency for Health Care Policy & Research, Y Y U.S. Department of Health and Human Services