• Issues related to value-based health care, including the Medicare Shared Savings Program (MSSP) and the ACO Reach Program; Issues related to reforming physician payments and the Medicare Access and CHIP Reauthorization Act (MACRA) (PL 114-10); Issues related to Medicare Advantage, including CMS' Advance Notice of Methodological Changes for Calendar Year (CY) 2025 for Medicare Advantage Capitation Rates and Part C and Part D Payment Policies; Issues related to H.R.5013/S.3503 - Value in Health Care Act. Issues related to the extension of Alternative Payment Model bonus payments in the Consolidated Appropriations Act, 2024, HR 4366.

Duration: March 1, 2023 to present

General Issues: Medicare/Medicaid, Health Issues

Spending: about $260,000 (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 2023: U.S. Senate, House of Representatives, White House Office, Health & Human Services - Dept of (HHS), Centers For Medicare and Medicaid Services (CMS)