Lobbying Disclosure Act of 1995 (Section 5) - All Filers Are Required to Complete This Page

9. Check if this filing amends a previously filed version of this report

LOBBYING ACTIVITY. Select as many codes as necessary to reflect the general issue areas in which the registrant engaged in lobbying on behalf of the client during the reporting period. Using a separate page for each code, provide information as requested. Add additional page(s) as needed.

15. General issue area code MMM

16. Specific lobbying issues

Promoted Permanent Or Long-Term Extension Of SNP Legislative Authority in conjunction with related SNP-related provisions contained in H.R. 2.

Advocated for creating a legislative pathway for the integration of Medicare and Medicaid for persons dually eligible for Medicare and Medicaid. Provisions are important for enabling Special Needs Plans and Medicaire-Medicaid Plans to improve efficiencies in program administration and to establish improved benefits and care methods for serving frail elders, adults with disabilities, and other persons with complex medical conditions, such as HIV-AIDS, ESRD, and SMPM. These are the most costly and complex care subgroups of the dually eligible population.

Advocated for changes in methods used to measure SNP performance under Stars to more effectively address factors, often referred to as social determinants of health, that influence health and health outcomes for dually eligible beneficiaries beyond what exists for persons of higher income, education, and social economic status. Current provisions do not take these factors into account and penalize plans that seek to specialize in care of poor, frail, disabled, chronically ill persons.


Advocated For Appropriate Medicare Risk Adjusted Payment Methods For SNPs Serving High Risk Populations, Including Reducing The Disparities Between Medicare Advantage Payments For Beneficiaries Who Are Dually Eligible For Medicare And Medicaid, And Medicaid and For Non-Duals, Evaluating And Advocating For Adjustments To Account For Unfunded Costs Associated With Social Determinants Of Health, Ensuring That SNPs Are Not Paid Less Than Fee-For-Service For Beneficiaries Eligible For Medicare And Medicaid Services, And Other Matters;

Worked Toward Advancing More Appropriate Basis For The Evaluation And Approval Of Special Needs Plans, Including Aligning Model Of Care Requirements And Structure And Process Measures; Modifying The Star Rating Measures To Be More Relevant To Populations Served By Special Needs Plans;
And Risk Adjusting Or Stratifying Measures To Account For The Impact Of Socioeconomic Status On Ratings For Plans Serving Disadvantaged Populations Like Dual Eligible Enrollees;

Conducted Executive Roundtable on March 30-31 regarding an array of Special Needs Plan and Medicare-Medicaid Plan issues. Selected Congressional staff and staff from CMS participated in selected sessions as presenters or members of a discussant panel.

Worked With The Medicare/Medicaid Coordination Office, Congress, And Others Towards Advancing The Integration Of Medicare And Medicaid Benefits For Medicare-Medicaid Enrollees;

Advocated Against The Termination Of Medicare Advantage Special Needs Plans On The Basis Of Low Performing Icons; Requested That CMS Delay The Decision To Act On Termination And To Modify The Time frame During Which Plans Would Be Evaluated For Performance In Relation To Termination; And Worked Wit Congress Is Support Of This Objective.

Advocated For An Evaluation Of The Reliability Of Data From Self-Report Survey Instruments When Completed By Persons With Cognitive Impairment Or Mental Illness When Data Are Used For Public Reporting As Part Of The Public Comments On Updates To The Health Outcome Survey.

17. House(s) of Congress and Federal agencies Check if None

U.S. SENATE, U.S. HOUSE OF REPRESENTATIVES, Centers For Medicare and Medicaid Services (CMS)

18. Name of each individual who acted as a lobbyist in this issue area

19. Interest of each foreign entity in the specific issues listed on line 16 above Check if None

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Information Update Page - Complete ONLY where registration information has changed.

20. Client new address

21. Client new principal place of business (if different than line 20)

22. New General description of client’s business or activities

LOBBYIST UPDATE

23. Name of each previously reported individual who is no longer expected to act as a lobbyist for the client

ISSUE UPDATE

24. General lobbying issue that no longer pertains

AFFILIATED ORGANIZATIONS

25. Add the following affiliated organization(s)

Internet Address:

26. Name of each previously reported organization that is no longer affiliated with the registrant or client

FOREIGN ENTITIES

27. Add the following foreign entities:

28. Name of each previously reported foreign entity that no longer owns, or controls, or is affiliated with the registrant, client or affiliated organization