Solving Challenges, Leveraging Opportunities

Legislative and Executive Branch Lobbying Strategy and Implementation

Legislative and Executive Branch Lobbying Strategy and Implementation

When clients are faced with laws or regulatory changes that raise barriers to market entry, challenge business efficiency or viability, threaten to reduce rates of return for investments, or slow customer adoption of health items or services, they turn to McDermottPlus to craft and implement lobbying strategies that advance preferred solutions.

To meet on-going client needs, McDermottPlus:

  • Analyzes Proposed and Final Rule changes to Medicare payment policies (e.g., Medicare Physician Fee Schedule, Outpatient Prospective Payment System, Ambulatory Surgery Center) and publicly available Medicare data (including payment, cost and utilization data) to evaluate client strategies
  • Formulates and implements legislative, regulatory and oversight strategies designed to achieve client objectives
  • Monitors national and local policies on coverage and payment for products and services and prepares issue memoranda for clients.

Representative Experience

  • Washington representative for numerous hospitals and hospital coalitions
  • Washington representative of the Coalition for 21st Century Medicine, a collaborative effort among developers of and stakeholders interested in advanced laboratory diagnostics
  • Reimbursement consultant to leading global biopharmaceutical companies, device manufacturers and diagnostic manufacturers
  • Edited and submitted coverage reconsideration requests to local and national payers, reviewed scientific literature to identify clinical evidence supporting policy recommendations including preparation of evidence tables.
  • Successfully obtained a favorable hospital outpatient department payment rate under Medicare for a procedure that uses a product developed by a life sciences company
  • Developed a model to determine the impact of the durable medical equipment competitive bidding program and the impact of alternate policies on federal spending

Case Studies

  • TRICARE Program Proposes Hospital Payment Changes
    When the US Department of Defense proposed to change how TRICARE pays hospitals with Sole Community Hospital status, the Rural Referral Center/Sole Community Hospital Coalition sprung into action...
  • Medicare Changes Wage Index Reclassification Criteria
    Hospitals that qualify for Medicare wage index reclassification grew concerned when the Centers for Medicare and Medicaid Services proposed to change the qualification criteria, a change that would deny nearly 250 hospitals around the country of millions of dollars...