Healthcare



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Summary | Team | Federal Role | Current Environment | Medicaid/care | Process | Case Histories

Proven, Substantive Healthcare Lobbying

Carmen Group specializes in creating strategies to guide clients through complex regulatory, reimbursement, and financing matrices and accomplish goals in the healthcare market. Our health policy experts apply Carmen Group’s proven process, increasing our success ratio and creating value for our clients. In 30 years of healthcare lobbying experience, we have achieved significant histories of regulatory, reimbursement, and appropriations success.

The healthcare marketplace is under extreme pressures, in both the private and public sectors. Health insurance premiums are rising at double-digit rates, prescription drug costs and usage are skyrocketing, and cost control measures touted to save the system have failed. Bringing new products to market involves a long and arduous approval process, adding costs and slowing availability to patients. Government programs are facing major changes with Medicare prescription drug legislation, including new private health plan structures, provider payment issues, and funding strains. Federal tax policy and state regulation of health insurance create market distortions, important factors contributing to the large number of Americans without health insurance coverage. Finally, bio-terrorism and other threats add complexities and create infrastructure needs in all healthcare sectors.

Carmen Group works closely with our healthcare clients, combining innovative approaches to goals with a thorough understanding of government programs, policies, and processes. We are dedicated to finding solutions for leaders on the cutting edge of the healthcare marketplace, and those who simply want to provide quality healthcare.

Record of Success

  • Large Rural and Urban Health Systems
  • Large Urban Hospital Association
  • University-Affiliated Teaching Hospitals
  • Large Urban Hospitals
  • Freestanding Children's Hospitals
  • National Network of Providers to Underserved
  • Medicaid Coalitions
  • Bio-Tech Company

Special Expertise

  • Medicaid and Medicare Legislation
  • Healthcare Tax Issues
  • Health Program Appropriations
  • Employer Benefit Law (ERISA)
  • Private Health Insurance Reforms
  • Health Regulatory Processes
  • Competitive Grant Strategies

Proven Record of Working Effectively With

  • White House
  • Office of Management and Budget
  • Congress
  • Department of Health and Human Services
  • Centers for Medicare and Medicaid Service

HealthSouth

Legislation permanently sets the Medicare rehabilitation patient rule at 60 percent, enabling more patients to receive necessary, inhospital rehabilitation treatment.

Major Medicaid Hospital Coalition

DC Hospitals receive significant resources to provide healthcare to those who need it most, with a retroactive increase for the District’s formula funding that remains in force in perpetuity.

Montefiore Medical Center

A long-term Department of Defense partnership develops health information technology that will improve core quality and reduce costs within the armed forces and a medically underserved region in New York.

Washington Hospital Center

The federal government responds to intensified requirements for emergency care and underwrites the design for the nation’s first all-risks ready emergency room.