Why It Matters

Advanced Dermatology and Cosmetic Surgery has entered the lobbying arena for the first time, registering with Continental Strategy LLC to focus on Medicare and Medicaid policy.

The Lobbyists

Continental Strategy LLC filed the new client registration on September 3. Three lobbyists represent the organization: Carlos Trujillo (President/Founder), Luke Nickless (Vice President), and Tim Costa (Partner). Nickless brings congressional experience from his time with Rep. Pat Fallon (R-TX-4) and Rep. Nicole Malliotakis (R-NY-11), along with prior service on the House Budget Committee in the 118th and 119th Congresses. Costa has prior government experience as well with Rep. Dan Meuser (R-PA-9).

Broader Context

The Centers for Medicare and Medicaid capped skin substitute reimbursement at a flat rate of $127.14 per square centimeter for most products, a policy that could directly affect dermatology practices offering reconstructive and cosmetic procedures.

The Bottom Line

Advanced Dermatology and Cosmetic Surgery's decision to hire Continental Strategy LLC reflects growing focus on federal reimbursement policy among healthcare providers. The firm's team includes staff with ties to budget and healthcare-focused members of Congress, positioning it to navigate ongoing Medicare and Medicaid debates.

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