Why It Matters
Armory Hill Advocates, a health care-focused lobbying firm, has ended its representation of Atria Health and Research Institute, concluding an engagement centered on Medicare policy and reimbursement issues. An amended second-quarter lobbying disclosure lists April 22 as the termination date for the relationship.
The termination removes Atria from the client roster of a lobbying firm heavily focused on Medicare reimbursement and other federal health care policy. Armory Hill, formerly known as Rawlson Policy Group, reported $900,000 in lobbying income across its clients in 2025, according to an aggregation of federal Lobbying Disclosure Act filings.
The firm’s federal client portfolio has included health care providers, physician practices and medical-services companies such as SkinCure Oncology, MiMedx, Logos Wound Care Solutions, Elevate Eye Care, Acadia Healthcare and Surgery Partners.
Armory Hill has reported approximately $5.2 million in lobbying income across 171 filings and 30 clients from 2018 through 2025. Its annual lobbying income increased from $340,000 in 2018 to $900,000 in 2025.
Broader Context
Armory Hill’s work for Atria came amid broader debate over Medicare physician reimbursement. The firm had engaged on Medicare reforms addressing the 2.93% average reduction in Medicare physician payments that took effect Jan. 1, 2025.
The Centers for Medicare and Medicaid Services finalized average Medicare Physician Fee Schedule payment rates that were 2.93% lower than the rates paid for most of 2024. The underlying physician fee schedule conversion factor declined 2.83%, from $33.29 to $32.35.
Medicare physician payment policy has since shifted again. Congress approved a temporary 2.5% payment increase for 2026, while CMS finalized conversion-factor increases of 3.77% for qualifying participants in advanced alternative payment models and 3.26% for other physicians.
The Trump administration has also begun reconsidering how Medicare values physician services. CMS has raised questions about the federal government’s reliance on information developed through the American Medical Association’s Current Procedural Terminology system and Relative Value Scale Update Committee, which makes recommendations used in setting physician reimbursement rates.
The Bottom Line
Armory Hill Advocates specializes in health care and Medicare policy, with Jon Rawlson serving as the firm’s president and registered lobbyist.
Federal lobbying records continue to list Armory Hill with a range of health care clients, including MiMedx and other providers and medical-services companies. Atria’s April 22 termination ends that particular federal lobbying engagement, but the available records do not establish whether Atria has hired another federal lobbying firm or shifted the work internally.
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