Simon & Company Press
Cytomedix Announces Medicare Coverage For Autologous PRP Gel in Chronic Wound Care»
Simon&Co. successfully assists small, biotechnology company to gain CMS national, Part B coverage following two prior rejections.
Marsha Simon's Fraud Proposals Cited in Inside Health Policy Article»
In a recent Inside Health Policy article, Marsha Simon's recent Center for American Progress paper was cited for her proposals to decrease Medicare and Medicaid fraud.
Center for American Progress Publishes Marsha Simon's Paper Entitled, "Payment Police 2.0: How to Stop Paying Bad Medicare and Medicaid Claims"»
This paper, part of the Rockefeller Foundation's "Doing What Works" series, illustrates how the design of the Medicare and Medicaid programs encourages improper payments and impedes detection and recoupment of Medicare and Medicaid claims payments. It outlines a research and policy agenda to address these shortcomings.
Simon&Co. hires Karen Late as Director»
Melanie Morris, Senior Director, will be assuming a new position as Senior Policy Consultant and Jamison Scott has been promoted to Government Affairs Manager
Veterans Health Care Budget Reform & Transparency Act Signed Into Law» Advanced funding idea originally proposed by Simon&Co. becomes law and President Obama calls it, "the most significant legislative victory for veterans in a generation."
President Obama praises advanced funding idea for the Department of Veteran's Affairs» Advanced funding idea initially proposed by Simon&Co. to the Veterans Service Organizations gains momentum. See related article»
Key Health and Human Services Legislation »
Presented in the First Session of the 111th Congress
Election Report »
Simon&Co. partnered with Spectrum Science on the 2008 elections results and its effect on federal health care policy and policymakers.
OMB: Health IT Services are Accountable »
Marsha Simon quoted on inadequate federal resources for health information technology.
Veterans Ask For an Advance »
Veterans groups adopt new strategy for funding health system.
Guttmacher Report »
Marsha Simon cites need for increased investment in public health.
Simon & Company Case Studies
Securing Medicare Part B Approval for A Small Business' Product
Simon&Co. successfully advocated for reconsideration of a negative national Medicare coverage decision for a client’s product following two prior denials. Using new studies, cost analysis, and patient testimonials, Simon&Co. engaged key members of Congress, stakeholders, and patient advocates (including veterans and minority organizations in support of reconsideration). The Centers for Medicare and Medicaid Services agreed to the reconsideration, given new clinical efficacy data, and issued a positive coverage decision with evidence development. This decision allows the client to market the product to Medicare beneficiaries while developing more clinical data to bolster the evidence of positive outcomes.
Achieving an FDA Solution for a Biotech Startup
Simon&Co. supported a biotechnology start-up company’s successful effort to negotiate an agreement allowing the client’s product to remain on the market after an unprecedented and unexpected Food and Drug Administration (FDA) product reclassification. While the product was initially regulated as a tissue--with no adverse events or safety signals reported--the FDA decreed that the product must be reclassified as a biologic, approval of which entails a multi-year review. For a small start-up, this was a devastating prospect, destroying jobs and removing a product in use in the field by the Department of Defense in Afghanistan. Working with Congress, Federal agencies, patient advocates, and other stakeholders, Simon&Co. convinced the FDA decision makers that the product must be allowed to remain on the market while the company conducted clinical trials.
Assuring Adequate Veterans Health Funding
Simon&Co. worked with veterans' services organizations under the leadership of the Disabled American Veterans to propose an alternative funding mechanism for veterans' health. Simon&Co. recommended changing the Department of Veterans Affairs healthcare budget to an advance appropriation, providing veterans health funding for two years and allowing timely health systems planning. This approach was adopted into law by the passage of the Veterans' Health Care Budget Reform and Transparency Act in 2009, as President Obama called it, "the most significant legislative victory for veterans in a generation."
Simon & Company Publications
Center for American Progress Publishes Marsha Simon's Paper Entitled, "Payment Police 2.0: How to Stop Paying Bad Medicare and Medicaid Claims" This paper, part of the Rockefeller Foundation's "Doing What Works" series, illustrates how the design of the Medicare and Medicaid programs encourages improper payments and impedes detection and recoupment of Medicare and Medicaid claims payments. It outlines a research and policy agenda to address these shortcomings. Washington, D.C. May 2011
Rosenbaum, Sara, Lopez, Nancy, Simon, Marsha, Morris, Melanie. Medicaid's Medical Transportation Assurance Washington, D.C. July 2009
Simon, Marsha, Morris, Melanie. Examining the Concerns of the "Anxious Insured": Lessons for Health Reform Washington, D.C. May 2009
Torda, Phyllis, and Simon, Marsha. "A New Partnership for America's Families", long term care platform, Dean for America Campaign, Burlington, Vermont, September, 2003.
Simon, Marsha. "The Federal Budget Process", Grassroots Handbook, American College of Obstetricians and Gynecologists, Washington, D.C. May 2000, pp.8-18.
Sourwine, Mollie, Simon, Marsha, DiVenere, Lucia, Hanen, Laura, and Scott, Julie. Women's Health: Facts and Figures, American College of Obstetricians and Gynecologists, Washington, D.C., 2000.
Simon, Marsha. "Revisiting the Small Cities CDBG Program", Targeting Times, Baltimore, Maryland, Volume 6, Number 2, 1995.
Torda, Phyllis and Simon, Marsha. "Taxing the Poor, Sparing the Rich: A Progressivity Analysis of Medicare Beneficiary Cuts", Families USA Report, Washington, D.C., October 1990.
Torda, Phyllis, and Simon, Marsha. "The Medicaid Anti-Discriminatory Drug Price and Patient Benefit Restoration Act of 1990, S. 3029", testimony presented by Marsha Simon before the Subcommittee on Health for Families and the Uninsured, Committee on Finance, U.S. Senate, Washington, D.C., September 17, 1990.
Torda, Phyllis, and Simon, Marsha. "The Effect of Proposed Cuts in the Medicare Program on Beneficiaries", testimony presented by Marsha Simon before the Subcommittee on Health and the Environment, Committee on Energy and Commerce, U.S. House of Representatives, Washington, D.C. July 27, 1990.
Torda, Phyllis and Simon, Marsha. "Winners and Losers: The State-by-State Distributional Impact of Proposed Changes to the Medicare Catastrophic Coverage Act", Families USA Report, Washington, D.C., September 1989.
Howard, Edward and Simon, Marsha, editors. Budget Out of Balance, Leadership Council of Aging Organizations, Washington, D.C., February 1986.
Kassner, Enid, Sykes, Russ, Cooney, Edward, Parker, Lynn, Sanders, Alan, Schneider, Cynthia and Simon, Marsha. "Glut of Hunger", in Belden, Joe, ed., Dirt Rich, Dirt Poor: America's Food and Farm Crisis, Institute for Policy Studies, Washington, D.C., 1986, pp. 92-130.
Cooney, Edward, Parker, Lynn, Schneider, Cynthia and Simon, Marsha. "Domestic Food Assistance", Beyond Crisis Farm and Food Policy for Tomorrow, Report of the Working Group on Farm and Food Policy, Washington, D.C., December 1984.
Simon, Marsha. "The Housing and Urban and Rural Recovery Act of 1983: Implications for Housing Cooperatives", National Association of Housing Cooperatives, New York, N.Y., January 1984.
Simon, Marsha. "A Federal Housing Program or a Federal Eviction Program?", Rural Coalition Report No. 8, December 1983, pp. 20-24.
Simon, Marsha. "Say, Whatever Happened to the Small Cities Community Development Block Grant Program?", Rural Coalition Report No. 7, Washington, D.C., September 1983, pp. 14-20.
Scanlon, Thomas J. and Simon, Marsha. "Youth Employment Training Systems: Implications for Reform and Restructuring", Benchmarks, Inc. report to the Field Foundation, Washington, D.C., November 1982.
Simon, Marsha. "Rural Credit Needs and Lender Performance under the Community Reinvestment Act", report prepared under contract with the Office of the Comptroller of the Currency and the Department of Agriculture, Washington, D.C., December 1981.
Kressley, Larry and Simon, Marsha. "The Small Cities CDBG Program: An Evaluation by the Rural America CDBG Monitoring Project", report prepared under a grant from the Community Services Administration, Department of Health and Human Services, Washington, D.C., October 1981.
Simon, Marsha. "Making Sense of the Budget Process", special issue of Neighborhood Developments, a monthly publication of the Community Information Service, Center for Community Change, Washington, D.C., January 1981.