In such case, lobbyist Dean Rosen, who runs the health care practice at Mehlman Vogel Castagnetti, said he found a receptive audience. His client, Medicare Cost Contractor Alliance, felt the data the CBO used to score a program was outdated. The group hired an actuary firm and made its case to the CBO.
“It’s very difficult to try to spin stuff with the CBO,” Rosen said. “We went in and met with the CBO to talk to them about the methodology. I’m not saying they bought everything we had, but I think we filled a gap by modernizing the study methodology.” The final score came out this year lower than the original estimate, Rosen said.”