As a result of the Physician Payment Sunshine Act—a provision of the Patient Protection and Affordable Care Act (PPACA)— beginning on August 1, 2013 certain manufacturers of drugs, devices, biologicals, or medical supplies covered by Medicare, Medicaid or the Children’s Health Insurance Program (CHIP) will begin collecting data on financial relationship with physicians including gifts or other transfers of value to a physician over $10 in value, or $100 in total gifts per calendar year given to a physician.
These forms of “value” are broadly defined and would include gifts, food, travel, charitable contributions and other “transfers of value.” (A full listing is available beginning on page 71 of the rule)
By March 31, 2014, these companies will begin reporting these transfers of value to physician disclosures to the “National Physician Payment Transparency Program: Open Payments.” This is an online public portal hosted by the Department of Health and Human Services (HHS), which will make this data publicly available no later than September of 2014
ASA is closely reviewing the 287 page rule and is working on producing a frequently asked questions (FAQ) document regarding the Sunshine Act.
Read the rule.
Review the CMS Fact Sheet.
Review ASA past suggestions for improvement.