National Physician Payment Transparency Program: OPEN PAYMENTS
Creating Public Transparency of Industry-Physician Financial Relationships
The Official Website for the National Physician Payment Transparency Program: OPEN PAYMENTS (Section 6002 of the Affordable Care Act)
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The National Physician Payment Transparency Program (OPEN PAYMENTS) creates greater transparency around the financial relationships of manufacturers, physicians, and teaching hospitals.
OPEN PAYMENTS requires that the following information is reported annually to CMS:
- Applicable manufacturers of covered drugs, devices, biologicals, and medical supplies to report payments or other transfers of value they make to physicians and teaching hospitals to CMS.
- Applicable manufacturers and applicable group purchasing organizations (GPOs) to report to CMS certain ownership or investment interests held by physicians or their immediate family members.
- Applicable GPOs to report to CMS payments or other transfers of value made to physician owners or investors if they held ownership or an investment interest at any point during the reporting year.
CMS will collect this data, aggregate it, and publish it on a public website.
Why OPEN PAYMENTS Is Important
Collaboration among physicians, teaching hospitals, and industry manufacturers can contribute to the design and delivery of life-saving drugs and devices. However, while some collaboration is beneficial, payments from manufacturers to physicians and teaching hospitals can also introduce conflicts of interests.
While financial ties alone do not signify an inappropriate relationship, OPEN PAYMENTS is necessary to:
- Encourage transparency of reporting financial ties;
- Reveal the nature and extent of relationships;
- Prevent inappropriate influence on research, education, and clinical decision-making;
- Avoid conflicts of interest that can compromise clinical integrity and patient care; and
- Minimize risk of increased health care costs.
This program will be a national resource for beneficiaries, consumers, and providers to better understand relationships between physicians, teaching hospitals, and industry.
How OPEN PAYMENTS will Work
Applicable manufacturers and applicable GPOs can begin reporting financial relationship data on August 1, 2013. Applicable manufacturers and applicable GPOs will report the data for August through December of 2013 to CMS by March 31, 2014 and CMS will release the data publicly by September 30, 2014. Beginning in 2014, they will be required to register on a CMS website, and will submit data using templates.
In 2014, physicians and teaching hospitals will be able to:
- Register to access their data prior to public posting;
- Initiate data disputes; and
- Work with applicable manufacturers and applicable GPOs on dispute resolution.
To ensure data accuracy, CMS is required to conduct audits of the data submitted and levy civil monetary penalties against applicable manufacturers and applicable GPOs for failing to submit data or submitting inaccurate data.
Your OPEN PAYMENTS Resource
CMS is committed to publishing the most accurate data possible, and supporting applicable manufacturers, applicable GPOs, and covered recipients for the OPEN PAYMENTS.
- Affordable Care Act Section 6002 Final Rule [PDF, 606KB]
- OPEN PAYMENTS Fact Sheet for Applicable Manufacturers [PDF, 342KB]
- OPEN PAYMENTS Fact Sheet for GPO [PDF, 330KB]
- OPEN PAYMENTS Fact Sheet for Physicians [PDF, 207KB]
- OPEN PAYMENTS Fact Sheet for Teaching Hospitals [PDF, 244KB]
- Teaching Hospital List for 2013 Open Payments Program Cycle 20130501 (pdf) [PDF, 797KB]
- 2013 Open Payments Program - Teaching Hospital List - 2013 05 01 posting (xls) [ZIP, 104KB]
- 2013 Open Payments Program - Teaching Hospital List - 2013 05 01 posting (csv) [ZIP, 33KB]
- MLN Article [PDF, 79KB]
- Page last Modified: 05/20/2013 9:51 AM
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