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Latest Updates

July 29, 2019 - CMS Announces Open Payments Program Expansion

CMS released the 2020 Proposed Medicare Physician Fee Schedule Rule, which included several important changes, including updates to the Open Payments Program (Section III. F). These changes are intended "to limit burden in the Open Payments program reporting processes and improve clarity for the public." Specific changes to Open Payments include:

  • Expanded definition of "covered recipient"- Section 6111 of the bipartisian opioid legislation package (SUPPORT Act, Pub. L. 115-270) expanded the definition of “covered recipient” to include physician assistants, nurse practitioners, clinical nurse specialists, registered nurse anesthetists, and certified nurse midwives in addition to the previously listed covered recipients of physicians and teaching hospitals [the expanded definition applies to information submitted on or after January 1, 2022]
  • Modification of the Nature of Payment categories
  • Standardizing data on reported covered drugs, devices, biologicals, or medical supplies

The official publication of the proposed rule will appear in the Federal Register on August 14, 2019. Comments are due to CMS by September 27, 2019

The AAMC will be submitting a response to the proposed rule and would like to ensure your thoughts and suggestions are incorporated in our letter. If you would like to provide us with examples or comments on how these changes may impact the activities at your institution or have questions about the proposed changes, please email Daria Grayer (dgrayer@aamc.org).

  • June 28, 2019 - 2018 Program Year Data Available Now!

    CMS published the 2018 Open Payments Program data which includes newly submitted and updated payment records from previous program years. The data can be viewed on the Open Payments webpage along with facts about the 2018 data.

  • March 26, 2019 - Physician and Teaching Hospital Resources

    The CMS Open Payments team in consultation with the AAMC's Forum on Conflict of Interest Steering Committee, and AAMC staff, developed two educational resources for use at your institutions: one with information to educate physicians about the Open Payments program and another for authorized representatives of teaching hospitals (Physician Educational Slides ) (PDF ) (Teaching Hospital Educational Slides ) (PDF ).

  • March 13, 2019 - Open Payments National Provider Call

    CMS hosted an Open Payments national provider call (Transparency and You) to provide information on the April 2019 review, dispute, and correction process for physicians and teaching hospitals, as well as information on how to register in the Open Payments system (Presentation) (Transcript).

  • June 30, 2018 - Publication of 2017 Program Year Data

    CMS published 2017 program year data along with newly submitted and updated payment information for years 2013-2016.Open Payments data was refreshed January 2019 to include changes that have been made after the June 30, 2018 publication.

  • April 2018 - CMS' Annual Report to Congress on the Open Payments program (here)

Opportunity to Provide Feedback to AAMC on the Open Payments Program

The AAMC is currently working to identify ways in which the Open Payments program and website could be enhanced or modified, and will share these suggestions with CMS. Please click here to provide your feedback.

General Resources

Background

The CMS rule, "Transparency Reports and Reporting of Physician Ownership or Investment Interests" also known as the Physician Payments Sunshine Act, requires applicable manufacturers of drugs, devices, biologicals, or medical supplies to report to CMS on an annual basis certain payments or transfers of value made to physicians or teaching hospitals. It also requires manufacturers and group purchasing organizations to disclose physician ownership or investment interests. The data are published annually. Physicians and teaching hospitals have the opportunity to review and dispute the payments reported about them before the data are made publicly available.

AAMC Resources

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