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 (email@example.com).
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.
Teaching hospitals and physicians must be registered in the Open Payments system to participate in the review and dispute process (*registration is a two step process- step 1: register in the Enterprise Identity Management System & step 2: register in the CMS Portal. Step 2 is required to see the reported data)
- Methodology and Data Dictionary (January 2019)
- Open Payments Program Overview and Enhancements (January 2019)
- Open Payments Program Data Publication Tutorial (June 2018)
- Summary of Open Payments Data (Program Years 2013-2017)
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.
- Proposed Changes to the Rule - In the CY 2015 Physician Fee Schedule proposed rule, the Centers for Medicare and Medicaid Services (CMS) proposed making four changes to the Sunshine rule for calendar year 2015.
- Federal Register Notice of the Proposed Rule (July 11, 2014) - see pages 40383-40385
- AAMC Urges CMS to Retain Sunshine Act Exemption for Accredited CME (Sept. 2014)
- AAMC Letter to CMS Regarding Delays in the Open Payments Review and Dispute Process (Aug. 2014)
- AAMC Comment Letter in Response to the Proposed Dispute Resolution Process (June 2014)
- Federal Register Notice of the Final Rule (Feb. 2013)
- AAMC Comment Letter in Response to NPRM (Feb. 2012)