Senators Press HHS and CMS on Physician Payment Sunshine Act Compliance

On March 19, 2019, Leaders of the Senate Finance Committee wrote to the Department of Health and Human Services Office of Inspector General (HHS OIG) and the Centers for Medicare and Medicaid Services (CMS) regarding the potential failure of physician-owned distributorships (PODs) to disclose physician ownership interests and related payments as required under the Physician Payment Sunshine Act.

Committee Chairman Chuck Grassley of Iowa and Ranking Member Ron Wyden of Oregon start the letter out by noting that it has “come to [their] attention” that some PODs may not be properly disclosing physician ownership or investment as required by the Sunshine Act.

The senators refer to the POD relationship as “inherently suspect” because they believe it “could encourage physicians to perform unnecessary surgeries or to choose a device in which they have a financial interest for the purposes of generating more profit for the POD and thereby themselves.” The Senators continued, stating, “Congress passed the Sunshine Act to promote transparency and accountability in taxpayer-funded government healthcare programs…We look forward to working with the Administration to ensure that the Sunshine Act is up-to-date and that the penalties for non-disclosure are implemented against bad actors who fail to report.”

They go on to ask the Agencies several questions regarding POD compliance. The questions included topics such as: what steps are being taken to determine the extent of POD compliance, what regulatory changes and guidance are being considered to ensure compliance, and what current enforcement measures are taken when there is a failure to comply. It also mentioned the 2015 HHS OIG memorandum in which HHS OIG described plans to monitors the CMS’ Sunshine Act database and determine how best to assess its impact on transparency within Medicare and asked several follow-up questions on the memorandum.

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About Peter Coffaro 689 Articles
A growth-driven and strategic executive, Peter Coffaro commands more than 20 years of progressive management success within the orthopedic industry. Recognized by MedReps.com as one of the top medical sales influencers in the industry; he has 10 years of combined sales management experience and has held positions as a Director, General Manager and Distributor. Peter has worked for some of the top orthopedic companies in the world - Zimmer, DePuy and Stryker. He is also the founder of OrthoFeed: a popular blog that covers orthopedic news and emerging medical technologies. Peter is a three-time Hall of Fame award winner at Johnson and Johnson and has an extensive background in organizational development, business development, sales management, digital marketing and professional education. Peter holds a B.S. degree in Biology from Northern Illinois University.

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