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 629 Articles
A growth-driven and strategic executive, Peter Coffaro commands more than 20 years of progressive management success within the medical device industry. As a District Sales Manager for Stryker Orthopaedics, Peter was responsible for managing and directing a regional sales force to achieve sales and profit goals within the Rocky Mountain region. Previously, he was the Director of Sales & Marketing for Amp Orthopedics. In this role, Peter was responsible for planning, developing, and leading all sales and marketing initiatives. Peter is a former orthopedic distributor in the Pacific Northwest. He has also worked with DePuy Orthopaedics as well as Zimmer, and held positions in sales, sales training, and sales management. Peter has an extensive background in organizational development, business development, sales management, negotiating and P&L management. Peter holds a B.S. degree in Biology from Northern Illinois University.

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