Few teach­ing hos­pi­tals set lim­its on in­dus­try pay­ments

Modern Healthcare - - NEWS - —Jaimy Lee

A few aca­demic med­i­cal cen­ters have set strict poli­cies to pre­vent drug and de­vice man­u­fac­tur­ers from pay­ing physi­cians and po­ten­tially in­flu­enc­ing their teach­ing and med­i­cal de­ci­sion­mak­ing. But most teach­ing hos­pi­tals and med­i­cal schools con­tinue to re­ceive fund­ing from drug and de­vice com­pa­nies for CME and other types of pro­grams.

The As­so­ci­a­tion of Amer­i­can Med­i­cal Col­leges, Pew Char­i­ta­ble Trusts and the Amer­i­can Med­i­cal Stu­dent As­so­ci­a­tion have called for tougher poli­cies that re­duce in­dus­try in­flu­ence over health­care providers. In Septem­ber un­der the Physician Pay­ments Sun­shine Act, man­u­fac­tur­ers will be­gin re­port­ing pay­ments they make to teach­ing hos­pi­tals as well as physi­cians.

Ac­cred­ited con­tin­u­ing med­i­cal ed­u­ca­tion is one spend­ing cat­e­gory that has come un­der scru­tiny. Some aca­demic med­i­cal cen­ters have re­stricted in­dus­try sup­port for CME or re­quire in­dus­try fund­ing to go through a cen­tral repos­i­tory. But that level of re­stric­tion is rare, said Dr. Daniel Car­lat, direc­tor of the Pre­scrip­tion Project at Pew Char­i­ta­ble Trusts.

The Univer­sity of Michi­gan Med­i­cal School in 2010 an­nounced that it would no longer ac­cept fund­ing for CME from drug and de­vice com­pa­nies. Memo­rial Sloan Ket­ter­ing Can­cer Cen­ter in New York banned CME pay­ments from the in­dus­try in 2008.

“That has hap­pened here and there, but it’s not stan­dard op­er­at­ing pro­ce­dure at med­i­cal cen­ters yet,” Car­lat says.

Med­i­cal schools re­ceived about $390 mil­lion in CME fund­ing in 2012 from all sources, not only in­dus­try, while teach­ing hos­pi­tals ac­cepted about $208 mil­lion, ac­cord­ing to the Ac­cred­i­ta­tion Coun­cil for Con­tin­u­ing Med­i­cal Ed­u­ca­tion. Over­all spend­ing on CME that year was about $2.4 bil­lion.

While there has been some disclosure show­ing some CME pay­ments made by the in­dus­try, there has been lit­tle trans­parency about over­all pay­ments made by drug and de­vice com­pa­nies to teach­ing hos­pi­tals. The pub­li­ca­tion of the CMS’ Open Pay­ments data­base in Septem­ber will be the first look into those pay­ments.

Many teach­ing hos­pi­tals “re­ceive mil­lions of dol­lars ev­ery year from com­pa­nies to run CME pro­grams, but the specifics of that in­for­ma­tion have been in the dark for the most part,” Car­lat said. “Be­fore the Sun­shine Act, there was no good way of track­ing that money.”

Newspapers in English

Newspapers from USA

© PressReader. All rights reserved.