1 00:00:00,112 --> 00:00:02,695 (upbeat music) 2 00:00:05,260 --> 00:00:06,700 - [Presenter] The Open Payments program 3 00:00:06,700 --> 00:00:09,690 within the Centers for Medicare and Medicaid Services, 4 00:00:09,690 --> 00:00:12,800 provides transparency into financial relationships 5 00:00:12,800 --> 00:00:16,240 between pharmaceutical and medical device manufacturers, 6 00:00:16,240 --> 00:00:19,780 and teaching hospitals, physicians, physician assistants, 7 00:00:19,780 --> 00:00:22,400 and advanced practice nurses. 8 00:00:22,400 --> 00:00:24,290 The program collects data from drug 9 00:00:24,290 --> 00:00:27,080 and medical device companies about payments they make 10 00:00:27,080 --> 00:00:28,370 to healthcare providers 11 00:00:28,370 --> 00:00:30,440 and makes it available to the public 12 00:00:30,440 --> 00:00:33,290 to shed light on payments and other transfers of value 13 00:00:33,290 --> 00:00:35,620 that take place each year. 14 00:00:35,620 --> 00:00:39,870 CMS data for all program years, dating back to 2013, 15 00:00:39,870 --> 00:00:43,780 includes $53.06 billion in payments, 16 00:00:43,780 --> 00:00:47,280 76.25 million total records, 17 00:00:47,280 --> 00:00:49,860 more than 2000 reporting entities, 18 00:00:49,860 --> 00:00:52,600 1.08 million physicians, 19 00:00:52,600 --> 00:00:55,960 and 1,300 teaching hospitals. 20 00:00:55,960 --> 00:00:58,570 The data shown is up-to-date for program years 21 00:00:58,570 --> 00:01:02,983 2013 through 2019 as of June 30th, 2020. 22 00:01:04,030 --> 00:01:07,230 Reporting entities are pharmaceutical companies, 23 00:01:07,230 --> 00:01:08,750 device manufacturers, 24 00:01:08,750 --> 00:01:12,700 and group purchasing organizations, known as GPOs, 25 00:01:12,700 --> 00:01:14,600 that operate in the United States 26 00:01:14,600 --> 00:01:17,140 and produce or distribute covered drugs, 27 00:01:17,140 --> 00:01:21,210 devices, biological, or medical supplies. 28 00:01:21,210 --> 00:01:24,240 During the first eight years of the Open Payments program, 29 00:01:24,240 --> 00:01:26,770 covered recipients included only physicians 30 00:01:26,770 --> 00:01:28,550 and teaching hospitals. 31 00:01:28,550 --> 00:01:32,600 In 2021, the reporting entities must begin data collection 32 00:01:32,600 --> 00:01:34,380 on five additional categories 33 00:01:34,380 --> 00:01:36,740 of healthcare providers, which are: 34 00:01:36,740 --> 00:01:38,410 physician assistants, 35 00:01:38,410 --> 00:01:40,200 nurse practitioners, 36 00:01:40,200 --> 00:01:42,270 clinical nurse specialists, 37 00:01:42,270 --> 00:01:44,650 certified registered nurse anesthetists 38 00:01:44,650 --> 00:01:46,900 and anesthesiologist assistants, 39 00:01:46,900 --> 00:01:49,470 and certified nurse midwives. 40 00:01:49,470 --> 00:01:51,570 Data from reporting entities includes, 41 00:01:51,570 --> 00:01:53,400 but is not limited to: 42 00:01:53,400 --> 00:01:57,810 general payments such as: consulting and speaking fees, 43 00:01:57,810 --> 00:02:00,550 honoraria, gifts, and royalties, 44 00:02:00,550 --> 00:02:03,850 grants and research charitable contributions, 45 00:02:03,850 --> 00:02:07,490 entertainment, travel, lodging, food, and beverage, 46 00:02:07,490 --> 00:02:09,440 medical education programs, 47 00:02:09,440 --> 00:02:12,180 and space rental or facility fees. 48 00:02:12,180 --> 00:02:14,830 Research payments and ownership 49 00:02:14,830 --> 00:02:16,160 or investment interests 50 00:02:16,160 --> 00:02:18,270 involving covered recipient physicians 51 00:02:18,270 --> 00:02:21,970 or their immediate family members must also be reported. 52 00:02:21,970 --> 00:02:26,290 New categories of reportable payments added in 2021 include: 53 00:02:26,290 --> 00:02:30,420 debt forgiveness, long-term medical supply or device loans, 54 00:02:30,420 --> 00:02:31,593 and acquisitions. 55 00:02:32,470 --> 00:02:36,060 The Open Payments program operates on a yearly cycle 56 00:02:36,060 --> 00:02:38,740 consisting of four key activities: 57 00:02:38,740 --> 00:02:41,600 Data Collection, Data Submission, 58 00:02:41,600 --> 00:02:45,230 Review and Dispute, and Data Publication. 59 00:02:45,230 --> 00:02:48,040 Reporting entities are required to collect payment data 60 00:02:48,040 --> 00:02:50,170 on an ongoing basis. 61 00:02:50,170 --> 00:02:53,930 In February and March, reporting entities submit to CMS 62 00:02:53,930 --> 00:02:57,350 detailed information about payments or transfers of value 63 00:02:57,350 --> 00:02:59,180 that they made to covered recipients 64 00:02:59,180 --> 00:03:01,540 in the previous calendar year. 65 00:03:01,540 --> 00:03:03,570 At the end of the data submission period, 66 00:03:03,570 --> 00:03:06,440 there is a voluntary review and dispute period 67 00:03:06,440 --> 00:03:09,200 to help ensure that validity of the data. 68 00:03:09,200 --> 00:03:12,160 At this point, covered recipients can go online 69 00:03:12,160 --> 00:03:14,360 to view the data attributed to them 70 00:03:14,360 --> 00:03:17,723 and dispute any inaccuracies before the data is public. 71 00:03:18,570 --> 00:03:21,520 Covered recipients work directly with the reporting entity 72 00:03:21,520 --> 00:03:23,860 to reach a dispute resolution. 73 00:03:23,860 --> 00:03:25,890 Reporting entities can make corrections 74 00:03:25,890 --> 00:03:28,730 to the data as necessary depending on the outcome 75 00:03:28,730 --> 00:03:29,653 of the dispute. 76 00:03:30,890 --> 00:03:35,010 The fourth and final step is the annual data publication. 77 00:03:35,010 --> 00:03:38,963 CMS publishes the data by June 30th each year. 78 00:03:40,680 --> 00:03:43,270 As you've just learned, the Open Payments program 79 00:03:43,270 --> 00:03:45,440 operates on an annual cycle. 80 00:03:45,440 --> 00:03:48,660 There are several key dates in this cycle to remember. 81 00:03:48,660 --> 00:03:51,110 While companies collect data all year long, 82 00:03:51,110 --> 00:03:54,000 they submit the data they collected in the previous year 83 00:03:54,000 --> 00:03:57,180 from February 1st to March 31st. 84 00:03:57,180 --> 00:04:00,520 After that, covered recipients have from April 1st 85 00:04:00,520 --> 00:04:04,320 to May 15th to review and dispute this data. 86 00:04:04,320 --> 00:04:06,450 Any corrections to the data must be made 87 00:04:06,450 --> 00:04:09,380 by reporting entities by May 30th. 88 00:04:09,380 --> 00:04:13,503 By June 30th, CMS publishes the data on its public website. 89 00:04:14,780 --> 00:04:17,270 Open Payments data has been used in hundreds 90 00:04:17,270 --> 00:04:20,730 of healthcare industry and mainstream media articles. 91 00:04:20,730 --> 00:04:24,030 This publicly available data includes millions of records 92 00:04:24,030 --> 00:04:25,810 representing billions of dollars 93 00:04:25,810 --> 00:04:28,950 in payments across all program years. 94 00:04:28,950 --> 00:04:31,700 CMS has indexed the Open Payments data 95 00:04:31,700 --> 00:04:34,540 so that it is easy for anyone to conduct searches 96 00:04:34,540 --> 00:04:38,170 by physician, teaching hospital, or company, 97 00:04:38,170 --> 00:04:41,920 as well as by medical specialty and other parameters. 98 00:04:41,920 --> 00:04:44,610 Let's look at how to use the Open Payments search tool 99 00:04:44,610 --> 00:04:46,890 to conduct a basic search. 100 00:04:46,890 --> 00:04:50,050 Please note that all names and identifying information shown 101 00:04:50,050 --> 00:04:53,430 in the following demo are for illustration purposes only. 102 00:04:53,430 --> 00:04:56,200 Any resemblance to actual persons or entities 103 00:04:56,200 --> 00:04:57,793 is purely coincidental. 104 00:04:59,150 --> 00:05:00,430 You can begin a search 105 00:05:00,430 --> 00:05:03,440 right from the Open Payments search tool homepage 106 00:05:03,440 --> 00:05:07,300 at OpenPaymentsData.CMS.gov. 107 00:05:07,300 --> 00:05:11,060 Simply type in the name of the physician, teaching hospital, 108 00:05:11,060 --> 00:05:13,573 or company you are interested in researching. 109 00:05:15,120 --> 00:05:17,530 The results delivered from this basic search, 110 00:05:17,530 --> 00:05:20,610 will include any records that have at least part of the name 111 00:05:20,610 --> 00:05:22,653 or entity for which you are searching. 112 00:05:24,960 --> 00:05:26,500 Once you click on your choice, 113 00:05:26,500 --> 00:05:28,280 you'll be brought to the profile page 114 00:05:28,280 --> 00:05:30,420 for that person or entity. 115 00:05:30,420 --> 00:05:33,080 This page provides a dashboard-style view 116 00:05:33,080 --> 00:05:34,623 of all relevant data. 117 00:05:36,310 --> 00:05:39,310 You can filter data by year, payment type, 118 00:05:39,310 --> 00:05:40,513 and other criteria. 119 00:05:42,840 --> 00:05:46,410 Data can be viewed in table or chart format. 120 00:05:46,410 --> 00:05:48,910 In addition, you can see how data compares 121 00:05:48,910 --> 00:05:52,183 to the national and specialty averages of payments made. 122 00:05:53,670 --> 00:05:56,050 There are also options for advanced search 123 00:05:56,050 --> 00:05:57,453 and data downloads. 124 00:06:03,674 --> 00:06:06,190 It's important to note that all data provided 125 00:06:06,190 --> 00:06:08,250 by reporting entities is published 126 00:06:08,250 --> 00:06:10,120 exactly as it is attested. 127 00:06:10,120 --> 00:06:12,943 CMS does not alter the data in any way. 128 00:06:13,920 --> 00:06:17,160 The Open Payments program is a culmination of years 129 00:06:17,160 --> 00:06:19,170 of dedicated efforts to promote 130 00:06:19,170 --> 00:06:21,090 a more financially transparent 131 00:06:21,090 --> 00:06:23,540 and accountable healthcare system. 132 00:06:23,540 --> 00:06:27,570 Your participation in Open Payments, now or in the future, 133 00:06:27,570 --> 00:06:31,210 depending on your role, ensures your data is accurate 134 00:06:31,210 --> 00:06:33,373 and promotes healthcare transparency. 135 00:06:34,240 --> 00:06:36,680 Learn more about the Open Payments program 136 00:06:36,680 --> 00:06:40,330 at cms.gov/openpayments. 137 00:06:40,330 --> 00:06:42,250 Paid for by the U.S. Department of Health 138 00:06:42,250 --> 00:06:43,453 and Human Services.