Federal Agency: Physician Payment Sunshine Act implications for manufacturers and providers


Back Arrow

Back To The Calendar


Topic Federal Agency: Physician Payment Sunshine Act implications for manufacturers and providers
Background The Affordable Care Act added Physician Payment Sunshine provisions to the Social Security Act. They require manufacturers of drugs, biologics, devices, and medical supplies covered under Medicare, Medicaid, and the Children’s Health Insurance Program to log payments and “other transfers of value” to physicians starting Jan. 1, 2012, for reporting to the federal government in 2013. Physicians do NOT file disclosures. The disclosure includes (1) the physician’s name, business address, specialty, and National Provider Identifier; (2) the value of the payment or transfer of value; (3) the name of the related drug, device, or supply, if available, to the level of specificity available; and (4) a description of the form of payment, such as cash or cash equivalent, or in-kind items or services. The U.S. Department of Health and Human Services (HHS) will publish the data on a public searchable website by Sept. 30, 2013. This does NOT affect or disclose your payments from Medicare.
Regulating Body Centers for Medicare & Medicaid Services
Compliance Date 1/1/2012
Consequences Failure of the manufacturer to report subjects the manufacturer to penalties.
Next Steps Be aware that HHS is collecting this information for dissemination to the public.
Find out how TMA can help!