Today was a busy day for news about the Sunshine Act and Open Payments. I was asked to present pertinent information about the
Sunshine Act to some of the leadership of the medical school where I work, the
Indiana University School of Medicine, about this topic. Essentially, the Physician Payment Sunshine
Act (PPSA, shortened to “Sunshine Act”) came out of the Affordable Care Act,
and requires that manufacturers of drugs and medical devices (which I'll call
“industry”) collect, track and report all payments
and financial relationships with physicians and teaching hospitals. This system was designed
to establish a transparent national disclosure system.
As a result, the Center for Medicare and Medicaid Services,
or CMS, was tasked with creating a website that provided information about
these relationships so that the public can make informed decisions. That website is known as “Open Payments”.
As of the time of this writing, for approximately the next
three weeks, the “Dispute” period is still open, whereby individual physicians can register on the website, and review
their own data. If one feels there is a
discrepancy, then s/he can file a dispute that industry companies will need to
review, and ultimately reconcile.
For my presentation today, I carefully made detailed slides
for the leadership to share with the faculty.
I decided today to add in some screen shots of what the report looks
like to an individual doctor. To my dismay, this was the screen
I found.
Intrigued with the word "portlet", I sent a request to the CMS Help Desk. I was pleased with the response time of just a few hours. This was the response:
[The] portal is
down for maintenance at this time. There is no ETA at this point, but we
are working to get this resolved as soon as possible. We apologize for
any inconvenience and Thank you for your understanding.
For further
questions please feel free to contact the open payments help desk at
1-855-326-8366. We are open Monday - Friday from 7:30 am to 6:30 pm CST,
excluding Federal holidays.
Thank you,
Open Payments
I wondered what the issue could be. It turns out that earlier today, this piece was posted by ProPublica.
How timely!
I really do hope for two big fixes. First, that examples like this one here (which generated the ProPublica story) are
rare. The registration to gain access to
one’s Open Payments information is complex and cumbersome (the User Guide is
unfortunately not much simpler, at 359 pages in length), which one might assume means that CMS is really trying to make sure that
someone who logs in is indeed who s/he said s/he is. Second, that the website can be opened back up very soon. Time is slowly ticking away in the Dispute period.
I am all for transparency, but if a system is going to be
put in place to “provide the public with information to make informed decisions”,
the information in that system needs to be a) relatively easy to access, and b)
correct first and foremost. It would
make sense to me that at the least, industry use the NPI numbers (each physician is assigned a unique number
for ONLY that physician and no one else) to insure that physicians with similar names are not mixed up.
-For information about the Sunshine Act and the Open
Payments process, see this from the AAMC.
-For a step-by-step process about how to register, review,
and potentially dispute one’s data, see this from Stanford, along with this FAQ.
-For a very recent survey of industry and of physicians (85%
of whom stated they would like to review their own data BEFORE its submitted to
CMS; 7% actually have reviewed their data, however), see this.
By the way, the presentation went fine. Faculty leaders had great questions. The take home discussion from many who have
already gone through the process: allot two hours for the entire process of
registering, waiting for clearance, and potentially for disputing any data that
one feels is incorrect.
Fellow doctors, please take the time to review the process and your own
data. After all, we are curious about the details.
Alex, thanks for your post. I found my way here via a Google search because I, too, have received only the "portlet is unavailable" message every time I've tried to log on. Still happening for you?
ReplyDeleteYes, it still shows the same "unavailable" message now, at 7 pm EST on 8/12/14.
ReplyDelete