On January 16, 2012, the New York Times published an article by Robert Pear entitled, U.S. to Force Drug Firms to Report Money Paid to Doctors.
The article is about an important provision of the Patient Protection Affordable Care Act that will have significant implications for physicians and academic medical centers. Frequently referred to as the Physician Payment Sunshine Provisions, these portions of the Affordable Care Act require that that drug, medical device, biologic, and medical equipment manufacturers that produce any products covered by Medicare or Medicaid or the Children’s Health Insurance Program must annually report all payments made to doctors and hospitals.
The disclosure requirement also includes annual reporting of physician ownership, or investment interest by physicians or their immediate family members, in these providers, as well as information on any payments or other transfers of value provided to a physician. These changes are being implemented for important reasons: studies have shown that doctors receiving financial benefits from companies often practice medicine differently from those who do not, which could put patient safety at risk. Also, the Congressional Budget Office has determined that disclosure will, over time, reduce spending by decreasing instances of over prescribing.
To become familiar with the issues underlying this provision, you could begin with books and journal databases here at Case.
Bernard Lo and Marilyn J. Field, eds., Conflict of Interest in Medical Research, Education, and Practice (2009).
HCL Stacks, W50 C748ci 2009
Michael Davis and Andrew Stark, eds., Conflict of Interest in the Professions (2001).
Law Stacks, BJ1725.C66 2001
Roy G. Spece, Jr., David S. Shimm, Allen E. Buchanan, eds., Conflicts of Interest in Clinical Practice and Research ( 1996).
Law Stacks, R724 .C627 1996
Use Research Databases such as HeinOnline, Academic Search Complete and CINAHL Plus, for law review and health sciences journal articles. Lexis and Westlaw are also good options for this process. Remember to check footnotes and references for additional articles and prominent authors:
David J. Rothman & Susan Chimonas, Academic Medical Centers’ Conflict of Interest Policies, JAMA, Nov. 24, 2010, at 2294.
Bryan A. Liang & Tim Mackey, Confronting Conflict: Addressing Institutional Conflicts of Interest in Academic Medical Centers, 36 Am. J. L & Med. 136 (2010).
Kevin Weinfurt, Mark Hall, N. Chantelle Hardy, et al., Oversight of Financial Conflicts of Interest in Commercially Sponsored Research in Academic and Nonacademic Settings, 25 J. Gen. Intern. Med. 460 (2010)
Jennifer Henderson & John Smith, Financial Conflict of Interest in Medical Research: Overview and Analysis of Federal and State Controls, 57 Food & Drug L.J. 445 (2002).
Nancy J. Moore, What Doctors Can Learn from Lawyers About Conflicts of Interest, 81 B.U.L. Rev. 445 (2001).
Stay informed throughout the research project:
Law students have full access to Bloomberg BNA which includes many medical and health industry reports. Medical Devices Law and Industry Report, a bi-weekly report, goes back to 2007. Conveniently, BloombergBNA gives you the option of receiving e-mail announcements of new developments. To receive e-mail updates, select Getting Started at the top of the report you want to read and follow the instructions.