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COMMENTARY A Unique Researcher Identifier for the Physician Payments Sunshine Act DHHS, it explicitly prohibits DHHS from disclosing NPIs Daniel Carpenter, PhD in its public reports—and in any case, NPIs would not Steven Joffe, MD, MPH encompass nonphysician recipients. Together, these limi- tations constrain the PPSA’s reach and inhibit the ability HE PHYSICIAN PAYMENTS SUNSHINE ACT (PPSA) PROM- of interested parties to use these data to understand the ises a new era of transparency for the US health care nature and effects of industry’s financial relationships system. Signed into law on March 23, 2010, the PPSA with the biomedical research enterprise. Tis part of the Patient Protection and Affordable Care These omissions are important because of pervasive Act of 2009. The PPSA requires medical product compa- concerns that industry financial relationships may contrib- nies to report to the Department of Health and Human Ser- ute bias to research. Although the entity that funded a vices (DHHS) a range of “transfers of value” to covered re- study is usually clearly identified, it is much more difficult cipients (physicians and teaching hospitals). With some to learn whether an investigator has received payments. exceptions, these transfers and their value will be publicly
JAMA – American Medical Association
Published: May 18, 2011
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