- Aggregate Spend
Aggregate Spend is the process to aggregate and monitor total amount spent by healthcare manufacturers (
Pharmaceutical, Biotechnologyand, in some states, Medical Device organizations) on individual Healthcare Professionals and Organizations (HCP/O) through payments, gifts, honoraria, travel and other means. [http://www.healthleadersmedia.com/content/215072/topic/WS_HLM2_PHY/Certification-of-Compliance-Among-Biggest-Changes-to-PhRMA-Code.html]
Aggregate Spend compliance has been affected by individual state law compliance, which requires Healthcare Manufacturers to address and collect distinct spend types to comply with disclosure requirements at the HCP/0 aggregate level. Minnesota, Maine, West Virginia, Vermont, California, Nevada, and Washington D.C. all have some type of gift-giving limit or disclosure law. Massachusetts and New York are evaluating options as well. [http://www.hcpro.com/content/213998.cfm]
As opposed to the individual state legislation, On
September 6, 2007Senator Chuck Grassleyintroduced the Physician Payments Sunshine Act of 2007 (S. 2029). In March 2008, Rep. Peter DeFazio (D-Oregon) and Rep. Pete Stark (D-California) introduced a slightly different companion bill in the House of Representatives. (The House bill is referred to as H.R. 5605). The bill would amend the Social Security Act "to provide for transparency in the relationship between physicians and manufacturers of drugs, devices, or medical supplies for which payment is made under Medicare, Medicaid, or SCHIP." The bill proposed that each quarter after January 1, 2008, companies or their agents that manufacture drugs, medical devices, or medical supplies would be required to disclose all payments of over than $25 in value made to "to a physician, or to an entity that a physician is employed by, has tenure with, or has an ownership interest in."
The bill would also require to provide details on the date, value and nature of the payment, such as whether it was for "food, entertainment, or gifts", "trips or travel", "a product or other item provided for less than market value", "participation in a medical conference, continuing medical education, or other educational or informational program or seminar, provision of materials related to such a conference or educational or informational program or seminar, or remuneration for promoting or participating in such a conference or educational or informational program or seminar", "product rebates or discounts", "consulting fees or honoraria" or "any other economic benefit."
The bill would also require each company to submit a summary report in electronic format. The proposed penalties for breaches were "not less than $10,000, but not more than $100,000, for each such failure. [http://www.sourcewatch.org/index.php?title=Physician_Payments_Sunshine_Act_of_2007#_note-1] [http://www.govtrack.us/congress/bill.xpd?bill=h110-5605]
The revised version of the Physicians Payments Sunshine Act would require drugmakers to disclose gifts, payments, travel expenses and other financial donations to docs and would undermine a stronger Vermont law if passed, according to state officials and advocacy groups. But the reporting threshold under the proposed federal law is $500 - much higher than the $25 threshold found in a similar Vermont law passed five years ago. If passed, the federal bill would preempt the state law.
According to Ashley Glacel, the press secretary for the Senate Aging Committee, whose chairman, Herb Kohl, co-sponsored the bill, the Senate bill is more expansive because it also include Medical Device makers. [http://www.pharmalot.com/2008/05/vermont-irked-by-revised-senate-disclosure-bill/]
In May 2008 the Pharmaceutical Research and Manufacturers of America stated that they supported a revised version of the bill but only on condition of "the continued inclusion of the provision that preempts state law". In a media statement, PhRMA President Billy Tauzin stated that "PhRMA believes that preempting local and state marketing reporting or disclosure laws that have been enacted or are pending avoids a confusing myriad of local, state and federal requirements that confuse patients accessing the information and are overly burdensome and costly for those required to report." [http://www.phrma.org/news_room/press_releases/phrma_statement_on_the_senate_sunshine_act/]
* [http://www.cbinet.com/show_conference.cfm?confCode=PC08056 CBI Aggregate Spend Conference]
* [http://pharmexec.findpharma.com/pharmexec/News/Tracking-of-Spend-Data-Widens/ArticleStandard/Article/detail/492596?contextCategoryId=43775 "Tracking of Spend Data Widens" Pharmaceutical Executive Feb 20, 2008]
* [http://aging.senate.gov/hearing_detail.cfm?id=295808& United States Senate Special Committee on Aging, June 27, 2007]
* [http://seniorjournal.com/NEWS/Politics/2008/8-02-27-AgingCommitteeHears.htm Surgeons for Sale: Conflicts and Consultant Payments in the Medical Device Industry]
* [http://www.forbes.com/forbes/2008/0225/026.html "A Free Lunch", Forbes, February 25, 2008]
* [http://www.nytimes.com/2007/10/12/us/12gift.html “Minnesota Limit on Gifts to Doctors May Catch On” New York Times, October 12, 2007]
* “Sales & Marketing Compliance: Keeping up with Global and Local Challenges” PharmaVOICE January 2007
* “Pharmaceutical Company Payments to Physicians: Early Experiences With Disclosure Laws in Vermont and Minnesota” JAMA, Vol. 297 No. 11, March 21, 2007
Wikimedia Foundation. 2010.
Look at other dictionaries:
Aggregate demand — This article is about a concept in macroeconomics. For microeconomic demand aggregated over consumers, see Demand curve. In macroeconomics, aggregate demand (AD) is the total demand for final goods and services in the economy (Y) at a given time… … Wikipedia
Aggregate expenditure — In economics, Aggregate Expenditure is a measure of national income. Basically it is one of the approaches to measure GDP. It is defined as the value of planned goods and services produced in an economy. Where GDP is defined as C + I + G + NX and … Wikipedia
Economic Affairs — ▪ 2006 Introduction In 2005 rising U.S. deficits, tight monetary policies, and higher oil prices triggered by hurricane damage in the Gulf of Mexico were moderating influences on the world economy and on U.S. stock markets, but some other… … Universalium
John Maynard Keynes — Keynes redirects here. For other uses, see Keynes (disambiguation). John Maynard Keynes Keynesian economics John Maynard Keynes Born … Wikipedia
economic stabilizer — Any of the institutions and practices in an economy that serve to reduce fluctuations in the business cycle through offsetting effects on the amounts of income available for spending (disposable income). The progressive income tax, unemployment… … Universalium
United States — a republic in the N Western Hemisphere comprising 48 conterminous states, the District of Columbia, and Alaska in North America, and Hawaii in the N Pacific. 267,954,767; conterminous United States, 3,022,387 sq. mi. (7,827,982 sq. km); with… … Universalium
Fiscal multiplier — This article is about the effect of spending on national income. For the multiplier effect in banking, see Fractional reserve banking. In economics, the fiscal multiplier is the ratio of a change in national income to the change in government… … Wikipedia
Inflation — This article is about a rise in the general price level. For the expansion of the early universe, see Inflation (cosmology). For other uses, see Inflation (disambiguation). Inflation rates around the world in 2007 … Wikipedia
Circular flow of income — In this simplified image, the relationship between the decision makers in the circular flow model is shown. Larger arrows show primary factors, whilst the red smaller arrows show subsequent or secondary factors. In economics, the terms circular… … Wikipedia
Labour economics — seeks to understand the functioning of the market and dynamics for labour. Labour markets function through the interaction of workers and employers. Labour economics looks at the suppliers of labour services (workers), the demanders of labour… … Wikipedia