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9781634252911

What Is...The Physician Payments Sunshine Act or "Open Payments"?

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  • ISBN13:

    9781634252911

  • ISBN10:

    1634252918

  • Edition: 1st
  • Format: Paperback
  • Copyright: 2016-04-07
  • Publisher: American Bar Association
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Summary

This guide provides a detailed overview of the Sunshine Act, transparency initiatives, and related implications associated with increased attention on physician-industry relationships.

  • Section II provides background and the legislative history of the Sunshine Act.

  • Section III provides a detailed summary and analysis of the technical statutory and regulatory requirements manufacturers and group purchasing organizations must abide by to comply with the law.

  • Section IV analyzes the Sunshine Act's regulatory requirements as they may impact other healthcare fraud and abuse and compliance obligations and requirements, including the Anti-Kickback Statute and the False Claims Act.

  • Section IV.C provides an overview of related state transparency laws and gift ban laws, including how such provisions are preempted under the Sunshine Act.

  • Section V offers a brief overview of CMS's first data release on the Open Payments website and discusses potential issues and future concerns for all stakeholders moving forward.

As a bonus at the end of this guide you will find:
  • Appendix A - Table of U.S. Transparency, Gift Ban Requirements
  • Appendix B - District of Columbia
  • Appendix C - Massachusetts
  • Appendix D - Nevada
  • Appendix E - Vermont

Author Biography

Abraham Gitterman is an associate in Arnold & Porter's FDA andHealthcare Group in the firm's Washington, DC office, where his practicefocuses on FDA and health-care regulatory matters involving pharmaceuticals,medical devices, medical technology and software, and mobile apps.

Daniel Kracov is co-chair of Arnold & Porter, LLP's FDA and Healthcarepractice. He assists clients, including start-up companies, trade associations,and large manufacturing companies, in negotiating the challenges relating tothe development, approval and marketing of drugs, biologics, and medical devices.

AllisonWeber Shuren is co-chair of Arnold & Porter, LLP's FDA/Healthcare practicegroup, where she focuses her practice on a variety of regulatory andlegislative healthcare issues involving Medicare coverage, reimbursement andcoding issues; fraud and abuse counseling and investigations including defenseof allegations of False Claims Act, Anti-Kickback, and Stark Lawviolations; and implementation and audit of corporate compliance programs andgovernment imposed corporate integrity agreements.

Alan Reider is a Partner in the FDA and Healthcare practice group in Arnold& Porter, LLP's Washington, DC office, with more than 30 years ofexperience representing national healthcare corporations, pharmaceutical andmedical device companies, as well as institutional providers and individualpractitioners and suppliers.

Paul Rudolf is a partner in Arnold & Porter,LLP's Washington, DC office. Dr. Rudolf has significant experience in both Medicareand FDA legal, regulatory and policy issues, particularly those relating tocounterfeit drugs and radio-frequency identification technology as applied topharmaceuticals and medical devices.

Lauren Nicole Miller is an associate in Arnold & Porter LLP's FDA andHealthcare practice group, where she provides counseling on regulatory andpublic policy issues for clients in the drug, food, medical device, andhealthcare sectors.

Supplemental Materials

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