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VIEW ROLESThe Centers for Medicare and Medicaid Services (CMS) has proposed changes to the Open Payments program that would significantly expand transparency reporting requirements. Developed in response to the SUPPORT Act, these updates aim to curb the opioid epidemic, by increasing the transparency and accountability around the prescribing practices of any healthcare professional who can prescribe opioids, not only physicians.
The updates, if enacted, will be the most significant changes to US transparency reporting requirements since their inception. In its current form, the regulatory change will go into effect for data collection as of January 1, 2021 and be incorporated for the first time in 2022 reports. Manufacturers have a narrow window of time to implement the technology and processes to capture this additional data.
Organizations will need to modify their reporting categories to conform with the changes and adopt more comprehensive collection practices to include the new inclusion of non-physicians into the classification of covered professionals. Device manufacturers will need to collect the new device identifier and align their systems accordingly.
None of this is insurmountable, but time for implementation is short. In reality, organizations will need to take 2020 as a sort of dry run for these new requirements. Any lapses or gaps can be addressed and rectified before the threat of penalties looms. Companies already working with a solutions platform for compliance and transparency reporting will have the easiest transition process.
Since the passage of the US Sunshine Act, the number of countries that have adopted transparency regulations has grown to 47. For organizations that have not yet implemented global compliance platforms, the proposed CMS changes are a reminder that scalable solutions need to be a top priority for 2020 and beyond.
For more information about IQVIA Commercial Compliance, please email commercialcompliance@iqvia.com or visit our webpage. Our experts leverage the industry’s leading technologies to deliver streamlined processes and improved efficiencies that solve your toughest engagement and transparency challenges. From automating and managing the entire HCP/O contracting lifecycle, to capturing, collecting, and reporting global spend; to planning efficient and compliant HCP meetings and engagements—discover how our solutions can make compliance easier for you.