• Ann Emerg Med · Aug 2016

    Financial Ties Between Emergency Physicians and Industry: Insights From Open Payments Data.

    • William Fleischman, Joseph S Ross, Edward R Melnick, David H Newman, and Arjun K Venkatesh.
    • Robert Wood Johnson Foundation Clinical Scholars Program, Yale School of Medicine, New Haven, CT. Electronic address: wf3@buffalo.edu.
    • Ann Emerg Med. 2016 Aug 1; 68 (2): 153-158.e4.

    Study ObjectiveThe Open Payments program requires reporting of payments by medical product companies to teaching hospitals and licensed physicians. We seek to describe nonresearch, nonroyalty payments made to emergency physicians in the United States.MethodsWe performed a descriptive analysis of the most recent Open Payments data released to the public by the Centers for Medicare & Medicaid Services covering the 2014 calendar year. We calculated the median payment, the total pay per physician, the types of payments, and the drugs and devices associated with payments to emergency physicians. For context, we also calculated total pay per physician and the percentage of active physicians receiving payments for all specialties.ResultsThere were 46,405 payments totaling $10,693,310 to 12,883 emergency physicians, representing 30% of active emergency physicians in 2013. The percentage of active physicians within a specialty who received a payment ranged from 14.6% in preventive medicine to 91% in orthopedic surgery. The median payment and median total pay to emergency physicians were $16 (interquartile range $12 to $68) and $44 (interquartile range $16 to $123), respectively. The majority of payments (83%) were less than $100. Food and beverage (86%) was the most frequent type of payment. The most common products associated with payments to emergency physicians were rivaroxaban, apixaban, ticagrelor, ceftaroline, canagliflozin, dabigatran, and alteplase.ConclusionNearly a third of emergency physicians received nonresearch, nonroyalty payments from industry in 2014. Most payments were of small monetary value and for activities related to the marketing of antithrombotic drugs.Copyright © 2016 American College of Emergency Physicians. Published by Elsevier Inc. All rights reserved.

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