title: Physician payment disclosure under health care reform: will the sun shine?
abstract: Pharmaceutical marketing has become a mainstay in U.S. health care delivery and traditionally has been directed toward physicians. In an attempt to address potential undue influence of industry and conflicts of interest that arise, states and the recently upheld health care reform act have passed transparency, or "sunshine," laws requiring disclosure of industry payments to physicians. The Centers for Medicare & Medicaid Services recently announced the final rule for the Sunshine Provisions as part of the reform act. However, the future effectiveness of these provisions are questionable and may be limited given the changing landscape of pharmaceutical marketing away from physician detailing to other forms of promotion. To address this changing paradigm, more proactive policy solutions will be necessary to ensure adequate and ethical regulation of pharmaceutical promotion.
authors: Institute of Health Law Studies, California Western School of Law, San Diego, CA 92101, USA. tmackey@ucsd.edu
authors: Tim K
authors: TK
authors: Mackey
authors: Bryan A
authors: BA
authors: Liang
mesh_terms: D014487:Centers for Medicare and Medicaid Services, U.S. / Q000331:legislation & jurisprudence*; D016265:Conflict of Interest / Q000331:legislation & jurisprudence*; D003695:Delivery of Health Care / Q000331:legislation & jurisprudence*; D030881:Disclosure / Q000331:legislation & jurisprudence*; D004345:Drug Industry / Q000331:legislation & jurisprudence*; D018166:Health Care Reform / Q000331:legislation & jurisprudence*; D006291:Health Policy / Q000331:legislation & jurisprudence; D006801:Humans; D040541:Marketing / Q000331:legislation & jurisprudence; D010818:Practice Patterns, Physicians' / Q000331:legislation & jurisprudence*; D014481:United States
keywords: Conflict of Interest; Health Care Reform; Health Policy; Medical Ethics