Tag Archives: Master Data Management
The Physician Payments Sunshine Act shines a spotlight on the disorganized state of physician information, which is scattered across systems, often incomplete, inaccurate and inconsistent in most pharmaceutical and medical device manufacturing companies.
According to the recent Wall Street Journal article Doctors Face New Scrutiny over Gifts, “Drug companies collectively pay hundreds of millions of dollars in fees and gifts to doctors every year. In 2012, Pfizer Inc., the biggest drug maker by sales, paid $173.2 million to U.S. health-care professionals.”
The Risks of Creating Reports with Inaccurate Physician Information
There are serious risks of filing inaccurate reports. Just imagine dealing with:
- An angry call from a physician who received a $25 meal, which was inaccurately reported as $250 or who reportedly, received a gift that actually went to someone with a similar name.
- Hefty fines and increased scrutiny from the Centers for Medicare and Medicaid Services (CMS). Fines range from $1,000 to $10,000 for each transaction with a maximum penalty of maximum $1.15 million.
- Negative media attention. Reports will be available for anyone to access on a publicly accessible website.
How prepared are manufacturers to track and report physician payment information?
One of the major obstacles is getting a complete picture of the total payments made to one physician. Manufacturers need to know if Dr. Sriram Mennon and Dr. Sri Menon are one and the same.
On top of that, they need to understand the complicated connections between Dr. Sriram Menon, sales representatives’ expense report spreadsheets (T&E), marketing and R&D expenses, event data, and accounts payable data.
3 Steps to Ensure Physician Information is Accurate
In recent years, some pharmaceutical manufacturers and medical device manufacturers were required to respond to “Sunshine Act” type laws in states like California and Massachusetts. To simplify, automate and ensure physician payment reports are filed correctly and on time, they use an Aggregate Spend Repository or Physician Spend Management solution.
They also use these solutions to proactively track and review physician payments on a regular basis to ensure mandated thresholds are met before reports are due. Aggregate Spend Repository and Physician Spend Management solutions rely on a foundation of data integration, data quality, and master data management (MDM) software to better manage physician information.
For those manufacturers who want to avoid the risk of losing valuable physician relationships, paying hefty fines, and receiving scrutiny from CMS and negative media attention, here are three steps to ensure accurate physician information:
- Bring all your scattered physician information, including identifiers, addresses and specialties into a central place to fix incorrect, missing or inconsistent information and uniquely identify each physician.
- Identify connections between physicians and the hospitals and clinics where they work to help aggregate accurate payment information for each physician.
- Standardize transaction information so it’s easy to identify the purpose of payments and related products and link transaction information to physician information.
Physicians Will Review Reports for Accuracy in January 2014
In January 2014, after physicians review the federally mandated financial disclosures, they may question the accuracy of reported payments. Within two months manufacturers will need to fix any discrepancies and file their Sunshine Act reports, which will become part of a permanent archive. Time is precious for those companies who haven’t built an Aggregate Spend Repository or Physician Spend Management solution to drive their Sunshine Act compliance reports.
If you work for one of the pharmaceutical or medical device manufacturing companies already using an Aggregate Spend Repository or Physician Spend Management solution, please share your tips and tricks with others who are behind.
Tick tock, tick tock….
Just in time for Halloween, I’m sharing a scary story. Warning: this is a true story. You may wonder:
- Could this happen to me?
- Can this situation be avoided?
- How can I prevent this from happening to me?
Last summer, the worst wildfire in Colorado history burned hundreds of acres, 360 homes, killing two people and forcing 38,000 people to evacuate the area.
Unfortunately, it was during the Colorado wildfire that a large integrated healthcare provider with hospitals, doctors, healthcare providers and employees located throughout the United States (who shall remain nameless) realized they had a problem. They couldn’t respond in real time to the disaster by mobilizing their workforce quickly. They struggled to identify, contact and communicate with doctors, healthcare providers and employees located at the disaster area to warn them not to go to the hospital or redirect them to alternative sites where they could help.
This healthcare provider’s inability to respond to this disaster in real time was an “Aha” moment. What was holding them back was a major information problem. Because their employee information was scattered across hundreds of systems, they couldn’t pull a single, comprehensive and accurate list of doctors, healthcare providers and employees in the disaster area. They didn’t know which employees needed to be evacuated or which could be sent to assist people in other locations. So, they had to email everyone in the company.
The good news is that we’re in the process of helping them create and maintain a central location called an “employee master” built on our data integration, data quality, and master data management (MDM) software. This will be their “go-to” place for an up-to-date, complete and accurate list of employees and their contact information, such as work email, phone, pager (doctors still use them), home phone and personal email as well as their location, so they know exactly who is working where and how best to contact them.
This healthcare provider will no longer be held back by an information problem. In three months, they’ll be able to respond to disasters in real time by mobilizing their workforce quickly.
An interesting side note: Immediately before our Informatica team of experts arrived to talk to this healthcare provider about how we can help them, there was a power outage in the building. They struggled to alert the employees who were impacted. So our team personally experienced the pain of this organization’s employee information problem.
When disaster strikes, will you be ready to respond in real time? Or do you have an information problem that could hold you back from mobilizing your own employees?
I want your opinion. Are you interested in more scary stories? Let me know in the comments below. I’m thinking about making this a regular series.
The MDM space is filled by a number of well-known players. In addition to Informatica, you’ll also find IBM, Oracle, SAP, and a host of other vendors. But who’s the leader of this space?
The Information Difference is an analyst firm that specializes in MDM, and this firm has been watching the MDM space for years. Recently, The Information Difference compared 12 different MDM vendors, ranked them using 200 criteria, and published their findings in a report of the MDM landscape for Q2, 2013. The firm compared the vendors’ MDM offerings across 6 categories: data governance, business rules, data quality, data storage, data provision, and data movement.
A few weeks ago I told you about a few webinars that can help you to dig deeper into MDM. One, entitled How to Integrate On-Premise and Cloud MDM Hubs Using Federated MDM Architecture, which took place last month, had over a hundred attendees, and they asked a lot of great questions.
Here, I’ll take an opportunity to answer a few:
I’m astounded by the incredible turnout and response to MDM Day and other MDM-related events at Informatica World, and again, I see this as a sign of MDM’s importance in the business world. Attendees told their stories, swapped best-practices, and shared their visions of using MDM to improve up-sell, cross-sell, and other important business metrics. But now let’s keep the momentum going. Here I want to tell you about three free webinars that will help you to dive more deeply into MDM, and take your initiatives to the next level. The first is for any large organization, and the other two are for pharmaceutical companies. (more…)
During Informatica World in early June, we were excited to announce our new Potential at Work Community. You can read Jakki Geiger’s blog introducing the Community to learn more about the goals for this great resource. (more…)
I’ve been in the data management industry for over 20 years, and you’ve always been very supportive of my career – even though you admit you have no clue what it is I do for a living. So here’s my best shot at explaining what I do so you can more accurately brag about me to your friends! J
“MDM Hits It Out of the Ballpark at Informatica World.” I heard that comment from not just one, but from many Informatica World attendees. I smiled, but inquired further, “What makes you say that?” Each of them gave a different answer.