Aggregate Spend
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Aggregate Spend
Aggregate Spend is the process used in the United States to aggregate and monitor the total amount spent by healthcare manufacturers on individual healthcare professionals and organizations (HCP/O) through payments, gifts, honoraria, travel and other means. Also often referred to as the Physician Payments Sunshine Act, this initiative is a growing body of federal and state legislations intended to collectively address all or some of the following goals: :(a) Provide transparency with regard to who, in the life sciences industry, is contributing what benefits to which physician; :(b) Mandate statutory reports at least once a year; and, :(c) Limit spend per physician. Organizations monitored include pharmaceutical, biotechnology and, in some states, medical device organizations. U.S. federal laws On September 6, 2007, Senator Chuck Grassley (R-Iowa) introduced the Physician Payments Sunshine Act of 2007 (S. 2029). In March 2008, Rep. Peter DeFazio (D-Oregon) and Rep. Pete Stark (D-Cal ...
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Honoraria
An honorarium is an ''ex gratia'' payment, i.e., a payment made, without the giver recognizing themselves as having any liability or legal obligation, to a person for his or her services in a volunteer capacity or for services for which fees are not traditionally required. It is a common remuneration practice in schools or sports clubs, for teachers and coaches. Another example includes the payment to guest speakers at a conference meeting to cover their travel, accommodation, or preparation time. Services for Christian Church funerals and/or memorial services are often paid by honorarium, as the minister, musicians, organist, soloist and others, out of care, do not have a set fee for services to grieving families. Likewise, wedding officiants are sometimes paid through honorarium. When required, honorariums may be termed altarages, although an altarage may be paid to a church or parish rather than a person. Taxation Australia An example of this is the payments made by Austr ...
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Pharmaceutical
A medication (also called medicament, medicine, pharmaceutical drug, medicinal drug or simply drug) is a drug used to diagnose, cure, treat, or prevent disease. Drug therapy (pharmacotherapy) is an important part of the medical field and relies on the science of pharmacology for continual advancement and on pharmacy for appropriate management. Drugs are classified in multiple ways. One of the key divisions is by level of control, which distinguishes prescription drugs (those that a pharmacist dispenses only on the order of a physician, physician assistant, or qualified nurse) from over-the-counter drugs (those that consumers can order for themselves). Another key distinction is between traditional small molecule drugs, usually derived from chemical synthesis, and biopharmaceuticals, which include recombinant proteins, vaccines, blood products used therapeutically (such as IVIG), gene therapy, monoclonal antibodies and cell therapy (for instance, stem cell therapies) ...
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Biotechnology
Biotechnology is the integration of natural sciences and engineering sciences in order to achieve the application of organisms, cells, parts thereof and molecular analogues for products and services. The term ''biotechnology'' was first used by Károly Ereky in 1919, meaning the production of products from raw materials with the aid of living organisms. Definition The concept of biotechnology encompasses a wide range of procedures for modifying living organisms according to human purposes, going back to domestication of animals, cultivation of the plants, and "improvements" to these through breeding programs that employ artificial selection and hybridization. Modern usage also includes genetic engineering as well as cell and tissue culture technologies. The American Chemical Society defines biotechnology as the application of biological organisms, systems, or processes by various industries to learning about the science of life and the improvement of the value of materials ...
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Chuck Grassley
Charles Ernest Grassley (born September 17, 1933) is an American politician serving as the president pro tempore emeritus of the United States Senate, and the Seniority in the United States Senate, senior United States Senate, United States senator from Iowa, having held the seat since 1981. In 2022 United States Senate election in Iowa, 2022, he was reelected to his eighth Senate term, having first been elected in 1980 United States Senate election in Iowa, 1980. A member of the Republican Party (United States), Republican Party, Grassley served eight terms in the Iowa House of Representatives (1959–1975) and three terms in the United States House of Representatives (1975–1981). He has served three stints as United States Senate Committee on Finance, Senate Finance Committee chairman during periods of Republican Senate majority. When Orrin Hatch's Senate term ended on January 3, 2019 following his retirement, Grassley became the most senior Republican in the Senate and its ...
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Peter DeFazio
Peter Anthony DeFazio (; born May 27, 1947) is an American politician serving as the U.S. representative for , serving since 1987. He is a member of the Democratic Party. The district includes Eugene, Springfield, Corvallis, Roseburg, Coos Bay and Florence. He chairs the House Transportation Committee and is a founder of the Congressional Progressive Caucus. A native of Massachusetts and a veteran of the United States Air Force Reserve, he previously served as a county commissioner in Lane County, Oregon. He is dean of Oregon's House delegation. On December 1, 2021, DeFazio announced he would not seek reelection in 2022. Early life, education, and pre-congressional career DeFazio was born in 1947 in Needham, Massachusetts, a suburb of Boston. He credits his great-uncle with shaping his politics; that great-uncle almost never said "Republican" without adding "bastard" (or "bastud", as it sounded in a Boston accent). He served in the United States Air Force Reserve from 1967 to 1 ...
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Pete Stark
Fortney Hillman Stark Jr. (November 11, 1931 – January 24, 2020), known as Pete Stark, was an American businessman and politician who was a member of the United States House of Representatives from 1973 to 2013. A Democrat from California, Stark's district— during his last two decades in Congress—was in southwestern Alameda County and included Alameda, Union City, Hayward, Newark, San Leandro, San Lorenzo, and Fremont (his residence during the early part of his tenure), as well as parts of Oakland and Pleasanton. At the time he left office in 2013, he was the fifth most senior Representative, as well as sixth most senior member of Congress overall. He was also the dean of California's 53-member Congressional delegation, and the only openly atheist member of Congress. After 2010 redistricting, Stark's district was renumbered as the 15th district for the 2012 election. He narrowly finished first in the primary ahead of fellow Democrat Eric Swalwell, but lost to Swalwe ...
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Baron Hill (politician)
Baron Paul Hill (born June 23, 1953) is a retired American politician who served as a U.S. Representative for from 1999 to 2005 and from 2007 to 2011. A native of Seymour, Indiana, Hill is a Democrat, and as a member of Congress belonged to the conservative-leaning Blue Dog Coalition of that party. Hill's district is in the southeastern part of the state, stretching from Bloomington to the Indiana side of the Louisville metropolitan area. Early life and education Hill attended Seymour High School, where he was a first-team all-state player in basketball and an all-American. He set the record for leading scorer in school history, with 1,724 points. He was inducted into the Indiana Basketball Hall of Fame in 2000.Madeline BuckleyDemocrat Baron Hill joins U.S. Senate race ''Indianapolis Star'' (June 3, 2015). Hill graduated from high school in 1971 and accepted an athletic scholarship to Furman University in Greenville, South Carolina, where he graduated in 1975.
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Herb Kohl
Herbert H. Kohl (born February 7, 1935) is an American businessman and politician. Alongside his brother and father, the Kohl family created the Kohl's department stores chain, of which Kohl went on to be president and CEO. Kohl also served as a United States senator from Wisconsin from 1989 to 2013 as a member of the Democratic Party. He chose not to seek re-election in 2012 and was succeeded by fellow Democrat Tammy Baldwin. Kohl is also the former owner of the Milwaukee Bucks of the National Basketball Association. Early life, education, and career Kohl was born and raised in Milwaukee, the son of Mary (née Hiken) and Max Kohl. His father was a Polish Jewish immigrant and his mother was a Russian Jewish immigrant. He attended Washington High School. He earned a Bachelor of Science degree from the University of Wisconsin in 1956 and a Master of Business Administration degree from Harvard Business School in 1958. While an undergraduate, he joined the Pi Lambda Phi fraternity. H ...
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Bad Pharma
''Bad Pharma: How Drug Companies Mislead Doctors and Harm Patients'' is a book by the British physician and academic Ben Goldacre about the pharmaceutical industry, its relationship with the medical profession, and the extent to which it controls academic research into its own products.Luisa Dillner"Bad Pharma by Ben Goldacre – review" ''The Guardian'', 17 October 2012. It was published in the UK in September 2012 by the Fourth Estate imprint of HarperCollins, and in the United States in February 2013 by Faber and Faber. Goldacre argues in the book that "the whole edifice of medicine is broken", because the evidence on which it is based is systematically distorted by the pharmaceutical industry. He writes that the industry finances most of the clinical trials into its own products and much of doctors' continuing education, that clinical trials are often conducted on small groups of unrepresentative subjects and negative data is routinely withheld, and that apparently independe ...
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Ben Goldacre
Ben Michael Goldacre (born 20 May 1974) is a British physician, academic and science writer. He is the first Bennett Professor of Evidence-Based Medicine and director of the Bennett Institute for Applied Data Science at the University of Oxford. He is a founder of the AllTrials campaign and OpenTrials to require open science practices in clinical trials. Goldacre is known in particular for his ''Bad Science'' column in ''The Guardian'', which he wrote between 2003 and 2011, and is the author of four books: '' Bad Science'' (2008), a critique of irrationality and certain forms of alternative medicine; '' Bad Pharma'' (2012), an examination of the pharmaceutical industry, its publishing and marketing practices, and its relationship with the medical profession; ''I Think You'll Find It's a Bit More Complicated Than That'', a collection of his journalism; and ''Statins'', about evidence-based medicine. Goldacre frequently delivers free talks about bad science; he describes himself ...
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Healthcare Reform In The United States
Healthcare reform in the United States has a long history. Reforms have often been proposed but have rarely been accomplished. In 2010, landmark reform was passed through two federal statutes enacted in 2010: the Patient Protection and Affordable Care Act (PPACA), signed March 23, 2010, and the Health Care and Education Reconciliation Act of 2010 (), which amended the PPACA and became law on March 30, 2010. Future reforms of the American health care system continue to be proposed, with notable proposals including a single-payer system and a reduction in fee-for-service medical care. The PPACA includes a new agency, the Center for Medicare and Medicaid Innovation (CMS Innovation Center), which is intended to research reform ideas through pilot projects. History of national reform efforts The following is a summary of reform achievements at the national level in the United States. For failed efforts, state-based efforts, native tribes services, and more details, see the histor ...
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