Psychiatrists Dominate “Doctor-Dollars” Database Listing Big Pharma Payments

Dollar Value of Psychiatric Drugs Is Enormous— The preponderance of psychiatrists on the ProPublica list may reflect the proportion of prescription activity involving psychiatric drugs. In 2009, the dollar value of antipsychotic drugs came to $14.6 billion, topping all other therapeutic classes, according to research firm IMS Health. Antidepressants occupied the number 4 spot on the list, valued at $9.9 billion. IMS Health put the total US prescription market in 2009 at $300.3 billion.
Carol Bernstein, MD, president of the American Psychiatric Association, told Medscape Medical News that the thorny issue of pharmaceutical industry compensation went beyond her specialty.

Psychiatrists Are Major Target for Drug-Maker Money

Earlier this week, NPR and ProPublica released a database showing the flow of money from seven top drug makers to the doctors who prescribe those drugs. WFAE’s Julie Rose takes a closer look at one type of doctor getting a big slice of that money. Psychiatrists are only about 7 percent of all doctors in the country, according to a 2008 survey funded by the Robert Wood Johnson Foundation. But when you look at the doctors who made more than $100,000 consulting and speaking on behalf of major drug companies in the last 18 months, psychiatrists are more than a quarter of the list.

Mental health clinics targeted in Medicare fraud crackdown

Even by Miami-Dade’s reputation for Medicare fraud, the indictment was a shocker: American Therapeutic’s patients could not feed themselves or control their own bodily waste. Many lacked the mental capacity to respond to counseling; instead they simply stared at walls or watched TV. An employee complained that those patients should be ineligible for Medicare since they could not benefit from treatment.She got fired. That launched whistle-blower and criminal investigations that led to the Justice Department’s takedown Thursday of Miami-based American Therapeutic Corp., the nation’s largest chain of mental health clinics.

Miami Psychiatrist Who Wrote 96,685 Prescriptions for Psychiatric Drugs in 21 Months Prompts Calls for Federal Investigation

Based on the huge numbers of prescriptions written by a Miami psychiatrist, Sen. Charles Grassley, R-Iowa, is continuing to pressure federal officials to investigate why some doctors write stunning numbers of scripts for tax-funded Medicare and Medicaid programs. In his latest volley, a letter sent Wednesday to Kathleen Sebelius, secretary for the U.S. Department of Health and Human Services, Grassley demanded exact answers to three pointed questions about what her department is doing to address the problem. “The federal government has an obligation to figure out what’s going on here,” Grassley said in a statement e-mailed to The Miami Herald Wednesday. “The taxpayers are footing the bill, and Medicare and Medicaid are already strained to the limit. These programs can’t spare a dollar for prescription drugs that aren’t properly prescribed.

Drug Companies Hire Troubled Doctors As Experts

Drug companies say they hire the most-respected doctors in their fields for the critical task of teaching about the benefits and risks of the companies’ drugs.
But an investigation by ProPublica has uncovered hundreds of doctors receiving company payments who had been accused of professional misconduct, were disciplined by state boards or lacked credentials as researchers or specialists. To vet the industry’s handpicked speakers, ProPublica created a comprehensive database that represents the most accessible accounting yet of payments to doctors. Compiled from disclosures by seven companies, the database covers $257.8 million in payouts since 2009 for speaking, consulting and other duties. The companies include Lilly, Cephalon, AstraZeneca, GlaxoSmithKline, Johnson & Johnson, Merck and Pfizer.

Although these companies have posted payments on their websites — some as a result of legal settlements — they make it difficult to spot trends or even learn who has earned the most. ProPublica combined the data and identified the highest-paid doctors, then checked their credentials and disciplinary records.

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