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Economic Grand Rounds
Published Online: 23 October 2024

National Trends in and Concentration of Industry Payments to U.S. Psychiatrists, 2015–2021

John L. Havlik, M.D., M.B.A. [email protected], Lydia Ososanya, B.A., Deanna Tang, B.A., Syed Wahid, Joseph S. Ross, M.D., M.H.S., and Taeho Greg Rhee, Ph.D.Authors Info & Affiliations
Publication: Psychiatric Services
Preprint
https://doi.org/10.1176/appi.ps.20240218
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Abstract

Industry payments to psychiatrists remain poorly characterized. Using data from the Centers for Medicare and Medicaid Services, the authors of this repeated cross-sectional study detail the extent and concentration of nonresearch industry payments to psychiatrists from 2015 to 2021. The proportion of psychiatrists receiving industry payments, payment distribution, and payment concentration among psychiatrists was assessed. Among 56,955 psychiatrists, 75.0% received any industry payments from 2015 to 2021. These payments, totaling $357,971,774, were highly concentrated: 1% of psychiatrists received 74.7% of industry payments, with notable state-level variations in concentration of top industry-paid psychiatrists. The median psychiatrist received $0 from industry each year.

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Information & Authors

Information

Published In

Go to Psychiatric Services
Go to Psychiatric Services
Psychiatric Services
Preprint

History

Received: 5 May 2024
Revision received: 26 June 2024
Accepted: 11 July 2024
Published online: 23 October 2024

Keywords

  1. Psychiatry
  2. Industry Payments
  3. Conflict of Interest
  4. Ethics
  5. Public Policy

Authors

Details

John L. Havlik, M.D., M.B.A. [email protected]
Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Palo Alto, California (Havlik); Division of Biological Sciences, University of Chicago, Chicago (Ososanya, Tang, Wahid); Department of Internal Medicine (Ross) and Department of Psychiatry (Rhee), Yale University School of Medicine, New Haven; Department of Psychiatry, University of Connecticut, Farmington (Rhee).
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Lydia Ososanya, B.A.
Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Palo Alto, California (Havlik); Division of Biological Sciences, University of Chicago, Chicago (Ososanya, Tang, Wahid); Department of Internal Medicine (Ross) and Department of Psychiatry (Rhee), Yale University School of Medicine, New Haven; Department of Psychiatry, University of Connecticut, Farmington (Rhee).
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Deanna Tang, B.A.
Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Palo Alto, California (Havlik); Division of Biological Sciences, University of Chicago, Chicago (Ososanya, Tang, Wahid); Department of Internal Medicine (Ross) and Department of Psychiatry (Rhee), Yale University School of Medicine, New Haven; Department of Psychiatry, University of Connecticut, Farmington (Rhee).
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Syed Wahid
Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Palo Alto, California (Havlik); Division of Biological Sciences, University of Chicago, Chicago (Ososanya, Tang, Wahid); Department of Internal Medicine (Ross) and Department of Psychiatry (Rhee), Yale University School of Medicine, New Haven; Department of Psychiatry, University of Connecticut, Farmington (Rhee).
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Joseph S. Ross, M.D., M.H.S.
Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Palo Alto, California (Havlik); Division of Biological Sciences, University of Chicago, Chicago (Ososanya, Tang, Wahid); Department of Internal Medicine (Ross) and Department of Psychiatry (Rhee), Yale University School of Medicine, New Haven; Department of Psychiatry, University of Connecticut, Farmington (Rhee).
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Taeho Greg Rhee, Ph.D.
Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Palo Alto, California (Havlik); Division of Biological Sciences, University of Chicago, Chicago (Ososanya, Tang, Wahid); Department of Internal Medicine (Ross) and Department of Psychiatry (Rhee), Yale University School of Medicine, New Haven; Department of Psychiatry, University of Connecticut, Farmington (Rhee).
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Notes

Send correspondence to Dr. Havlik ([email protected]). Steven S. Sharfstein, M.D., Haiden A. Huskamp, Ph.D., and Alison Evans Cuellar, Ph.D., are editors of this column.

Competing Interests

Dr. Havlik receives consulting fees from Ieso Digital Health and Frontier Psychiatry. Dr. Ross receives research support through Yale University from Johnson & Johnson and from Arnold Ventures. Dr. Ross formerly received research support from the Medical Device Innovation Consortium. In addition, Dr. Ross was an expert witness at the request of the Greene Law Firm, the relator’s attorneys, in a qui tam lawsuit. Dr. Rhee has served as a stakeholder and consultant for the Patient-Centered Outcomes Research Institute (PCORI) and received consulting fees from PCORI. Dr. Rhee serves as an advisory committee member for International Alliance of Mental Health Research Funders. Dr. Rhee is currently a co-editor-in-chief of Mental Health Science and receives honorarium payments annually from its publisher, John Wiley & Sons. The other authors report no financial relationships with commercial interests.

Funding Information

These views represent the opinions of the authors and not necessarily those of Stanford University School of Medicine, the University of Chicago, or the University of Connecticut.

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