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SUNSHINE 
ACT 
The Sunshine Act: 
Impact on US Physician 
Behavior 
Info@ISRreports.com 
©2014 Industry Standard Research www.ISRreports.com 
PREVIEW
Report Structure: 
www.ISRreports.com ©2014 | Preview of: The Sunshine Act: Impact on US Physician Behavior 2 
act with confidence 
Report Overview 
The Sunshine Act has been finalized. The data have been (and are being) collected. The figures are being 
tallied. The key question for pharma is, and may be for some time, “How significant is this impact?” 
In this report, ISR asks physicians across five specialties (Cardiology, CNS / Neurology, Oncology, Primary 
Care, Respiratory / Pulmonology) to assess the impact that the Sunshine Act has had on their practice 
now that it has been implemented. Building on data collected two years ago in ISR’s The Sunshine Act: 
Pharma Impact – Changes in US Physician Behavior, this new edition explores physicians’ evolving 
concerns with the Sunshine Act. 
260 
Charts and 
Graphs 
5 
Therapeutic 
Areas 
202 
Pages 
1. Executive Summary 
2. Specialty Profiles 
3. Cardiology Specialty Section 
4. CNS/Neurology Specialty Section 
5. Oncology Specialty Section 
6. Primary Care Specialty Section 
7. Respiratory/Pulmonology Specialty Section 
8. Comparison Across All Specialties 
Methodology: 
ISR conducted 20-minute web-based surveys with 173 U.S.-based, board-certified physicians. 
Respondents have an average of 17 years of experience and see an average of 105 patients per week. 
• Cardiology prescribers: 30 
• CNS/Neurology prescribers: 32 
• Oncology prescribers: 32 
• Primary Care prescribers: 48 
• Respiratory/Pulmonology prescribers: 31 
What you will learn in this report: 
• How participation in various interactions with pharma has changed since implementation of the 
Sunshine Act 
• Rationale for why the Sunshine Act is negatively impacting some practices 
• The most valuable and effective channels of information 
• Preferred delivery methods for different types of information 
• Which pharmaceutical companies have the most effective sales teams and which have the best 
online / e-Detailing presentations
www.ISRreports.com ©2014 | Preview of: The Sunshine Act: Impact on US Physician Behavior 3 
act with confidence 
Table of Contents 
For full table of contents and additional sample pages, please download the full 
preview from our website: http://www.isrreports.com/product/sunshine-act-impact- 
us-physician-behavior/
Definition of the Sunshine Act 
All physicians were shown the below definition of the Physician Payment Sunshine Act: 
The Physician Payment Sunshine provision (“Sunshine Act”) is a section of the Patient 
Protection and Affordable Care Act of 2010 requiring pharmaceutical and medical 
device companies to report to the Federal government certain payments they make. 
The reportable period began in August 2013. 
These payments to physicians will be made publically available on a searchable (by 
practice) government website. Only payments that total over $100 in a calendar year 
must be reported. 
These transactions include transfers/reimbursements made to physicians for 
contracted services such as: 
• Consulting fees 
• Compensation for services other than consulting 
• Compensation for serving as faculty or as a speaker for CME program 
• Honoraria 
• Gifts 
• Entertainment 
• Food 
• Travel 
• Education 
• Research 
• Charitable contributions 
• Royalty or license fees 
• Current or prospective ownership or investment interests 
• Grants 
• Any other categories of information regarding the payment or other transfer of 
value 
www.ISRreports.com ©2014 | Preview of: The Sunshine Act: Impact on US Physician Behavior 4 
act with confidence 
act with confidence 
Introduction 
www.ISRreports.com ©2014 | The Sunshine Act: Impact on US Physician Behavior 13 
Sample Page
Change in Interactions with 
Pharma 
To set the stage for how interactions with pharma have changed since implementation 
of the Sunshine Act, it is first important to understand the effectiveness of various 
methods of learning about medications and treatments. 
Executive Summary 
Change in Interactions with Pharma 
To set the stage for how interactions with pharma have changed since implementation 
of the Sunshine Act, it is first important to understand the effectiveness of various 
methods of learning about medications and treatments. 
Three of the top five most effective information channels involve personal, live 
interaction with pharmaceutical companies: one-on-one sales rep details, group 
information sessions with sales reps, and pharma-sponsored CME seminars. 
Three of the top five most effective information channels involve personal, live 
interaction with pharmaceutical companies: one-on-one sales rep details, group 
information sessions with sales reps, and pharma-sponsored CME seminars. 
“Which [three/one] of the following do you find the most effective in terms 
of learning about medications and treatments?” (Base=173) Responses 
with <2% of Top mentions shown in “Across Therapeutic Areas” section. 
“Which [three/one] of the following do you find the most effective in terms of 
learning about medications and treatments?” (Base=173) Responses with <2% 
of Top mentions shown in “Across Therapeutic Areas” section. 
Most Effective Learning Methods 
6% 
5% 
4% 
3% 
3% 
3% 
2% 
2% 
4% 
27% 
23% 
19% 
17% 
20% 
14% 
14% 
14% 
9% 
9% 
50% 
51% 
40% 
Top 1 
Top 3 
© Industry Standard Research 
0% 20% 40% 60% 80% 100% 
Peer-based, professional publications 
In-person one-on-one detailing by sales 
representatives 
Conferences 
In-person group information sessions by sales reps 
Pharma-sponsored in-person CME seminars 
Web-based electronic, non-interactive detail 
sessions 
Drug-specific websites 
Pharma-sponsored dinner meetings 
General medical websites, such as WebMD, 
Medscape, etc. 
Accepting free samples 
Consulting engagements 
% of physicans 
www.isrreports.com 
©2014| 
The 
Sunshine 
Physician 
Act: 
Impact 
on 
US 
Behavior14 
www.ISRreports.com ©2014 | Preview of: The Sunshine Act: Impact on US Physician Behavior 5 
act with confidence 
act with confidence 
Executive Summary 
www.ISRreports.com ©2014 | The Sunshine Act: Impact on US Physician Behavior 16 
Sample Page
www.ISRreports.com ©2014 | Preview of: The Sunshine Act: Impact on US Physician Behavior 6 
act with confidence 
Sample Page 
For full table of contents and additional sample pages, please download the full 
preview from our website: http://www.isrreports.com/product/sunshine-act-impact- 
us-physician-behavior/
For pricing and ordering information, please visit our website: http://www.isr-reports. 
com/product/sunshine-act-impact-us-physician-behavior/ 
Save on this, 
or any ISR 
report, by 
creating a free 
account 
Register now 
• Receive a $250 instant credit towards any ISR report 
• Earn 10% credit towards all future purchases 
• Receive advanced notifications on ISR’s latest reports and free resources 
About Industry Standard Research 
www.ISRreports.com ©2014 | Preview of: The Sunshine Act: Impact on US Physician Behavior 7 
act with confidence 
Ordering Information 
Industry Standard Research (ISR) is the premier, full service market research provider to the pharma and pharma services 
industries. With over a decade of experience in the industry, ISR delivers an unmatched level of domain expertise. 
For more information about our off-the-shelf intelligence and custom research offerings, please visit our Web site at 
www.ISRreports.com, email info@ISRreports.com, or follow us on twitter @ISRreports.
The ISR Difference 
Custom-quality syndicated market research 
www.ISRreports.com 
vs. Syndicated Report 
ISR's Reports The Common 
How confident are you? 
Research methods 
Data Collection 
vs. 
Respondents 
Sample Sizes 
Analysts 
www.ISRreports.com ©2014 | Preview of: The Sunshine Act: Impact on US Physician Behavior 8 
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www.ISRreports.com ©2013 | Preview of: Benchmarking the Pharma Industry’s HEOR Functions www.ISRreports.com ©2014 | Preview of: Benchmarking European Investigator Payments 10 
www.ISRreports.com ©2013 | Preview of: Benchmarking the Pharma Industry’s HEOR Functions ISR's proprietary data collection 
tools and channels support fast, 
high quality data collection 
Struggle to recruit the right 
targets and enough of them 
vs. 
Robust sample sizes that 
instill confidence 
Often insufficient industry 
representation that leaves you 
defending results 
vvss.. 
Mostly primary 
research; 
always appropriate 
for the topic 
One size fits all; 
usually publically 
available data 
vvss.. 
Sophisticated screening 
ensures genuine 
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Undisclosed 
methodologies and 
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Decades of experience 
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Junior analysts capable of 
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The Sunshine Act: Impact on US Physician Behavior

  • 1. SUNSHINE ACT The Sunshine Act: Impact on US Physician Behavior Info@ISRreports.com ©2014 Industry Standard Research www.ISRreports.com PREVIEW
  • 2. Report Structure: www.ISRreports.com ©2014 | Preview of: The Sunshine Act: Impact on US Physician Behavior 2 act with confidence Report Overview The Sunshine Act has been finalized. The data have been (and are being) collected. The figures are being tallied. The key question for pharma is, and may be for some time, “How significant is this impact?” In this report, ISR asks physicians across five specialties (Cardiology, CNS / Neurology, Oncology, Primary Care, Respiratory / Pulmonology) to assess the impact that the Sunshine Act has had on their practice now that it has been implemented. Building on data collected two years ago in ISR’s The Sunshine Act: Pharma Impact – Changes in US Physician Behavior, this new edition explores physicians’ evolving concerns with the Sunshine Act. 260 Charts and Graphs 5 Therapeutic Areas 202 Pages 1. Executive Summary 2. Specialty Profiles 3. Cardiology Specialty Section 4. CNS/Neurology Specialty Section 5. Oncology Specialty Section 6. Primary Care Specialty Section 7. Respiratory/Pulmonology Specialty Section 8. Comparison Across All Specialties Methodology: ISR conducted 20-minute web-based surveys with 173 U.S.-based, board-certified physicians. Respondents have an average of 17 years of experience and see an average of 105 patients per week. • Cardiology prescribers: 30 • CNS/Neurology prescribers: 32 • Oncology prescribers: 32 • Primary Care prescribers: 48 • Respiratory/Pulmonology prescribers: 31 What you will learn in this report: • How participation in various interactions with pharma has changed since implementation of the Sunshine Act • Rationale for why the Sunshine Act is negatively impacting some practices • The most valuable and effective channels of information • Preferred delivery methods for different types of information • Which pharmaceutical companies have the most effective sales teams and which have the best online / e-Detailing presentations
  • 3. www.ISRreports.com ©2014 | Preview of: The Sunshine Act: Impact on US Physician Behavior 3 act with confidence Table of Contents For full table of contents and additional sample pages, please download the full preview from our website: http://www.isrreports.com/product/sunshine-act-impact- us-physician-behavior/
  • 4. Definition of the Sunshine Act All physicians were shown the below definition of the Physician Payment Sunshine Act: The Physician Payment Sunshine provision (“Sunshine Act”) is a section of the Patient Protection and Affordable Care Act of 2010 requiring pharmaceutical and medical device companies to report to the Federal government certain payments they make. The reportable period began in August 2013. These payments to physicians will be made publically available on a searchable (by practice) government website. Only payments that total over $100 in a calendar year must be reported. These transactions include transfers/reimbursements made to physicians for contracted services such as: • Consulting fees • Compensation for services other than consulting • Compensation for serving as faculty or as a speaker for CME program • Honoraria • Gifts • Entertainment • Food • Travel • Education • Research • Charitable contributions • Royalty or license fees • Current or prospective ownership or investment interests • Grants • Any other categories of information regarding the payment or other transfer of value www.ISRreports.com ©2014 | Preview of: The Sunshine Act: Impact on US Physician Behavior 4 act with confidence act with confidence Introduction www.ISRreports.com ©2014 | The Sunshine Act: Impact on US Physician Behavior 13 Sample Page
  • 5. Change in Interactions with Pharma To set the stage for how interactions with pharma have changed since implementation of the Sunshine Act, it is first important to understand the effectiveness of various methods of learning about medications and treatments. Executive Summary Change in Interactions with Pharma To set the stage for how interactions with pharma have changed since implementation of the Sunshine Act, it is first important to understand the effectiveness of various methods of learning about medications and treatments. Three of the top five most effective information channels involve personal, live interaction with pharmaceutical companies: one-on-one sales rep details, group information sessions with sales reps, and pharma-sponsored CME seminars. Three of the top five most effective information channels involve personal, live interaction with pharmaceutical companies: one-on-one sales rep details, group information sessions with sales reps, and pharma-sponsored CME seminars. “Which [three/one] of the following do you find the most effective in terms of learning about medications and treatments?” (Base=173) Responses with <2% of Top mentions shown in “Across Therapeutic Areas” section. “Which [three/one] of the following do you find the most effective in terms of learning about medications and treatments?” (Base=173) Responses with <2% of Top mentions shown in “Across Therapeutic Areas” section. Most Effective Learning Methods 6% 5% 4% 3% 3% 3% 2% 2% 4% 27% 23% 19% 17% 20% 14% 14% 14% 9% 9% 50% 51% 40% Top 1 Top 3 © Industry Standard Research 0% 20% 40% 60% 80% 100% Peer-based, professional publications In-person one-on-one detailing by sales representatives Conferences In-person group information sessions by sales reps Pharma-sponsored in-person CME seminars Web-based electronic, non-interactive detail sessions Drug-specific websites Pharma-sponsored dinner meetings General medical websites, such as WebMD, Medscape, etc. Accepting free samples Consulting engagements % of physicans www.isrreports.com ©2014| The Sunshine Physician Act: Impact on US Behavior14 www.ISRreports.com ©2014 | Preview of: The Sunshine Act: Impact on US Physician Behavior 5 act with confidence act with confidence Executive Summary www.ISRreports.com ©2014 | The Sunshine Act: Impact on US Physician Behavior 16 Sample Page
  • 6. www.ISRreports.com ©2014 | Preview of: The Sunshine Act: Impact on US Physician Behavior 6 act with confidence Sample Page For full table of contents and additional sample pages, please download the full preview from our website: http://www.isrreports.com/product/sunshine-act-impact- us-physician-behavior/
  • 7. For pricing and ordering information, please visit our website: http://www.isr-reports. com/product/sunshine-act-impact-us-physician-behavior/ Save on this, or any ISR report, by creating a free account Register now • Receive a $250 instant credit towards any ISR report • Earn 10% credit towards all future purchases • Receive advanced notifications on ISR’s latest reports and free resources About Industry Standard Research www.ISRreports.com ©2014 | Preview of: The Sunshine Act: Impact on US Physician Behavior 7 act with confidence Ordering Information Industry Standard Research (ISR) is the premier, full service market research provider to the pharma and pharma services industries. With over a decade of experience in the industry, ISR delivers an unmatched level of domain expertise. For more information about our off-the-shelf intelligence and custom research offerings, please visit our Web site at www.ISRreports.com, email info@ISRreports.com, or follow us on twitter @ISRreports.
  • 8. The ISR Difference Custom-quality syndicated market research www.ISRreports.com vs. Syndicated Report ISR's Reports The Common How confident are you? Research methods Data Collection vs. Respondents Sample Sizes Analysts www.ISRreports.com ©2014 | Preview of: The Sunshine Act: Impact on US Physician Behavior 8 act with confidence www.ISRreports.com ©2013 | Preview of: Benchmarking the Pharma Industry’s HEOR Functions www.ISRreports.com ©2014 | Preview of: Benchmarking European Investigator Payments 10 www.ISRreports.com ©2013 | Preview of: Benchmarking the Pharma Industry’s HEOR Functions ISR's proprietary data collection tools and channels support fast, high quality data collection Struggle to recruit the right targets and enough of them vs. Robust sample sizes that instill confidence Often insufficient industry representation that leaves you defending results vvss.. Mostly primary research; always appropriate for the topic One size fits all; usually publically available data vvss.. Sophisticated screening ensures genuine decision-makers Undisclosed methodologies and respondent demographics vvss.. Decades of experience means more insights that are immediately usable Junior analysts capable of reporting numbers