Exposing GPOs

  GOVERNMENT DOCUMENTS

​​​​​
Describing the hospital group purchasing organization (GPO) industry as "an insidious, incestuous, insider system," Connecticut Attorney General Blumenthal said that " my GPO investigation has uncovered suspect interrelationships and questionable business practices involving hospital, GPO and major medical suppliers' executives whose practices often benefit themselves, rather than patients, insurers, and government programs that pay hospital bills."

He added: "these concerns are significant and serious, requiring immediate Congressional action…Voluntary efforts offered by the GPO companies—initiated shortly after withering criticism of industry practices—are simply too little, too late."

Richard Blumenthal, Connecticut Attorney General (now U. S. senator)

Statement to the Senate Antitrust Subcommittee, March 15, 2006


                                                                * * * * *


"DRUG SHORTAGES: Certain Factors Are Strongly Associated with This Persistent Public Health Challenge"
Government Accountability Office, July 7, 2016

"CONTROLLED SUBSTANCES: DEA Needs to Better Manage Its Quota Process and Improve Coordination with FDA"
Government Accountability Office, May 5, 2015

"Group Purchasing Organizations: Funding Structure Has Potential Implications for Medicare Costs"
Government Accountability Office, Nov. 24, 2014
READ DOCUMENT


"ASPE Issue Brief: Medicare Part B Reimbursement of Prescription Drugs"

Office of the Assistant Secretary for Planning and Evaluation, Dept. of Health & Human Services, June 2014

READ DOCUMENT

"Drug Shortages: Public Health Threat Continues, Despite Efforts to Help Ensure Product Availability"

Government Accountability Office, Feb. 10, 2014


"Strategic Plan for Preventing and Mitigating Drug Shortages"

Food and Drug Administration, Oct. 31, 2013


"Letter from Rep. Ed Markey (D-MA) et al to Acting Comptroller General of the United States Eugene Dodaro" (requesting GAO investigation in the role of GPOs in causing drug shortages and the fungal meningitis outbreak)

Nov. 15, 2012


"Food and Drug Administration Safety and Innovation Act"

Congress of the United States, July 9, 2012


"FDA's Contribution to the Drug Shortage Crisis"

House Committee on Oversight and Government Reform, June 15, 2012


"Group Purchasing Organizations: Federal Oversight and Self-Regulation"
(Study requested by Senators Herb Kohl, D-WI; Charles E. Grassley R-IA; and Tom Coburn R-OK)
Government Accountability Office, Mar. 30, 2012
READ DOCUMENT


"OIG Advisory Opinion No. 12-01
Office of the Inspector General, Dept. of Health & Human Services, Mar. 8, 2012
READ DOCUMENT


"Inspection Report, Ben Venue Laboratories"

Food and Drug Administration,  Dec. 2, 2011


"Letter from Senators Herb Kohl (D-WI), Barbara Boxer (D-CA), Charles E. Grassley (R-IA), Richard J. Durbin (D-IL), and Tom Harkin (D-IA) to Federal Trade Commission chairman Jonathan Leibowitz" (requesting investigation on GPO contracting practices)
Nov. 9, 2011
READ DOCUMENT


"Executive Order 13588: Reducing Prescription Drug Shortages"

White House, Oct. 31, 2011

READ DOCUMENT

"A Review of FDA's Approach to Medical Product Shortages"
Food and Drug Administration, Oct. 31, 2011
READ DOCUMENT


"Economic Analysis of the Causes of the Drug Shortages"

Department of Health & Human Services (HHS), Oct. 28, 2011


"Drug Shortage Workshop"

Food & Drug Administration, Sept. 26, 2011

READ DOCUMENT


"Empirical Data Lacking to Support Claims of Savings With Group Purchasing Organizations" (Study requested by Sen. Charles E. Grassley, R-IA)

Senate Finance Committee, Minority Staff Report, Sept. 24, 2010

READ DOCUMENT


"Group Purchasing Organizations: Services Provided to Customers and Initiatives Regarding Their Business Practices" 

Government Accountability Office, Aug. 2010

READ DOCUMENT


"Statement  by Connecticut Attorney General Richard Blumenthal to the Senate Antitrust Subcommittee"

Hearing of Mar. 15, 2006

READ DOCUMENT

(See also the "Congressional Hearings" page)


"Review of Revenue from Vendors at Three Group Purchasing Organizations and their Members" 

Office of the Inspector General,  Department of Health and Human Services (HHS), Jan. 2005

READ DOCUMENT


"Discussion Draft: A Bill to amend Title XI of the Social Security Act to repeal a safe harbor with respect to vendors in order to ensure full and free competition in the medical device and hospital supply industries"

U. S. Senate, 109th Congress, 1st Session, 2005

READ DOCUMENT


"Medical Device Competition Act of 2004 (S. 2880)"

U. S. Senate, 108th Congress, 2nd Session, 2004

READ DOCUMENT


"Improving Health Care: A Dose of Competition: A Report by the Federal Trade Commission and the Department of Justice"

[Based on joint FTC/DOJ hearings on health care and competition law and policy held on Sept. 26, 2003]

July 2004

READ DOCUMENT


"Group Purchasing Organizations: Use of Contracting Processes and Strategies to Award Contracts for Medical-Surgical Products"

Government Accountability Office. July 16, 2003

READ DOCUMENT


"Letter from Senator Herb Kohl (D-WI) and Mike DeWine (R-OH) to Secretary of Defense Donald Rumsfeld"

May 2, 2003

READ DOCUMENT


"Compliance Program Guidance for Pharmaceutical Manufacturers" 

Dept. of Health & Human Services, Office of the Inspector General, Apr. 2003

READ DOCUMENT


"Group Purchasing Organizations: Pilot Study Suggests Large Buying Groups Do Not Always Offer Hospitals Lower Prices"

General Accounting Office. Apr. 30, 2002

READ DOCUMENT


Letter from Senator Patrick Leahy (D-VT) to Inspector General Janet Rehnquist, Department of Health and Human Services (HHS)

Sept. 21, 2001

READ DOCUMENT


"Letter from Senator Patrick Leahy (D-VT) to Attorney General John Ashcroft, Department of Justice"

Mar. 5, 2001

READ DOCUMENT


"Up front Rebates," "Prebates" and "Signing Bonus" Payments"

Office of the Inspector General, Dept. of Health and Human Services

Opinion letter, July 17, 2000


"FACT SHEET: Federal Anti-kickback Law and Regulatory Safe Harbors"

Office of the Inspector General, Dept. of Health and Human Services

Nov. 1999

READ DOCUMENT


"Letter from Assistant Attorney General Joel Klein, Antitrust Division, Department of Justice, to Senator Paul Sarbanes (D-MD)"

Aug. 28, 1998

READ DOCUMENT


"Letter from Senator John McCain (R-AZ) to Assistant Attorney General Andrew Fois, Department of Justice" 

Aug. 17, 1998

READ DOCUMENT


"Statements of Antitrust Enforcement Policy in Health Care"

Federal Trade Commission and Department of Justice

Aug. 1996

READ DOCUMENT


Anti-kickback safe harbor final rules

Office of the Inspector General, Dept. of Health & Human Services

July 29,1991

READ DOCUMENT


Anti-kickback Safe Harbor provision

Medicare and Medicaid Patient and Program Protection Act of 1987

READ DOCUMENT