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Trends in Research Payments From Industry to Dermatologists.

Craig Cronin1, Aleksandra Drmanovic1, Zeyad Hammadeh1

  • 1James Buchanan Brady Urological Institute, Johns Hopkins University School of Medicine, Baltimore, USA.

Cureus
|November 18, 2025
PubMed
Summary
This summary is machine-generated.

Most industry research payments to dermatologists go to non-covered entities (NCEs) with limited reporting. This highlights transparency gaps in the Open Payments Program (OPP) for industry-physician financial relationships.

Keywords:
centers for medicare and medicaid services (cms)dermatologyindustry-sponsored research paymentsindustry-sponsored research payments to dermatologistsnon-covered entitiesopen payments program (opp)physician payments sunshine act (ppsa)

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Area of Science:

  • Dermatology
  • Health Economics
  • Medical Research Transparency

Background:

  • The Open Payments Program (OPP) mandates reporting of industry payments to physicians to enhance transparency.
  • Research payments, especially to non-covered entities (NCEs), are understudied.
  • Dermatology's high industry research activity makes it a key area for analysis.

Purpose of the Study:

  • To analyze trends in research payments to dermatologists between 2015 and 2023.
  • To investigate the distribution of research payments between direct physician payments and payments to NCEs.
  • To identify key industry players and recipient organizations in dermatology research funding.

Main Methods:

  • Longitudinal study of Open Payments Program data from 2015-2023.
  • Included direct research payments and associated research payments to NCEs with physician PIs.
  • Adjusted payments for inflation to 2023 USD using CPI-U.

Main Results:

  • $1.44 billion in research payments to 1,610 dermatologists (2015-2023).
  • Average of 84% of payments went to NCEs with a dermatologist PI.
  • Research payments to NCEs declined but not significantly ($161M in 2015 to $107.6M in 2023, p=0.27).
  • Top 10 NCEs received $179M, primarily private institutions in clinical trials.
  • Four pharmaceutical companies funded nearly half of all research payments.

Conclusions:

  • The majority of industry research funding in dermatology flows to NCEs with minimal disclosure requirements.
  • Significant transparency gaps exist within the Open Payments Program concerning NCEs.
  • Enhanced disclosure requirements for NCEs are needed to fully understand fund distribution and utilization.