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Healthcare/Macro · Index Gold

Healthcare Cost Transparency Gap

How intense is pharma/device industry financial engagement with US physicians, and growing?

Refresh
annual
History
6.5 yrs
Plan
Gold
58.3/ 100
Rising

US-Healthcare

2019-12-31 6.5 yrs · 8 pts 2026-06-27

Top drivers

payment_transactions_2024baseline_3yr_mean_transactionsgrowth_ratio_vs_baseline
⌁ mcp.call("adw-312") vADW-312-live-1.0
Use cases

What it unlocks

For an agent

A healthcare-compliance monitoring agent polls ADW-312 annually and, when the score exceeds 55 on a rising trend (current: 58.3, at the all-time high of its 7-observation backtest history, up 20.7% since 2019), it automatically cross-references the top_drivers field to surface which physician-payment category (consulting, research, education) is driving intensity and pushes a flagged digest to the compliance officer's queue for Sunshine Act exposure review. The source_lineage pointing to CMS Open Payments (openpaymentsdata.cms.gov) confirms the data is the same authoritative dataset regulators use, making the alert defensible in an audit.

📈

For the business

A hospital system's Chief Compliance Officer uses ADW-312 to benchmark the institution's own vendor engagement levels against the national pharma/device payment-intensity trend, enabling proactive disclosure decisions rather than reactive scrambles when CMS publishes annual Open Payments data. The current score of 58.3—the highest in the product's history—signals an industry-wide escalation in physician financial relationships, giving the CCO evidence to justify tightening internal gift and payment policies before a CMS enforcement cycle rather than after.

Forward outlook

Prediction

Horizon
Recommended use
Track industry payment intensity to US physicians/hospitals as a transparency-gap proxy. Higher scores indicate greater financial entanglement between pharma/device manufacturers and prescribers. Descriptive only — not a fraud or misconduct signal.
Methodology

How it's built

score=clamp(50*recent_count/3yr_baseline_mean,0,100)

Version ADW-312-live-1.0 · validated to beat a naive baseline · benchmark: IQVIA; Definitive Healthcare; ProPublica Dollars-for-Docs (discontinued)