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Originally Published MX July/August 2002

BUSINESS NEWS

HIGPA Adopts GPO Code of Conduct

Ani Grigorian

Responding to industry criticism of the policies and practices of group purchasing organizations (GPOs), the Health Industry Group Purchasing Association (HIGPA) has drafted a voluntary GPO Code of Conduct—a set of principles "designed to assure the operation of a thriving, innovative, and competitive healthcare marketplace."

Creation of the code came after April hearings before the Antitrust, Competition, and Business and Consumer Rights Subcommittee of the U.S. Senate Judiciary Committee ended in a demand that GPOs devise such a code within 90 days. At the hearings, small device manufacturers had complained that single-source contracts with large device companies and costly administrative fees make it virtually impossible for them to remain competitive in the medical device market. The competitive edge of small device manufacturers is further dulled by the fact that healthcare purchasing is dominated by just two GPOs, Novation (Irving, TX) and Premier Inc. (San Diego).

The voluntary GPO Code of Conduct was composed by a working group of HIGPA members, including senior GPO executives, manufacturers, and other supply-chain partners, such as hospitals. HIGPA’s board of directors unanimously adopted the draft code at the beginning of June.
The code is divided into two sections. The first section provides a list of definitions for terms and phrases relevant to the group purchasing process. The second section provides a detailed list of guidelines for GPOs. Under the provisions of the code, GPOs would be expected to execute policies in the following areas.

  • Report to GPO members the amount of all payments received from healthcare product suppliers.
  • Implement internal policies to prevent individual as well as corporate conflicts of interest.
  • Implement policies and contracts that allow for the free exchange of clinical performance, safety, and technological information among manufacturers and GPO-member purchasers.
  • Support programs and processes that promote safety, cost reduction, and clinical comparability.
  • Encourage race and gender diversity among product suppliers.

HIGPA’s code does not directly address the issue of administrative fees charged by GPOs, which may have been the most contentious issue raised during the subcommittee hearings. In a press release about the code, HIGPA noted that it is "prevented by antitrust laws from addressing certain specific company business practices, such as those practices surrounding the level of administrative fees." Instead, the code focuses on "ensuring full disclosure of all information that GPO members need in making healthcare purchasing decisions."

Looking to complete the Code of Conduct, HIGPA has asked lawmakers to provide input on its group purchasing principles. The organization hopes to implement the code later this year.

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