Physician-vendor marketing and financial relationships under attack.

The appropriateness of gifts, payments, and other remuneration paid to those in a position to influence the purchase or distribution of pharmaceuticals, medical devices, and other goods and services--or those who sell and distribute those goods and services--has come under increased government scrutiny. While providers and vendors scramble to respond to growing concern over potential conflicts of interest and undue influence, federal and state legislators have introduced legislation targeting provider/vendor relationships and regulators have launched significant enforcement actions. This article describes common industry practices, potential legal implications, physician and industry responses, federal and state legislative initiatives, and compliance planning.