Initiative

Improving Payment Transparency and Timeliness

The SCRS Payment Initiative brings together SCRS member clinical research sites and industry partners to tackle one of the most talked-about challenges in clinical trials today: delayed and inconsistent site payments. Backed by data from the SCRS Landscape survey, the initiative uses real site-reported evidence to represent and bring forward payment issues sites face and bring them to the table. Guided by a community of industry stakeholders, the initiative reviews payment challenges as they arise and works collaboratively to improve payment transparency, streamline payment processes, and promote fair, timely compensation for research sites. 

The Real Cost of Site Payments

Payment timing isn’t a back-office detail, it determines whether a site can make payroll, fund study startup, and stay in business between studies. The initiative runs yearly workstreams that address the full payment lifecycle: recruitment funding, startup funding, participation reimbursement consistency, holdback elimination, monthly payments, and participant payment taxation. Each workstream translates a real site cash flow problem into a specific industry ask. 

0
%
Of sites experienced a cost increase of more than 6% in 2024

Best Practices & Resources for Sites

Site Invoiceables Toolkit

The SCRS Site Invoiceables Toolkit helps sites spot missed billable activities and improve budgeting and invoicing. Use the calculators and resources below to estimate invoiceables and understand the true cost of running a trial.

Study Startup Checklist

Study start-up is resource-intensive, requiring sites to complete dozens of tasks before screening begins. When underfunded or overlooked, these steps cause delays and enrollment bottlenecks. Sponsors and CROs who understand this work are better able to support timely activation and strong study performance.

Participant Reimbursement Guide

Reimbursement and stipends ease the financial burden on participants and help make trials more equitable. Sponsors and CROs need to understand how these payments work and why standardizing them matters for retention and diversity. When support is predictable, transparent, and timely, participants stay engaged and sites run more smoothly.

Recruitment Guide

Successful trial recruitment means investing in people, systems, and outreach that reflect the communities sites serve. With sites reporting $5k–$25k+ in recruitment costs, it is vital to understand the real costs behind recruitment.

KPI Checklist

This resource breaks down the five core questions every site’s KPIs should answer, covering quality, financial, start-up, enrollment, and scale metrics. It includes a 7-metric CRO scorecard example, common blind spots in how CROs evaluate sites, and a framework for tracking profitability and capacity.

Podcasts

Workstreams

Payment timing isn’t a back-office detail, it determines whether a site can make payroll, fund study startup, and stay in business between studies. The initiative runs several workstreams that address the full payment lifecycle: recruitment funding, startup funding, participation reimbursement consistency, holdback elimination, monthly payments, and participant payment taxation. Each workstream translates a real site cash flow problem into a specific industry ask. 

  • 2026 Screen Fails and Prescreening 
  • 2025 Participant Reimbursement 
  • 2025 Recruitment Funding 
  • 2025 Startup Payments 
  • 2024 Payment Schedules 
  • 2024 Withholding Percentages 
  • 2024 Participant Reimbursement Taxation 

Payment Initiative Leadership

Michael Pierre

Project Manager

Connect with Michael

Email Michael

Karri Venn

Vice President, Site Advocacy & Mentorship

Connect with Karri

Email Karri

Site Success Impacts Everyone In Research

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