The petition is the last hyperlink on this page. It is a 21 page PDF file and I don’t have the time to convert 21 *.pdf pages to a *.jpg pages so that they would display on my blog. When you click on that hyperlink it will show a BLANK graphic – click on the graphic and the PDF will download.
When Narxcare first “came around” the press releases stated that they were going to use various databases to come to the pt’s potential for abuse or addiction. When I read press releases – especially in areas that I have some depth of knowledge, I not only look at what they say and especially what they DON’T SAY.
It Narxcare’s press release, they stated that they were going to gather data on the pts from various databases, they did not specify from “public databases”. Narxcare was original owned by Appriss Health and it was sold to Bamboo Health, who sold it to Experian – one of the companies that created financial FICO scores. It has been reported that Experian has moved their healthcare databases off shore … where our HIPAA laws do not apply, so Experian can slice and dice all that pt health data and sell it too any entity that will come up with the $$$ to pay for the selective pt health data that they want – for whatever reason.
The petition pretty well “gets into the weeds” as to what Narxcare is doing with pt’s data and how they are presenting that data to prescriber via various state’s PDMP’s and how it has impacted the pain management care pts are getting. I know in Indiana PDMP INSPECT, when I request a PDMP report… it goes directly to a Narxcare report format and data. The former format for a report from Indiana’s PDMP is GONE. The second hyperlink below has the Narxcare report format – with pt info redacted. I believe that they have updated the format and they have expanded the 3 risk levels to 9 or 10. It is still a Zero to 999 score.
Until I pulled up a Narxcare report, I never heard of a LME ( Ativan/ benzodiazepine ) Lorazepam Milligram equivalent, but they assign a value to a pt taking one of that class of medications.
Some of the things that I suspected that Narxcare was doing or causing… the complaint confirmed my suspicions.
Of course, the algorithm that Narxcare uses is claimed to be proprietary information, so no one knows for sure what is included to develop a pt’s risk score and/or how much weigh each category of data used affects the final score.
The “BAD AND THE UGLY – there is NO GOOD” of the PDMP’s and Narxcare and the INACCURATE CONCLUSIONS from those databases
Images from a Narxcare report – PLEASE SHARE
Center for US Policy FDA Citizen Petition
Filed under: General Problems | 8 Comments »