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What Is Appriss Up To?

November 18, 2019 posted by Steve Brownstein

The True Motivation Behind the Opioid Crisis-Profit off PDMPs and Profiling, Private Data Theft
Part II of Profiling & Data Theft — Our “Clueless” Elected Officials are Filling Their Pockets at The Expense Of Patient Misery
Those Pesky States and their Statutes… That NO ONE Enforces Their Parameters…
If one stops to peruse the state laws on the books regarding PDMPs (prescription drug monitoring programs), there is an abundance of fascinating language buried in our very own state statutes.
For example, many states have what is called “Compacts” with other states.
These are statutes made in state law, usually over roadway or bridge construction, over licensure in nursing or medicine, with other states. They encompass an agreed upon number of states, have rules set governing etc…, have legal language with terms and so forth.
However, in regards to the Opioid Crisis… why would there even need to be a “Compact”?
And furthermore, why would this “Compact” be written like the one in Kentucky legislation has been?
Yes, here we are, back in Kentucky again- the land of Appriss, Inc., and their House of Rep. champion, Hal Rogers, of the “Hal Rogers PDMP programs”.
What a fascinating coincidence.
When I stumbled across this statute it was 2:30 am, and I was in the throes of a horrendous pancreatic flare.
Maybe these people will realize some will stop researching and chasing after their stupid machinations when they are not being harmed directly by them.
If I wasn’t being supposedly punished for idiotic actions of another, I would be able to sleep through a night.
I would have access to the medication appropriate for my condition, at the dose required and not have to worry about this ridiculous, evil, self serving propaganda play.
This crisis is really no more than a cleansing of America, as well as a dressed up profiteering of those in position to do so, at the expense of the seriously ill.
My sense of fury and outrage mounted as I read every sentence of the Kentucky Statute 218A.390 establishing the Prescription Monitoring Program Compact — not program. (This is a crucial difference).
I encourage every single person to read it, twice.
If you have any doubts about what the real motivation of the opioid crisis is after reading it; read it again.
It appears that stakeholder interests have more to do with this crisis than anything else, whoever plays the game the right way will make the most money.
No patients or their privacy was considered, unless it would “embarrass” a member state.
When HR 6, the expansive “Opioid Bill”, the Support for Patients and Communities Act, was signed by Pres. Trump on October 24, 2018, few people actually knew its entire contents.
Few realized it actually underfunded addiction treatment, yet again.
It put into place strict guidelines for treatment and how it was to be carried out.
It granted extension of the “bupe” waiver and more freedoms for the drug Suboxone to be used in substance abuse treatment for Medicaid patients, a huge win for the pharmaceutical company Indivior.
As of this writing, there is still no generic for Suboxone (bupe).
It also expanded funding for PDMP (Prescription Drug Monitoring Program) databases.
A very few people understood that last bit.
Appriss Has Been Played
With the passing of HR 6, the company Appriss, Inc., began to feel a little concerned.
This little company, based in Louisville, KY, has enjoyed a secretive monopoly on PDMP algorithm programs utilized in every state system since their inceptions into the state systems.
Beginning in mid 1990’s with the Clinton White House, but helped along by the first Bush White House, with their encouragement of EHRs.
In the first of hundreds of non coincidental coincidences, push turned into hard shove right after President Clinton signed HIPAA into law.
HIPAA being the smoke and mirrors law that pretends to protect patient privacy.
At the rate of a whopping average of 2 whole convictions per year out of 350 million Americans.
Either the American people are extremely respectful of each other’s privacy in regards to medical information or no one is enforcing HIPAA law in any real way.
As much as I would like to believe the former, the truth is the latter.
No doubt Appriss is helped along by their behind the scenes relationship with Representative Hal Rogers, a House of Representatives official from their state of KY, the “Prince of Pork”, who just so happens to be the face man for their National PDMP grant system.
Did someone say coincidence?
His ‘Hal Rogers’ PDMP grants have been the sole reason most states were even able to implement a PDMP database to enroll patients in the first place.
Now… well… the government is moving in. They are going to fund things.
Rep. Rogers would not be able to wield the power he once did… if this were to come to pass.
Appriss Inc., executives also heard whispers that D.C. was considering making the PDMP a utility.
With the push toward a National PDMP and the certainty it will happen within the next decade, the government focus is now shifting toward whether or not the PDMP should be a public utility.
Still not a peep out of a single government official about privacy, patient consent, if PDMPs even actually work (not one study has shown a definitive yes on this), or if we need a National PDMP.
The CDC isn’t even able to say they work in stopping addiction and overdose.
Likely due to the fact PDMPs track the wrong people and wrong drugs.
A National PDMP utility would spell disaster for Appriss, Inc.
The huge checks would come to an end.
On the verge of receiving the Marconi treatment from the government, it seems.
Appriss, Inc. is worried they will become a white elephant if the government takes over the PDMP.
The company has launched a media campaign to highlight themselves, because, in reality, they do have a strict monopoly on this trade in America.
I read a fascinating analysis of this from a anon hospital insider blog, though the post itself was written by David Finney, a partner at Leap Orbit- a healthcare consulting firm in Maryland.
He writes:
“Appriss has done what monopolists do, bidding up contract prices and seeking to monetize every aspect of the data it controls. Given the commitment by states and the federal government to “do whatever it takes” to address the opioid epidemic — including supporting PDMPs with ever-increasing grant funds — PDMP administrators may grumble, but otherwise few people have stopped and taken much notice.”…
The article speaks of a National PDMP and then goes on to point out:
“By all indications, the federal omnibus spending bill and subsequent signals from federal officials and lobbyists seem poised to deliver on this new model. Not surprisingly, Appriss is worried. In recent weeks, it has launched a marketing campaign of its own to highlight the benefits of the current state-based approach to PDMPs and the interstate gateway it developed in collaboration with the National Association of Boards of Pharmacy….”
That has to sting.
This is my take on this.
Basically, the government is giving Appriss the middle finger and a good doggie pat on the head.
Appriss Inc., will be another in a long line who has been played by our dear government, developed a program, only to have it stolen and used with no recourse.
I can’t lie and say it isn’t personally satisfying to see Appriss being treated… despicably…(like a patient)… even though it underlines the treachery of our government in spades.
I will waste no more time reflecting on Appriss’s potential loss here.
When you deal in deceit- you will have it dealt to you in the future.
When you get too greedy- it never works out.
Since the others in the game, Brandeis and Yale, have day jobs, it shouldn’t hit them too hard.
Besides this site and a few other knowledgeable people, no one has said much about their connections to the PDMPs or the Opioid Crisis at all.
They haven’t been connected in the public eye.
Furthermore, the Kentucky Compact will be a moot point if a national PDMP is created.
Bye bye to that huge money generator for all the states involved, and stakeholders- of which I am certain Appriss, Inc., is the biggest one.
Of course, the yearly reports that are required by the statute written in Kentucky law are no where to be found.
There is no public list of the members or stakeholders involved in the Kentucky Prescription Monitoring Program Compact or any reports existing for review.
We must force consent to be obtained for all patients to be entered into any PDMP or state tracking system- to include all the Appriss Inc., add on programs.

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