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State of Florida Neo4J Graph Briefing -Payments to Prescriptions Analysis

Health care has many players and overlapping connections. This presentation is from the 2019 Medicaid Enterprise Systems Conference and is built on US HHS data.

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State of Florida Neo4J Graph Briefing -Payments to Prescriptions Analysis

  1. 1. Neo4j in Healthcare Analyzing Correlations Between Pharma Payments to Physicians and Prescriber Patterns
  2. 2. CMS Open Payments Demo Neo4j Graph DB combines open source multiple datasets from Medicaid Part D and CMS Open Payments to determine if there is a connection between payments made by Pharma companies to physicians and the Part D prescriptions these same physicians wrote for Opioid class drugs.
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  4. 4. CMS Open Payments Data https://openpaymentsdata.cms.gov/
  5. 5. Medicare Part D Prescriber Data https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Medicare-Provider-Charge- Data/Part-D-Prescriber.html
  6. 6. DEA ARCOS – Pill Distribution of Controlled Substances https://www.washingtonpost.com/national/2019/07/18/how-download-use-dea-pain-pills-database/?arc404=true
  7. 7. Open Payments / DEA ARCOS Schema
  8. 8. Top Payees 2013-2015
  9. 9. Using Bloom to learn more about Dr Chun
  10. 10. Diving deeper https://www.nytimes.com/interactive/2018/05/02/magazine/money-issue-insys-opioids-kickbacks.html
  11. 11. Dr Chun – fined by US DoJ but still practicing https://www.justice.gov/usao-mdfl/pr/united-states-settles-false-claims-act-lawsuit-against-florida-pain-clinic-and-its
  12. 12. • CMS Open Payments Data from the Years 2013-2015 This includes information about payments made by drug manufacturers and specialty pharmacies to doctors and teaching hospitals. The payments are for things like meals, entertainment, consulting or speaking fees, etc. Each payment is associated with a particular drug or medical device that they are trying to market. • Medicaid Part D Prescription Data from the Years 2013-2015 This includes aggregated data for drugs and devices, showing number of doses prescribed by a certain provider over the course of a year. • ARCOS FOIA Data This data tracks the path of every opioid pain pill from manufacturer to pharmacy in the United States from 2006 through 2012. • The NPPES NPI Provider Registry The NPI Registry Public Search is a free directory of all active National Provider Identifier (NPI) records. • The FDA NDC National Drug Code Directory Drug products are identified and reported using a unique, three-segment number, called the National Drug Code (NDC), which serves as a universal product identifier for drugs. 15 Datasets

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