Qualified Entity Program

Qualified Entity Program

The CMS Qualified Entity (QE) Program (also known as the Medicare Data Sharing for Performance Measurement Program) enables organizations to receive Medicare claims data under Parts A, B, and D for use in evaluating provider performance. Organizations approved as QEs are required to use the Medicare data to produce and publicly disseminate CMS-approved reports on provider performance. QEs are also permitted to create non-public analyses and provide or sell such analyses to authorized users. In addition, QEs may provide or sell combined data, or provide Medicare claims data alone at no cost, to certain authorized users. Under the Qualified Entity Certification Program (QECP), CMS certifies QEs to receive these data and monitors certified QEs.  

Certified Qualified Entities (September 9, 2022)

 

Name of Lead Entity
Click QE name to access available QE public reports
Region(s) in which QE will publicly report provider performanceDate of QE Certification
Wisconsin Health Information OrganizationWisconsinAugust 5, 2013
Center for Improving Value in Health CareColoradoAugust 5, 2013
Minnesota Department of HealthMinnesotaAugust 5, 2013
Midwest Health InitiativeMissouri, 42 counties in Illinois, 30 counties in KansasSeptember 17, 2013
Health Care Cost InstituteAll 50 States and the District of ColumbiaJune 17, 2014
Optum Labs TopazAll 50 states and the District of ColumbiaNovember 30, 2015
FAIR HealthAll 50 states and the District of ColumbiaMay 18, 2016
Virginia Health InformationVirginiaJune 7, 2016
InovalonAll 50 states and the District of ColumbiaMarch 17, 2017
OM1, IncAll 50 states and the District of ColumbiaMarch 17, 2017
University of Texas Health Science Center at HoustonTexasMay 18, 2017
Komodo Health Inc.All 50 states and the District of ColumbiaAugust 21, 2017
Regents of the University of MichiganMichiganMarch 19, 2018
Clarify Health SolutionsAll 50 states and the District of ColumbiaMarch 19, 2018
McKinsey & CompanyAll 50 states and the District of ColumbiaOctober 10, 2018
CyncHealthIowa & Nebraska - Quasi QENovember 2, 2018
LexisNexis Risk SolutionsAll 50 states and the District of ColumbiaDecember 4, 2018
HealthmonixAll 50 states and the District of Columbia - Quasi QEJanuary 7, 2019
Blue Health IntelligenceAll 50 states and the District of ColumbiaMay 14, 2019
Wisconsin Hospital Association Information CenterWisconsin and 23 counties in MinnesotaOctober 15, 2019
Garner Health TechnologyNew YorkNovember, 25 2019
Nascate Inc.Iowa, South Dakota, and 4 counties in New YorkFebruary 24, 2020
ComagineOregonApril 14, 2020
Abacus InsightsNew Jersey, Idaho, Washington, Oregon, Utah, MassachusettsJuly 14, 2020
IQVIAAll 50 States and the District of ColumbiaAugust 12, 2020
MillimanAll 50 States and the District of ColumbiaAugust 21, 2020
Trella HealthAll 50 states and the District of ColumbiaMay 21, 2021
Roivant Sciences IncAll 50 states and the District of ColumbiaMay 21, 2021
Vizient IncAll 50 states and the District of ColumbiaJuly 28, 2021
AxxessAll 50 States and the District of ColumbiaMarch 2, 2022
Michigan Public Health InstituteMichiganApril 22, 2022
PurpleLab, IncAll 50 States and the District of ColumbiaMay 10, 2022
Populi Inc.All 50 States and the District of ColumbiaMay 17, 2022
Acumen, LLCAll 50 states and the District of ColumbiaFebruary 1, 2023
Trilliant HealthAll 50 states and the District of ColumbiaFebruary 1, 2023
Cedar Gate Technologies39 States except AL, CA, CT, HI, MD, NJ, NY, OR, RI, VA, WVMay 12, 2023
Kythera Labs IncAll 50 states and the District of ColumbiaFebruary 28, 2024
Page Last Modified:
04/01/2024 01:23 PM