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 performance

Date of QE Certification

The Health Collaborative

Ohio

August 31, 2012

Wisconsin Health Information Organization

Wisconsin

August 5, 2013

Center for Improving Value in Health Care

Colorado

August 5, 2013

Minnesota Department of Health

Minnesota

August 5, 2013

Midwest Health Initiative

Missouri, 53 counties in Illinois, 30 counties in Kansas

September 17, 2013

Health Care Cost Institute

All 50 States and the District of Columbia

June 17, 2014

Amino

All 50 states and the District of Columbia

December 4, 2014

OptumLabs

All 50 states and the District of Columbia

November 30, 2015

FAIR Health

All 50 states and the District of Columbia

May 18, 2016

Virginia Health Information

Virginia

June 7, 2016

Inovalon

All 50 states and the District of Columbia

March 17, 2017

OM1, Inc

All 50 states and the District of Columbia

March 17, 2017

University of Texas Health Science Center at Houston

Texas

May 18, 2017

Komodo Health

All 50 states and the District of Columbia

August 21, 2017

Regents of the University of Michigan

Michigan

March 19, 2018

Clarify Health Solutions

All 50 states and the District of Columbia

March 19, 2018

McKinsey & Company

All 50 states and the District of Columbia

October 10, 2018

CyncHealth- Quasi QE

Iowa & Nebraska

November 2, 2018

LexisNexis Risk Solutions

All 50 states and the District of Columbia

December 4, 2018

Healthmonix- Quasi QE

All 50 states and the District of Columbia

January 7, 2019

Blue Health Intelligence

All 50 states and the District of Columbia

May 14, 2019

OCHIN Inc

4 counties in California and 1 county in Massachusetts

June 21, 2019

Humana Healthcare Research, Inc

Kentucky and select counties in 8 states

October 1, 2019

Wisconsin Hospital Association Information Center

Wisconsin and 23 counties in Minnesota

October 15, 2019

Garner Health Technology

New York

November, 25 2019

Nascate

Iowa, South Dakota, and 4 counties in New York

February 24, 2020

Comagine

Oregon

April 14, 2020

Archway Health

29 states and the District of Columbia

April 30, 2020

Abacus Insights

New Jersey, Idaho, Washington, Oregon, Utah, Massachusetts

July 14, 2020

IQVIA

All 50 States and the District of Columbia

August 12, 2020

Milliman, Inc.

All 50 States and the District of Columbia

August 21, 2020

Cotiviti

49 states

August 26, 2020

Trella Health

All 50 states and the District of Columbia

May 21, 2021

Roivant Sciences Inc

All 50 states and the District of Columbia

May 21, 2021

Vizient Inc

All 50 states and the District of Columbia

July 28, 2021

Axxess

All 50 States and the District of Columbia

March 2, 2022

Michigan Public Health Institute

Michigan

April 22, 2022

PurpleLab, Inc

All 50 States and the District of Columbia

May 10, 2022

Populi Inc.

All 50 States and the District of Columbia

May 17, 2022

Diaceutics Inc. 49 states and the District of Columbia September 23, 2022
Page Last Modified:
09/30/2022 01:53 PM