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 |
Region(s) in which QE will publicly report provider performance |
Date of QE Certification |
Ohio |
August 31, 2012 |
|
Wisconsin |
August 5, 2013 |
|
Colorado |
August 5, 2013 |
|
Minnesota Department of Health |
Minnesota |
August 5, 2013 |
Midwest Health Initiative |
Missouri, 42 counties in Illinois, 30 counties in Kansas |
September 17, 2013 |
All 50 States and the District of Columbia |
June 17, 2014 |
|
All 50 states and the District of Columbia |
December 4, 2014 |
|
All 50 states and the District of Columbia |
November 30, 2015 |
|
All 50 states and the District of Columbia |
May 18, 2016 |
|
Virginia |
June 7, 2016 |
|
All 50 states and the District of Columbia |
March 17, 2017 |
|
OM1, Inc |
All 50 states and the District of Columbia |
March 17, 2017 |
Texas |
May 18, 2017 |
|
All 50 states and the District of Columbia |
August 21, 2017 |
|
Regents of the University of Michigan |
Michigan |
March 19, 2018 |
All 50 states and the District of Columbia |
March 19, 2018 |
|
All 50 states and the District of Columbia |
October 10, 2018 |
|
Iowa & Nebraska - Quasi QE |
November 2, 2018 |
|
LexisNexis Risk Solutions |
All 50 states and the District of Columbia |
December 4, 2018 |
All 50 states and the District of Columbia - Quasi QE |
January 7, 2019 |
|
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 |
Wisconsin Hospital Association Information Center |
Wisconsin and 23 counties in Minnesota |
October 15, 2019 |
Garner Health Technology |
New York |
November, 25 2019 |
Iowa, South Dakota, and 4 counties in New York |
February 24, 2020 |
|
Oregon |
April 14, 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 |
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 |
Acumen, LLC |
All 50 states and the District of Columbia |
February 1, 2023 |
Trilliant Health |
All 50 states and the District of Columbia |
February 1, 2023 |