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, 42 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
Optum Labs Topaz	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 Inc.	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	Iowa & Nebraska - Quasi QE	November 2, 2018
LexisNexis Risk Solutions	All 50 states and the District of Columbia	December 4, 2018
Healthmonix	All 50 states and the District of Columbia - Quasi QE	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
Wisconsin Hospital Association Information Center	Wisconsin and 23 counties in Minnesota	October 15, 2019
Garner Health Technology	New York	November, 25 2019
Nascate Inc.	Iowa, South Dakota, and 4 counties in New York	February 24, 2020
Comagine	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

Qualified Entity Program

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