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 (November 3, 2016)
Name of Lead Entity |
Region(s) in which QE will publicly report provider performance |
Date of QE Certification |
Oregon Health Care Quality Corporation |
Oregon |
August 31, 2012 |
The Health Collaborative |
10 counties in Southwestern Ohio and Northeastern Kentucky |
August 31, 2012 |
Maine Health Management Coalition Foundation |
Maine |
November 28, 2012 |
HealthInsight |
Utah |
January 18, 2013 |
California Healthcare Performance Information System | California | February 6, 2013 |
Minnesota Community Measurement | Minnesota, 6 counties in North Dakota, 7 counties in South Dakota, and 11 counties in Wisconsin | August 5, 2013 |
Wisconsin Health Information Organization | Wisconsin | August 5, 2013 |
Center for Improving Value in Health Care | Colorado | August 5, 2013 |
Minnesota Department of Health, Division of Health Policy | Minnesota | August 5, 2013 |
Midwest Health Initiative | St. Louis MSA and 16 counties in Central Missouri | 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 |
Greater Detroit Area Health Council |
7 counties in Southeastern Michigan |
October 24, 2016 |
Related Links
- Research Data Assistance Center Qualified Entity Program Information - Opens in a new window
- Qualified Entity Certification for Medicare Data Program (QECP) Application Information - Opens in a new window
- Final Rule Implementing the Qualified Entity Program - Opens in a new window
- Consensus-Based Entity Certification Program (CBEC) Information - Opens in a new window
- Final Rule Modifying the Qualified Entity Program - Opens in a new window
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