Qualified Entity Certification
A federally recognized designation enabling secure, privacy-preserving access to healthcare data for research and public health purposes.
What is a Qualified Entity?
A federally recognized designation that enables secure access to healthcare data
A Qualified Entity is an organization that has been certified by the Centers for Medicare & Medicaid Services (CMS) to receive and analyze Medicare claims data for the purpose of evaluating provider and supplier performance. This certification enables organizations to access aggregated healthcare data while maintaining strict privacy and security standards.
CMS Certified
Medicare Reviews has achieved Qualified Entity certification, demonstrating our commitment to privacy-preserving healthcare data analysis and our compliance with federal regulations governing healthcare information access.
Certification Requirements
Rigorous standards ensure data security and privacy protection
Security Standards
Implementation of comprehensive security measures including encryption, access controls, and audit logging to protect healthcare data.
Privacy Protection
Strict adherence to HIPAA regulations and federal privacy laws, ensuring that personal health information is protected and anonymized.
Compliance Documentation
Comprehensive documentation of policies, procedures, and safeguards demonstrating ongoing compliance with federal requirements.
Benefits of Qualified Entity Status
Enhanced Data Access
Access to aggregated Medicare claims data enables comprehensive analysis of healthcare provider performance and outcomes.
Privacy-Preserving Analysis
Zero-knowledge proof technology ensures that data analysis can occur without exposing individual patient information or personal identifiers.
Regulatory Compliance
Certification demonstrates adherence to federal healthcare regulations and commitment to maintaining the highest standards of data protection.
Our Commitment
As a Qualified Entity, Medicare Reviews is committed to using healthcare data responsibly and ethically. Our zero-knowledge proof systems ensure that we can provide valuable insights while maintaining absolute privacy protection.
Public Health Impact
Our certification enables us to contribute to public health research and healthcare quality improvement initiatives while protecting individual privacy.
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