Kythera Labs Receives Certification as Qualified Entity from CMS

FRANKLIN, Tennessee—Kythera Labs, Inc. announced its certification as a Qualified Entity from the Centers for Medicaid & Medicare Services (CMS). The CMS Qualified Entity (QE) Program, also known as the Medicare Data Sharing for Performance Measurement Program, enables certified organizations to receive Medicare claims data under Parts A, B and D. Only 39 organizations are QEs and only 23, including Kythera, have access to nationwide data.

Kythera Labs’ data technology transforms multi-source data into answer-ready information. Having access to the nationwide Medicare claims expands Kythera’s ability to help its customers innovate across the health care and life sciences spectrum.

“Kythera’s mission is to help the health care industry discover and innovate,” said Jeff McDonald, CEO and co-founder of Kythera Labs. “Access to this data from the QE program means an extended ability for users of real-world data (RWD) to reach answers faster and more cost efficiently.”

As a QE, Kythera will expand the breadth, depth and longitude of its national data sets. The certification gives Kythera access to claims data for more than 66 million beneficiaries, comprising claims data in the following areas: inpatient, skilled nursing facility and home health agency care (Part A); durable medical equipment, outpatient and carrier (Part B); and prescription drug (Part D).

QEs are annually required to use Medicare claims data to generate public performance reports for providers and suppliers on measures of quality, efficiency, effectiveness and resource use. Additionally, QEs may use the Medicare data to provide or sell non-public reports to authorized users.