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Komodo Health:
A Qualified Entity

Delve into Komodo’s Qualified Entity reports, which examine national provider performance across clinical measures critical for improving health outcomes.

Komodo Health believes that smarter, more innovative use of data and analytics is essential for reducing disease burden. Core to our mission is the tenant that the insights generated using our solutions make an impact for the greater good; ultimately helping to identify and close gaps in care.

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Komodo has the unique ability to generate insights from patient-level claims data reflecting all Medicare beneficiaries alongside broader commercial data in Komodo’s Healthcare Map. These analyses of provider performance metrics shed light on health outcomes and clinical trends in the U.S.

Explore Komodo's QE Reports

QE Report Thumbnail - Diabetes

Diabetes Screening for People with Schizophrenia or Bipolar Disorder Who Are Using Antipsychotic Medications (Analytics Year 2017)

According to an analysis conducted by Komodo Health, many patients who are prescribed medications that can disrupt normal serum glucose control do not receive annual screening for diabetes and other metabolic disorders.

QE Report Thumbnail - Arthritis

Disease Modifying Anti-Rheumatic Drug (DMARD) Therapy for Rheumatoid Arthritis (Analytics Year 2017)

A new analysis conducted by Komodo Health finds that a patient's insurance type and the location of where the patient lives plays a major role in prescription dispensing patterns, with only 54% of eligible patients with RA receiving potentially Disease Modifying Anti-Rheumatic Drugs (DMARDs).

Despite an onslaught of data in healthcare today, there is a surprising absence of insights that healthcare stakeholders can act on with confidence. We believe that healthcare needs a source of ground truth to close gaps in care delivery. Our ability to capture a more complete view of patient journeys enables Komodo Health to address disease burden through a richer understanding of public health.
Arif Nathoo, MD, CEO of Komodo Health
    QE badge

    Komodo Health has been certified under the CMS Qualified Entity program since 2017. As a QE, Komodo Health is entrusted with claims data under Medicare Parts A, B, and D for use in evaluating the performance of healthcare providers in the U.S. health system. During its tenure in the CMS Qualified Entity Program, Komodo has been systematically evaluating health system performance, access to care, and effectiveness in healthcare delivery across the entire payer landscape.

    Komodo’s Healthcare Map™ captures insights on 330 million patient journeys for a comprehensive view of de-identified patient encounters. Insights from the Healthcare Map, in combination with QE data, enable the company to model the epidemiology of disease and help health system stakeholders direct resources where they are needed most.