Insight Brief
Selected Quality Measure Performance Report on Opioid Use Disorder Treatment
Expand the Power of Medicare Data with IQVIA
Mar 11, 2025
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The Centers for Medicare & Medicaid Services (CMS) Qualified Entity Program allows Qualified Entities (QEs) to access Medicare Parts A and B claims data, as well as Part D prescription claims data. This data is essential for evaluating healthcare quality and provider performance.

As an approved QE, IQVIA uses this data to produce and publicly share CMS-approved reports. Our latest report focuses on the persistence of pharmacotherapy use among patients with Opioid Use Disorder (OUD), based on the National Quality Forum (NQF) endorsed measure, "Continuity of Pharmacotherapy for Opioid Use Disorder."

This report provides a detailed summary of our findings, highlighting the importance of continuous pharmacotherapy in managing OUD. Our modifications to the measure expand the inclusion criteria and revise the exclusion criteria, offering a more inclusive picture of provider performance across diverse patient groups.

By integrating CMS data with IQVIA's adjudicated administrative claims data, we provide a comprehensive view of healthcare quality performance metrics. This approach helps better measure and quantify vital healthcare processes.

Access the full report to gain valuable insights into the persistence of pharmacotherapy use among OUD patients and understand how it impacts healthcare quality and provider performance.

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