From Data Collection to Actionable Insight
IPRO helps state Medicaid agencies collect, validate, calculate, report, and visualize Medicaid and CHIP Core Measures. Our end-to-end approach simplifies CMS reporting requirements while transforming measure data into meaningful insights that support performance improvement
More Than a Dashboard
States already invest significant effort collecting and reporting Core Measures. IPRO helps maximize that investment by turning required reporting data into an interactive tool for performance monitoring, quality improvement, and decision-making.
Data Collection & Integration
Support for eligibility, claims, provider, demographic, and other required data sources.
Support for the Full Process
IPRO works with the state to understand reporting needs, exemptions, mandatory/voluntary measures, fee-for-service inclusion, and state-specific business requirements.
Validation & Quality Assurance
Data validation and quality checks help ensure complete, accurate reporting.
Working Together to Ensure Accuracy
IPRO validates file completeness and correctness and loads data into a state-specific repository.
Measure Calculation
Application of CMS methodologies to calculate accurate statewide performance rates.
Beyond Averages
Using data from MCOs and fee-for-service sources, IPRO applies CMS methodology to calculate statewide rates and, where applicable, breakouts and stratified rates, using eligibility and attribution logic, exclusions, numerator and denominator rules, and measure-specific criteria.
CMS Reporting Support
Production of reporting files and outputs required for CMS submission.
Built for Tomorrow
IPRO delivers rates, numerators, denominators, and related outputs that states enter into CMS’s QMR portal. Stratification is reported for current CMS--required measures and will include all future required measures.
Interactive Dashboards & Analytics
Transform reporting data into actionable insights for trend analysis, payer comparisons, and health equity initiatives.
Beyond the Spreadsheet
IPRO creates interactive dashboards that allow states to interact with the data, see year-over-year changes, compare plans or payer groups, drill into specific measures, and review stratified performance where required by CMS. Dashboards display fee-for-service and Medicaid managed care breakouts, helping states identify where performance differs across payer or product groups.