Following up on the Commission’s discussion at the December 2024 public meeting on proposed recommendations for improving the managed care external quality review (EQR) process, staff presented a draft chapter and three recommendations for MACPAC’s March 2025 report to Congress. The recommendations are intended to shift the focus of EQR activities from process and compliance to meaningful outcomes and actionable data, and to improve the usability of that data through reporting standardization and transparency.
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Medicaid and CHIP Payment and Access Commission
