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Proposed Recommendations for Improving Managed Care External Quality Review

Following up on the Commission’s discussion at the October 2024 meeting on policy options for improving the managed care external quality review process (EQR), staff presented draft text for proposed recommendations for MACPAC’s March 2025 report to Congress. The proposed recommendations are intended to improve the transparency and usability of findings included in the EQR annual technical reports.

The Commission discussed the potential recommendations, including the rationale for the recommendations and the implications for various stakeholders.