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Quality assurance standards should include, at a minimum, internal and external quality review, meaningful grievance and appeals procedures, robust state monitoring and oversight (e.g., by an ombud
The research design component of Section 1115 waivers must be adequate to support independent evaluation.
All levels of government should adopt policies ensuring that individuals with limited or no English proficiency have adequate language access to their health care provider.
Federal, state, and local governments should take steps to ensure adequate funding for safety-net providers to meet the needs of those who remain uninsured.
Federal and state governments should provide incentives for health educators to conduct training in medically underserved areas.
Federal and state governments should help rural communities improve local access to health care by facilitating community-based discussions about potential solutions for access problems.
In designing value-based benefits and engaging in VBP, public and private payers should be required to employ incentives that ensure the most effective use of health care resources.