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Independent review vendors, expanded IDR options offered as path to fairness and speed
Summary
Experts from Improve Health and private vendors told the committee Kansas could adopt independent IDR/IIDR vendors or outsource surveys to catch up with backlogs. They outlined accreditation, timelines and cost models and said states can contract quickly if statutes and procurement rules allow it.
Consultants and vendors who run independent review or survey contracts told the committee Kansas can reduce backlog and improve perceived fairness by adopting independent IDR/IIDR vendors and, where needed, contracting outside survey teams.
Bailey Brockmeier, managing director of IDR/IIDR at Improve Health, described the purpose of IDR and IIDR processes: IDR is a nonlegal, state-run informal review that lets facilities challenge survey findings; IIDR (created under the Affordable Care Act) is a separate independent review available when civil monetary penalties are imposed. Brockmeier said federal rules in the State Operations Manual (chapter 7) set minimum requirements…
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