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Pre-Rulemaking Review (PRMR)

The PRMR process supports consensus recommendations regarding the inclusion of measures under consideration (MUCs) in Centers for Medicare & Medicaid Services (CMS) quality reporting and value-based programs. 

There are three PRMR committees grouped by care setting: Hospital, Clinician, and Post-Acute Care/Long-Term Care (PAC/LTC). These committees consist of a diverse membership representing all facets of the health care system. PQM emphasizes the inclusion of patients/recipients of care, caregivers, patient advocates, and traditionally underrepresented groups in this process. 

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Post-Acute Care/Long-Term Care (PAC/LTC)

The PAC/LTC Committee provides input on the selection of measures for post-acute care and long-term care facilities, including home health agencies, hospices, and skilled nursing facilities. The PAC/LTC Committee provides annual pre-rulemaking input related to:

  • Home Health Quality Reporting Program (Home Health QRP)
  • Hospice Quality Reporting Program (HQRP)
  • Inpatient Rehabilitation Facility Quality Reporting Program (IRF QRP)
  • Long-Term Care Hospital Quality Reporting Program (LTCH QRP)
  • Skilled Nursing Facility Quality Reporting Program (SNF QRP)
  • Skilled Nursing Facility Value-Based Purchasing Program (SNF VBP)

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