Primaris has more than ten years performing external quality reviews. In fact, Primaris is Missouri division of Medicaid’s first EQRO, performing external quality review of the state’s first contracted managed care organizations, in the 1990s.
Primaris EQRO strives to perform EQR-related activities without duplication. Nonduplication allows, under certain conditions, a state to use information from a Medicare or private accreditation review of a plan in place of generating that information through one or more mandatory EQR activities. These efforts save state dollars and ensure a more robust approach to optimize managed care quality oversite.
|The Primaris staff leading the EQRO in Missouri…bring extensive, professional health care experience to this contract. We can rely on their expertise to provide accurate and appropriate analysis, perspectives and guidance in the area of health care quality for our contracted MCOs as well as the state- RL, MO HealthNet|
Primaris EQRO provides Technical Assistance to states and managed care plans on all mandatory activities, as well as optional activities. In addition, Primaris can provide quality review technical assistance to states that do not operate managed care programs, but desire to monitor the delivery of healthcare services and outcomes to their Medicaid beneficiaries. Primaris will customize it technical assistance to support states in achieving their strategic and programmatic goals.
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