The federal government produces health evidence through more agencies than any one official oversees, with no architecture to allocate the work. The same question can be asked three times or fall between agencies entirely. The fix is coordination, not consolidation.
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A coordination body chaired by AHRQ spots gaps and duplication and carries its findings into the budget process.
Congress has created coordination mandates and left them inert. This gives them real content, starting with the dormant CMS-AHRQ partnership.
Extending clear, project-level public reporting to every HHS evidence funder shows where the money goes and what it produces.