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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Establish a standing federal health services research coordination body, chaired by AHRQ, whose gap analysis reaches the budget process.
Give existing coordination authorities real content, starting with the long-dormant CMS-AHRQ partnership.
Extend evidence coordination across departmental lines where VA, CMS, and Defense populations overlap.
Extend clear, project-level public reporting of research funding to every HHS evidence funder.