Relevance | Rationales rest on evidence, reasons, and principles that fair-minded parties can agree are relevant to deciding how to meet the diverse needs of a covered population under necessary resource constraints. |
Publicity | Limit-setting decisions and their rationales must be publicly accessible. |
Appeals/Revision | There is a mechanism for challenge and dispute resolution regarding limit-setting decisions, including the opportunity for revising decisions in light of further evidence or arguments. |
Enforcement | There is either a voluntary or public regulation of the process to ensure that the first three conditions are met. |