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The Role of Medicare Fiscal Intermediaries After Health Care Reform
Health Plan Law
Nov. 19, 2007
Excerpt: Bottom line - the claims adjudication process in a publicly financed system, such as Medicare, will be handed off to the large fiscal intermediaries such as Anthem. Any notion that their claims adjudication processes will evolve into more accommodating claims practices should be measured against their past record. The facts in the WSJ article actually support the view that the European model is a bad thing if it means that health care decisions will be outsourced to the same entities that serve as Medicare fiscal intermediaries.
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