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I am interested in getting feedback on what the perceived impacts of managed care external appeal legislation will be . I would appreciate any thoughts!

Posted

I love hypothetical questions concerning legislation whose details are unknown.

However, occasionally I play the game of "what if?" so....

Generally, as with most legislation based upon anecdotal experience, the result will be a big play in the press and by Congess; a lot of "independent appeals groups" formed; lots of additional money going into the newly developed appeals field - and practically no change in the quality of medical care.

..and that's an optimistic view!

a more pessimistic view is that it diverts funds from medical care and causes additional aggravation.

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