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Clarification of Benefits , Allow Cost Comparisions and Speed Claims Payments

September 23, 2009

Analysis of:Deficit Plays into Health Reform | www.washingtonpost.com

Health insurance coverage should be defined by specific ICD-9 codes with associated numbers of CPT-4 (service) codes allowed for each diagnosis. This structure would permit : benefit and cost comparisions between insurers, allow patients to understand which health problems are covered, and the number of units of service related to that diagnosis are allowed per unit of time. (spell of illness, month or year).

IT Is Not What It Appears To Be

September 18, 2006

Analysis of:MPs demand IT rethink | www.hsj.co.uk

Nationwide IT systems are complicated, expensive, and politically troublesome.

They need centralization and close monitoring with a single point of accountability.

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