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Tom Martin
Apr 18, 2025 a 8:01 am PDT
The more relevant data point is missing. QME costs are triggered when benefits are disputed. The real question is the frequency that QMEs overrule the denial of benefits. Only then will the cost driver be known, and the next reform could impose real consequences for frivolous denials of legitimate benefits.
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Tom Martin Apr 18, 2025 a 8:01 am PDT
The more relevant data point is missing. QME costs are triggered when benefits are disputed. The real question is the frequency that QMEs overrule the denial of benefits. Only then will the cost driver be known, and the next reform could impose real consequences for frivolous denials of legitimate benefits.