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We say to our internal providers, 'You have to compete for shelf space with [for example] other major insurers in the world.' A major competitive strength is our processing capability, but what we process can come from best of breed".
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But it's not clear that an outsourced provider is any more efficient or at a lower price point than an internal provider.
Other management practices, based on individual negotiations, presumably depended on internal provider networks, whose development, and also decline, could not be captured through our study methods.
The CHADS2 score was chosen by most internal medicine providers (72%), and Pulmonary Embolism Rule-Out Criteria (PERC) score by most emergency medicine providers (45%), as one of the top three most useful from a list of 24 clinical prediction rules.
The storage rules are currently applied on a case-by-case basis, without taking into account the availability of space in internal storage providers.
61% of the indicators were considered applicable for both external as well as internal OHS providers.
In general, indicators not relevant for external and internal OHS providers were not considered relevant by mixed services.
Ninety-five percent of internal medicine providers reported that they had "never" or "rarely" recommended H/NP to their patients.
Because external and internal OHS providers are separate entities with a different organisation structure and objectives, different reporting modules were made for both services.
Meanwhile, Powell and colleagues [ 19, 20] published two articles regarding the survey responses of 382 family and internal medicine providers from one state (North Carolina) in the USA.
Remarkably, internal OHS providers assessed fewer indicators as relevant (29% and 27% of performance and epidemiology indicators respectively), but these were mostly all available (90%).
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com