It will turn them into essentially passive middlemen, who no longer appraise and control risk, but who merely perform the administrative function of doling out health care benefits.

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In a letter to ministers before Christmas, he said the organisation was the "hub of the administrative justice wheel" and suggested that "wheels cannot function properly if the hub is removed".

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Managers are part of the organization, which acts as the control or administrative arm focused on a specific function .

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