But this can mean that those who are more forceful and persuasive may influence the group decision-making process.

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The group also claims that the decision-making process would be opened up, with affected people being consulted and involved in the process and given explanations about final decisions that are made.

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Group heads were given more autonomy, speeding up the decision-making process.

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First Group was originally awarded the franchise, but the decision was reversed after the competition process was found to have been flawed.

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Forbes spoke with Louis Jacques, the director of the Coverage and Analysis Group at the Medicare center, to learn more about the process, called a National Coverage Assessment, and the decision that will result after a period of public comment and the accrual of scientific data, called a National Coverage Determination.

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