If we did have the ability to do it in-house, I don't think it would be a greater burden on case managers.
I'm hesitant to answer this because I'm certainly not an expert.
Some of the issues, in terms of the administrative burden we have, include being part of provider relations, which is connecting with providers and demanding that the work—their reports and their information—meets the policy objectives. It would be easier if that was in-house.