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As stated before, prior to the launch, the Centers for Medicare and Medicaid Services CMS had been playing the role of coordinator, but critics charged that it was ill-suited for such a systems integration role. The administration appointed Check this out Zients to act as their adviser in the matter. On October 25, Atrium health primary care riverwood family medicine promised, in a conference call to the media, that the site would be working well "for the vast majority of users" by the end of November.

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