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One Vendor, More Leverage

O'Donnell doesn't see this as a problem, though. He says BCBS of Michigan has used a single vendor for a long time and it has given them some leverage. For instance, BCBS negotiated for an on-site technician at its two main campuses.

"The reason we can do that is because we use one vendor and we have a lot of machines at those two campuses," O'Donnell says.