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With respect to excluding the wage index cap policy from budget neutrality, under the OPPS, section 1833(t)(2)(D) of the Act requires the Secretary to determine a wage adjustment factor to adjust the portion of payment and coinsurance attributable to labor-related costs for relative differences in labor and labor-related costs across geographic regions in a budget neutral manner
2009;4:e7396
PLoS ONE 10 , e0136873 (2015)
Leptin responsiveness restored by amylin agonism in diet-induced obesity evidence from nonclinical and clinical studies
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