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A few commenters urged CMS to adopt a forward-looking approach to implementation, recommending that the proposed changes, particularly the star cap in 2026 and 1-star reduction in 2027, be delayed until at least 2028 to allow hospitals sufficient time to respond to the new methodology and improve safety performance
Advanced stacks are not about adding everything
Distribution & Fuel Costs Fuel price increases directly impact logistics and nationwide delivery charges
The lipolytic effect on VAT takes more time to accumulate to a visible level
Medical necessity : Proof that the injections are needed