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We specified at 414.1380(b)(2)(v)(A) that significant changes include, but are not limited to, rapid or unprecedented changes to service utilization, and will be empirically assessed by CMS to determine the extent to which the changes impact the calculation of a cost measure score that reflects clinician performance

Chuck Schumer recently described the trending nicotine product Zyn as a "pouch packed with problems" while delivering a warning to parents and calling for a federal investigation into the brand's marketing tactics and health effects

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