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Background The OPPS provides outlier payments to hospitals to help mitigate the financial risk associated with high-cost and complex procedures, where a very costly service could present a hospital with significant financial loss

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1984 Feb;63(2):335-41

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Real-world example: Instead of breakfast (2 eggs, toast, bacon 600 calories), lunch (sandwich, chips 700 calories), dinner (pasta, chicken 800 calories), switch to: 8am (Greek yogurt, berries 200 cal), 11am (protein shake 250 cal), 2pm (chicken salad 300 cal), 5pm (turkey, vegetables 250 cal), 8pm (cottage cheese, fruit 200 cal)