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In determining shared losses, ACOs participating in the ENHANCED track are subject to losses at a rate determined using a sliding scale based on ACO's health equity adjusted quality performance score, if the applicable quality performance standard established in 425.512(a)(2) or (a)(5)(i) or the alternative quality performance standard at 425.512(a)(5)(ii) is met

It is also used as supportive treatment in conditions such as megaloblastic anaemia, peripheral neuropathy associated with vitamin deficiency, pellagra, homocystinuria, and malnutrition

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Specifically, these commenters noted that CMS did not indicate in the CY 2025 PFS proposed rule whether it would adopt potential revisions to the Medicaid definition of manufacturer for purposes of the Medicare Part D Drug Inflation Rebate Program

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