10.3390/pharmaceutics15010099 43 GarlapatiR.IniguezE.SerafimT
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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
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Heidenreich PA, Bozkurt B, Aguilar D, et al