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We note that nothing precludes a hospital from using 15 months of data to encode the median allowed amount, 10th percentile allowed amount, and 90th percentile allowed amount. Comment: Several commenters stated that a 12 month-lookback period may not be enough time for a meaningful count when the hospital has recently negotiated or renegotiated a contract or an item or service is rarely performed or newly introduced

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10.1016/j.jep.2023.117181 118 JabbariS.ZakariaZ

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Although the state won FDA approval for its importation program in January 2024, it has yet to implement the program