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In the CY 2021 OPPS/ASC final rule with comment period (85 FR 86193), we codified the Overall Hospital Quality Star Rating methodology, including several methodology refinements, intended to improve the simplicity and predictability of measure emphasis within the methodology over time, and comparability of ratings among hospitals
Wakabayashi, H., Teraguchi, S., and Tamura, Y., Biosci
The practical takeaway is that formulation quality and delivery method are not minor details, they are part of whether the peptide does anything at all