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As indicated in that rule, we proposed this temporary payment exception to mitigate short-term instability and payment fluctuations that can negatively impact hospitals consistent with principles of certainty and predictability under prospective payment systems. To address these same concerns under the OPPS, we correspondingly proposed a transitional payment exception for CY 2026 under the OPPS using our equitable adjustment authority under section 1833(t)(2)(E) of the Act

Direct indexing seeks to closely track the performance of a market index while creating tax savings to increase returns in taxable accounts