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We proposed no changes to the five HHCAHPS Survey-based measures used for the expanded HHVBP Model

Direct vs

In contrast, injections avoid these barriers entirely

Response: We thank the commenters for their recommendations

The increase in biotin may be due to fluctuations in diet, seasonal changes, or the plant-based extract which was used in the placebo (not the supplement) to give it a "vitamin-like" flavor

Response: We have noted in past rules that we use the functional impairment level case-mix adjustment, developed as part of the PDGM case-mix, to provide the necessary payment adjustments to ensure that functional care needs are met based on actual patient characteristics