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Understanding these different billing models helps explain the cost variations patients encounter

We note that some individual HHAs within the same group may experience different impacts on payments than others due to the distributional impact of the CY 2024 wage index, the percentage of total HH PPS payments that were subject to the LUPA or paid as outlier payments, and the degree of Medicare utilization

These groups include pregnant women, children and adolescents in rapid growth phases, athletes, vegetarians, and the elderly

While effective for many, it requires conversion and may not work well for those with impaired intestinal absorption or certain genetic variations

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