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In the CY 2026 OPPS/ASC proposed rule (90 FR 33755 through 33756), for the Hospital OQR, REHQR, and ASCQR Programs, we proposed to remove the HCHE and FCHE measures beginning with the CY 2025 reporting period/CY 2027 payment or program determination under removal Factor 8, as the costs associated with achieving a high score on the measure outweigh the benefit of its continued use in the program ( 419.46(i)(3)(i)(H), 419.95(e)(3)(i)(H), and 416.320(c)(2)(viii), respectively)

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Notably, individuals with more advanced liver disease exhibited the highest endogenous BAC, and BAC could be manipulated to increase or decrease by pre-treating patients with an infusion of an inhibitor of hepatic alcohol metabolism (4-methylpyrazole) or with a course of broad-spectrum antibiotics, respectively (63)

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