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We continue to believe that the costs of services are considered when hospitals and payers negotiate rates

Others might switch to an equivalent high-quality oral B-complex once their gut can absorb again

After consideration of public comments, we are finalizing our proposal without modification to make the following two-stage methodologic updates to the Overall Hospital Quality Star Rating to emphasize the Safety of Care measure group (applicable to hospitals with at least three measures in the Safety of Care Measure Group): Stage 1: Implement a 4-star cap for hospitals in the lowest quartile of the Safety of Care measure group performance beginning in 2026 followed by Stage 2: Implement a blanket 1-star reduction for hospitals in the lowest quartile of Safety of Care measure group performance for the 2027 Overall Hospital Quality Star Ratings and later years

Clinical studies have shown that ALA significantly improves neuropathic symptoms and nerve conduction velocities