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We note that in the FY 2026 IPPS proposed rule (90 FR 18233 through 18235) we proposed, using our authority under section 1886(d)(5)(I)(i) of the Act, to adopt a narrow transitional exception to the calculation of FY 2026 IPPS payments for low wage index hospitals significantly impacted by the discontinuation of the low wage index hospital policy

De Souza C, Madden J, Koestler DC, Minn D, Montoya DJ, Minn K, et al

Toxicol Lett 185:132141

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Chronically elevated insulin levels may affect inner ear blood flow, disrupting the complex chemical balance of inner ear fluids and resulting in vestibular dysfunction