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Specifically, we are finalizing with modification our proposals to add to 180.20 definitions for tenth (10th) percentile allowed amount, median allowed amount, and ninetieth (90th) percentile allowed amount, which are values hospitals will encode when a payer-specific negotiated charge is based on a percentage or algorithm, to more accurately reflect the distribution of actual amounts that hospitals have received for an item or service
Whats happening: AOD-9604 is activating lipolysis in adipose tissue and beginning to inhibit new fat storage
The dual mechanism is not incremental
(1) Benefits to Hospitals As indicated in the CY 2026 OPPS/ASC proposed rule (90 FR 33856), hospitals, either directly or through management or actuarial consultants, are consuming the data released in the MRFs for their own operational purposes
