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Second, the information gatekeeping model broke down just as institutional trust collapsed in the wake of COVID

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In the CY 2020 HH PPS final rule with comment period (84 FR 60519), we included the effects of these behavior change assumptions in the calculation of the 30-day budget neutral payment amount for CY 2020, finalizing a negative 4.36 percent behavior change assumption adjustment (assumed behaviors)
CMAJ 2012;184:1593-8