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Wei R, Song J, Pan H, Liu X, Gao J

H., Zafonte, R

In the Hospital VBP Program, we are proposing to add one new measure, substantively modify two existing measures, add technical changes to the administration of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Survey, and change the scoring policy to include a health equity scoring adjustment and modify the Total Performance Score (TPS) maximum to be 110, resulting in numeric score range of 0 to 110

Similarly, BCAA elevation in DKD reflects both impaired renal catabolism (reduced mitochondrial BCKDH activity) and insulin resistance-driven alterations (133), with standard eGFR adjustment being insufficient as GFR lies on the causal pathway between metabolites and outcomes

ASD is diagnosed based on an autism-specific history and clinical observation (3, 10, 11)