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We also appreciate the concern expressed regarding small, rural, and safety-net hospitals

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Update to the Extraordinary Circumstances Exception (ECE) Policy for the Hospital OQR, REHQR, and ASCQR Programs In the CY 2026 OPPS/ASC proposed rule (90 FR 33756 through 33757), we proposed to update the current Hospital OQR, REHQR, and ASCQR Program ECE policies codified at 42 CFR 419.46(e)

Combination evidence Direct clinical trial evidence for the AOD 9604 plus tirzepatide combination does not exist