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If the cap were to apply to an ACO with lower spending than their regional service area, then this would result in a decreased regional adjustment to that ACO's historical benchmark

I think that it might be possible for an online retailer (from out of state

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If it sounds a bit nanny state-ish to ban an otherwise legal product used by consenting adults, consider this: In 2009, Congress gave the FDA authority to ban all other flavors in cigarettes, which it did in order to make these dangerous products less attractive to new smokers

Centers of Disease Control and Prevention