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We also note that since an ACO's performance can vary from year to year (in terms of whether the ACO generates savings or losses and is eligible for shared savings or owes shared losses), it is possible for there to be a mixed effect across reopening payment determinations for multiple performance years
Children and animals are particularly vulnerable to the effects of ETS
Compared with the latest AM estimates for ETS in Spain in 2011, the mortality burden among never-smokers has decreased considerably,7 as seen from the analysis of smoking-AM.16 The impact of ETS exposure on mortality has been estimated 3 times in Spain
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Therefore, the difference between the QCDR and qualified registry self-nomination is associated with the preparation of QCDR measures for CMS consideration
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