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Among the over 7,500 HHAs that are estimated to qualify to compete in the expanded HHVBP Model, we estimate that the percent payment adjustment resulting from this rule would be larger than 3 percent, in magnitude, for about 28 percent of competing HHAs (estimated by applying the final 5-percent maximum payment adjustment under the expanded Model to CY 2019 data)

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High doses of alcohol consumption can directly suppress immune responses, and alcohol abuse is associated with an increased incidence of a number of infectious diseases (50)