In addition, states have several program design options that can increase the degree of Medicare-Medicaid integration and alignment in their DSNP-based programs, including from least to most aligned (Archibald & Kruse, 2015): Include Medicare Cost-Sharing, Medicaid Wraparound Services, or Both : States can require DSNPs to pay enrollees' Medicare premiums and cost-sharing out of their capitation payments (state Medicaid agencies would otherwise pay for premiums or cost-sharing directly), which can help to coordinate claims processing, reduce administrative burden on providers, and decrease instances of balance billing of enrollees
Dizziness: Lightheadedness reported early on, possibly from energy shifts
Funding This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors
Increased zonulin levels were also reported in five pediatric and adult MAFLD studies, but because of the flawed commercial zonulin ELISA, these reports do not advance the field (73, 74)
