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We used the same set of claims and a charge inflation factor of 11.3 percent (1.11313) and the CCRs in the July 2025 OPSF, with an adjustment of 0.956081 (90 FR 37227), to reflect relative changes in cost and charge inflation between CY 2025 and CY 2026, to model the final CY 2026 outliers at 1.0 percent of estimated total payments using a multiple threshold of 1.75 and a fixed dollar threshold of $6,225

Testing for parasites, mycotoxins, Lyme and co-infections or viral reactivations may be helpful for you to figure out next steps

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For example, a researcher maintaining at 8mg who has plateaued might increase to 10mg for 3 weeks, then return to 8mg