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[373] Hospital Recommendation Group members also expressed concern about the lack of CBE endorsement

We considered asking the official to submit their MRF attestation directly to CMS, using a CMS developed template that would provide evidence of the accuracy and completeness of the MRF, and we also considered requiring the hospitals to post a more detailed attestation document that is signed by a senior official on the publicly available website that hosts the MRF

For example, sugar alcohols like sorbitol or mannitol (used in some chewable or effervescent preparations) can have osmotic effects, drawing water into the intestinal lumen and potentially leading to loose stools in sensitive individuals

A few commenters maintained that patients are more interested in knowing what their out-of-pocket costs may be for an upcoming hospital visit than negotiated rates between hospitals and insurers, or what hospitals have been reimbursed for items and services