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The commenters noted that while the hospital market basket update is an improvement over previous methods, evidence indicates it may not accurately reflect ASCs' actual cost structure, and MedPAC has recommended since 2010 that CMS collect ASC cost data to develop an ASC-specific market basket

Comment: Several commenters encouraged CMS to incorporate robust risk adjustment to account for patient case mix and volumes and the availability of post-acute care services within a hospital's service area

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ADDITIONAL RECOMMENDED SHOT: L-Carnitine Carnitine is another important amino acid which is needed for the adequate transport and breaking down of fat in the body to generate metabolic energy