Reasons cited by states for some beneficiaries switching plans included pressure from providers, illnesses that impair decision making, and individuals with opioid addictions trying to obtain more prescriptions.[16] The state officials suggested that retaining dual eligible beneficiaries in DSNPs for a longer period--perhaps 90 or 180 days--would give the plans more opportunity to engage with enrollees and establish care coordination and continuity of care
R.BourtchouladzeR
Nature 555 , 497501 (2018)
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** Based on the treatment regimen estimand: treatment effect regardless of whether patients stayed on treatment or took other glucose-lowering therapies
Some patients may be completely asymptomatic, while others might go into full-blown liver failure
