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Abruptly ending financial support for effective state programs will only create instability that leads to worsened physical and mental health outcomes for beneficiaries who rely on the programs servicesprecisely the increased costs and service utilization that CMS wants to be avoiding

5 While its primary endpoint (a composite including all-cause mortality, nonfatal MI, stroke, acute coronary syndrome, leg revascularization, and major leg amputation) did not reach significance, a main secondary composite endpoint (all-cause mortality, nonfatal MI, and stroke) showed a significant benefit with pioglitazone (hazard ratio [HR] 0.84

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