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Connecting AD and DS is A42, which plays an important role in the pathogenesis of AD and may also affect the cognitive function seen in DS 12,13

Just because something doesn't pull one specific lever doesn't mean it can't influence the entire machine

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In addition, the commenter had several recommendations for CMS to implement in the interim to improve the accuracy of ratesetting: Issue sub-regulatory guidance encouraging hospitals to map cardiac MRI charges to cardiac/stress imaging cost centers rather than generic MRI