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A few commenters suggested that changes to the Overall Hospital Quality Star Rating, such as a star reduction, only be made if a hospital remains in the lowest quartile for multiple consecutive years, which would help account for normal performance variation and support long-term improvement efforts

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Starting Thursday, a US review panel convened by the Food and Drug Administration is to consider whether seven of these peptides should be recommended for compounding -- when pharmacists or outsourcing facilities create custom drugs -- as interest in them surges