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The injection takes only seconds with a very fine needle, usually causing little to no discomfort

A few commenters expressed concern that this approach could distort results, limit the value of the ratings for patients, and fail to drive meaningful performance improvement, particularly given that many hospitals already receive two- or three-star ratings that signal a need for improvement in multiple respects

We listed them again, with long descriptors, in Addendum O to the CY 2026 OPPS/ASC proposed rule