is chewing tobacco worse than dip snuff really safer smoking? Chewing Tobacco Alternatives – Outlaw

As we were developing this proposal, we analyzed a few different policy options to best achieve our goal of improving the payment accuracy of the global packages

Customers are responsible for their State and/or Local Taxes

We do not believe that it is reasonable to expect that the typical market prices for these supplies have increased by 1400 percent and 600 percent, respectively, in the 5 years since we most recently updated the pricing for these supplies

Failing to apply the proposed changes retroactively to PY 2024 would be contrary to the public interest because it would unfairly punish Shared Savings Program ACOs by forcing them to unexpectedly assume a substantial magnitude of financial risk for costs outside of their control and not previously contemplated in the Shared Savings Program, undermining both the sustainability of the Shared Savings Program and the public's faith in CMS as a fair partner, in the event we determine SAHS billing activity impacts CY 2024