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First, we excluded Medicare Advantage plan payments under Part C from the denominator of the Medicare revenues threshold calculation to broaden the types of laboratories qualifying as an applicable laboratory

The inflation rebate amount ratio is equal to the per unit Part D drug inflation rebate amount for the initial drug, as calculated in 428.202(a), divided by the AnMP for that initial drug for the applicable period

The proration factor is equal to the ratio of the ACO's average assigned beneficiary person years for the 2 performance years that constitute BY1 and BY2 for the ACO's current agreement period (regardless of whether these performance years occurred over one or multiple prior agreement periods) and the ACO's average assigned beneficiary person years in BY1 and BY2 for the ACO's current agreement period calculated using the ACO's certified ACO participant list and assignment methodology for a given performance year within the current agreement period, capped at one

This analysis must conform to the provisions of section 603 of the RFA

There are also some practical methods like not lying down right after eating or elevating the head of your bed in order to avoid acid reflux