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That number should alarm you

We proposed to continue our outlier policy that if a CMHC's cost for PHP and IOP services exceeds 3.40 times the APC payment rate, the outlier payment would be calculated as 50 percent of the amount ( by which the cost exceeds 3.40 times the proposed APC payment rate

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The new guidelines from the British Committee for Standards in Haematology state that you should treat based on symptoms alone