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doi: 10.3389/fped.2025.1648282 Received 17 June 2025 Accepted 22 October 2025 Published 18 November 2025 Volume 13 - 2025 Edited by Ronan Lordan, University of Pennsylvania, United States Reviewed by Alex Staffler, Central Teaching Hospital of Bolzano/Bozen, Italy Anne Chiaramello, George Washington University, United States Updates Copyright 2025 Tan, Tewani, Anand, Kong, Rajadurai and Chandran

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Since the total number of CY 2024 single frequency claims for CY code 0686T surpasses the 99 claim threshold for the universal low volume APC policy, we would use the geometric mean cost of the CY 2024 claims data to set the payment rate for CY 2026 under our standard ratesetting methodology, rather than the highest of the three statistical methodologies over a 4-year lookback period

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