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While ecological dimensions of the metabolic rift are well-documented (McClintock, 2010), this paper emphasizes the often-overlooked social and political dimensions that hinder equitable regeneration processes

If the hospital is significantly impacted by the discontinuation of the low wage index hospital policy, meaning the hospital's proposed CY 2026 wage index is decreasing by more than 9.75 percent from the hospital's CY 2024 wage index, then the transitional payment exception for CY 2026 for that ( hospital would be equal to the additional CY 2026 amount the hospital would be paid under the OPPS if its CY 2026 wage index were equal to 90.25 percent of its CY 2024 wage index

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