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In addition, we proposed removing the reference to as defined in 400.200 of this chapter. For the methodologic updates: Stage 1: Implement a 4-Star Cap for Hospitals in the Lowest Quartile of the Safety of Care Measure Group Performance Beginning in 2026 ( 412.190(d)(9)(i)) We proposed to limit hospitals in the lowest quartile of Safety of Care (based on at least three measure scores) to a maximum of 4 stars out of 5

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X-Square Balanced Fund Class A X-Square Balanced Fund Institutional Class X-Square Balanced Fund Class C Sit Quality Income Fd Srs E DWS Massachusetts Tax Free Fund - Class A DWs Massachusetts Tax Free Fund - Class C DWS Massachusetts Tax Free Fund - Class T SEI Institutional Managed Tr Goldman Sachs Strategic Factor Allocation Fund Class R6 Columbia Total Return Bond Fund Class I Federated Short-Intermediate Total Return Bond Fund R6 Shares Principal Fds Principal Fds Stone Ridge Diversified Alternatives Fund Class I Stone Ridge Diversified Alternatives Fund Class M PGIM Select Real Estate Fund Class A PGIM Select Real Estate Fund Class C PGIM Select Real Estate Fund Class R6 Real Estate Fund Class Y PGIM Select Real Estate Fund Class Z Sarofim Equity Fund Stringer Growth Fd Cl A Stringer Growth Fd Cl C Stringer Growth Fd Cl I Columbia High Yield Municipal Fund Class I Principal Fds FundX Sustainable Impact Fund Columbia Corporate Income Fund Class I Invesco STIC Prime Portfolio Institutional Class JP Morgan Smart Retirement 2035 Fd - A JP Morgan Smart Retirement 2035 Fd - C JPMorgan SmartRetirement 2035 Fund R5 Class JPMorgan SmartRetirement 2035 Fund - R3 JPMorgan SmartRetirement 2035 Fund - R4 JPMorgan SmartRetirement 2035 Fund I Class JPMorgan SmartRetirement 2035 Fund - R6 JPMorgan Smart Retirement 2035 Fund R2 DWS Short Term Municipal Bond Fund - Class A DWS Short Term Municipal Bond Fund - Class C DWS Short Term Municipal Bond Fund - Class S DWS Short Term Municipal Bond Fund - Class T Stone Ridge Post-Event Reinsurance Fund ProFunds Short Real Estate ProFund Investor Class ProFunds Short Real Estate ProFund Service Class Stone Ridge Reinsurance Risk Premium Interval Fund SEI Core Market Strategy Fd Cl D STIC Prime Portfolio Resource Class SMA Relationship Trust Srs G SMA Relationship Trust Series M SMA Relationship Trust Srs S SMA Relationship Trust Series T Meeder Spectrum Fund - Adviser Class Meeder Spectrum Fund - Institutional Class ADT 1869 Cohen & Steers Senior Variable Rate and Income Closed-End Portfolio Series 2018-2 ADT 1892 Cohen & Steers Senior Variable Rate and Income Closed-End Portfolio Series 2018-3 ADT 1907 Cohen & Steers Senior Variable Rate and Income Closed-End Portfolio Series 2018-4 ADT 1930 Cohen & Steers Senior Variable Rate and Income Closed-End Portfolio Series 2019-1 ADT 1942 Cohen & Steers Senior Variable Rate and Income Closed-End Portfolio Series 2019-2 ADT 1962 Cohen & Steers Senior Variable Rate and Income Closed-End Portfolio Series 2019-3 ADT 1976 Cohen & Steers Senior Variable Rate and Income Closed-End Portfolio Series 2019-4 Victory Diversified Stock Fund Class A SEI Asset Allocation Tr Real Return Fund Class Y State Street Aggregate Bond Index Portfolio Virtus Seix U.S

A double-blind, placebo-controlled study of Ginkgo biloba extract (tanakan) in elderly outpatients with mild to moderate memory impairment

Nevertheless, electronic methods are generally preferred