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Enhanced PD-L1 activity in tumor cells promotes immune evasion, thereby enhancing tumor cell proliferation

Commenters cautioned against direct reliance on OPPS data for PE valuation without adjustments, as hospital outpatient departments and physician offices operate under different cost structures and suggested an adjusted PE methodology for physicians and private practices as compared to larger health systems and corporations

(1) Except as provided in paragraph (a)(2) of this section, as applicable, ASM participants must submit data on measures and activities for the quality, improvement activities, and Promoting Interoperability ASM performance categories described in 512.725(b) and (c), 512.735(b), and 512.740 in accordance with this section

**Drawing directly onto the powder:** Always aim the needle toward the glass wall

& Galkin, A