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As noted in our proposal (89 FR 61887), our intent is to establish HEBA as a third method of upwardly adjusting an ACO's risk-adjusted historical benchmark, in addition to the existing regional adjustment and prior savings adjustment

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So, you measure a higher B12, but part of that B12 is inactive, so useless Oral B12 supplementation, even in the form of a multivitamin preparation, may result in serum B12 concentrations just within the normal range without abolishing symptoms

However, sometimes our bodies may require an extra boost of specific vitamins to function optimally