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[DOI] [PMC free article] [PubMed] [Google Scholar] 108.Verma S., Hoffmann F.W., Kumar M., Huang Z., Roe K., Nguyen-Wu E., Hashimoto A.S., Hoffmann P.R

Using the CY 2024 claims and a 5.5 percent charge inflation factor, we currently estimate that outlier payments for CY 2025, using a multiple threshold of 1.75 and a fixed-dollar threshold of $7,175, would be approximately 0.95 percent of total payments