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Nature Reviews Endocrinology .

Microb Pathog 132:100108

While we recognize that the data reflects productivity growth in the broader nonfarm business sector, it is the widely accepted and consistently measured estimate of economy-wide productivity gains used to adjust the FFS annual market basket updates as required by section 3401 of the Affordable Care Act (ACA), These legislatively mandated payment adjustments have been used across most FFS Medicare payment systems since 2012

It is a framework that practitioners adjust based on individual response, metabolic markers, and the specific metrics each person is trying to maintain