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As we indicated in the proposed rule, we also heard users of the MRFs who questioned a hospital's inability to encode dollar amounts for the payer-specific negotiated charge data elements, and whether the complex contracting methodologies used by hospitals and payer organizations could only be expressed through an algorithm or formula, and not a dollar amount

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They include Russias strategy of using negotiations as a fig leaf for securing its maximalist objectives, all the way to de facto ending Ukraines existence as an independent state, and Ukrainian President Volodymyr Zelenskys refusal to cede the remainder of Donetsk