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CMS did not, contrary to the commenter's understanding, propose defining or deeming them to be “primary care providers.” Additionally, the primary care services provided by physician assistants, nurse practitioners, and clinical nurse specialists have been used in the Shared Savings Program assignment methodology (§ 425.402) since the inception of the program

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Now, researchers at Sanford Burnham Prebys and colleagues have conducted a series of experiments to further characterize the effects of Gilenya on astrocytes