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SKU: 64013380628

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However, to facilitate coordination of Medicare and Medicaid services, the Medicare Improvements for Patients and Providers Act (MIPPA) of 2008--as amended by the Patient Protection and Affordable Care Act--required all DSNPs to have contracts with the states in which they operate (CMS, 2016b)

Additionally, these patients saw improvements in other areas, such as mobility and quality of life, which are often compromised by chronic back pain