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Li et al., 2010

For FY 2023, we calculated 75 percent of the estimated amount that would be paid as Medicare DSH payments absent section 3133 of the Affordable Care Act, adjusted by a Factor 2 of 65.71 percent and multiplied by a Factor 3 calculated using the methodology described in the FY 2023 IPPS/LTCH PPS final rule

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(6) Due to limited systemic absorption, adverse effects are primarily localized and may include dry mouth, blurred vision, and urinary retention, with systemic anticholinergic effects occurring rarely