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AHRQ stated that assessing kidney function and damage involves the use of several biomarkers, with serum creatinine and other serum indicators employed to estimate the estimated glomerular filtration rate (eGFR)

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A few commenters expressed concerns that the proposed HEBA conflates risk adjustment with the goals of Shared Savings Program benchmarking policy and is thus unlikely to achieve its stated goals. These commenters encouraged CMS to develop policies that advance health equity without impacting benchmark adjustments