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This narrowing is called an esophageal stricture

As of 2021, the individual health insurance market included fewer than 20 million people, while the CBO had projected 40 million Americans in the individual market by that year

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Evaluation and management visits are included in the definition of primary care services used for purposes of assignment and so we believe it would be appropriate to also include GSPI1, when billed with an E/M visit, in the definition of primary care services used for purposes of assignment to assign beneficiaries more accurately to ACOs participating in the Shared Savings Program