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Finally, to address the suggestion that the agency determine whether additional guidance would be appropriate for the areas described in the December 2022 OIG report as it relates to how to reallocate discounts associated with sales that may be considered bundled across time periods (for example, outcomes-based arrangements or value-based purchasing arrangements), we did not propose to adopt the portion of the Medicaid definition of bundled sale stating that value-based purchasing arrangements may qualify as a bundled sale because we are continuing to evaluate how value-based purchasing arrangements should be considered for drugs payable under Medicare Part B

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About Pacific Clinic of Natural Medicine Pacific Clinic of Natural Medicine is a naturopathic and functional medicine clinic in Portland, Oregon, serving patients in-person and virtually throughout Oregon and Washington, with functional wellness consulting available nationwide