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For FY 2023 and subsequent years, our policy is to include the wage data of hospitals that have reclassified from urban to rural under section 1886(d)(8)(E) of the Act (as implemented in the regulations at 412.103) and have no MGCRB ( reclassification in the calculation of the rural floor, and to include the wage data of such hospitals in the calculation of the wage index for rural areas in the State in which the county is located as referred to in section 1886(d)(8)(C)(iii) of the Act

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Conceived and critically revised the manuscript and figures: Xuli Meng, Qinghui Zheng

10.1016/j.jss.2019.09.011 21 GomezR.MurrayC