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The choice between these supplements depends on individual health goals and needs, highlighting the importance of personalized healthcare decisions

Niacinamide: Treats niacin deficiency, which can cause pellagra, characterized by diarrhea, dermatitis, and dementia

Medicare Advantage plans must cover B12 injections to at least the same extent as Original Medicare

For example, dually-enrolled beneficiaries are more likely to have poor functional status, and therefore, may be more likely to be readmitted after a hospitalization. As another example, a patient with diabetes, heart failure, and QMB status may experience food, transportation, or housing insecurity that contributes to difficulty maintaining blood glucose control which can contribute to medical complications including potentially preventable heart failure exacerbations

In the CY 2024 PFS final rule (88 FR 79098), we stated that our long-term goal continues to be to support Shared Savings Program ACOs in the adoption of all payer/all patient measures and transition to digital quality measurement reporting