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This was not unexpected due to the widely recognized sensitivity of bacterial movement to specific environmental conditions (Tremblay and Dziel, 2008

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HCC / Risk Adjustment (v28) Diabetes mellitus is among the most significant conditions in Medicare Advantage (MA) risk adjustment under CMS-HCC Model V28, which became fully operative for payment year 2026 (eliminating the 20242025 V24/V28 blend)