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Hoogeveen EK, Kostense PJ, Beks PJ, MacKaay AJC, Jakobs C, Bouter LM, Heine RJ, and Stehouwer CDA (1998)

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We simulated aggregated CY 2024 hospital outlier payments using these costs for several different fixed-dollar thresholds, holding the 1.75 multiplier threshold constant and assuming that outlier payments would continue to be made at 50 percent of the amount by which the cost of furnishing the service would exceed 1.75 times the APC payment amount, until the total outlier payments equaled 1.0 percent of aggregated estimated total CY 2026 OPPS payments

den Braber, N

However, this does not imply that more is always preferable, even if something is essential