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To reflect the statutory changes to the Medicare DSH payment adjustment methodology in the calculation of the IPPS comparable amount and the IPPS equivalent amount under the LTCH PPS, we stated that we will include a reduced Medicare DSH payment amount that reflects the projected percentage of the payment amount calculated based on the statutory Medicare DSH payment formula prior to the amendments made by the Affordable Care Act that will be paid to eligible IPPS hospitals as empirically justified Medicare DSH payments and uncompensated care payments in that year (that is, a percentage of the operating Medicare DSH payment amount that has historically been reflected in the LTCH PPS payments that are based on IPPS rates)

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The sudden loss of GABA-A mediated inhibitory tone in a brain adapted to benzodiazepines can significantly lower seizure threshold