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Kevin Hur, an ENT specialist at the University of Southern Californias Keck School of Medicine

Nicotine from cigarettes relaxes the muscle at the bottom of the esophagus

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In rulemaking for the Shared Savings Program during 2016, we considered factors for balancing the need to reopen and correct Shared Savings Program payment determinations with the need for administrative finality, which has implications for both ACOs and CMS (81 FR 5853 through 5858, and 81 FR 37997 through 38002)