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Overall, these findings indicate that while HIIT alone effectively enhances body composition and physical function in obese older adults, the addition of CIT provides further benefits by promoting greater muscle strength and reducing fat mass, supporting HIIT-CIT as a promising combined strategy to improve metabolic and functional health in this population (33)

Due to overarching concerns with the data as described in the proposed rule and our previously described policy goal to balance PFS payment stability and predictability with incorporating new data through routine updates to the MEI, we proposed not implementing the PE/HR or cost shares from the AMA's survey data at this time

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