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California reported that, for FY 2025, Designated Public Hospitals (DPHs) 32 saw an average rate decrease of 13.4% while its non-DPH hospitals that follow a DRG methodology saw base rate increases of 4.8%

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In contrast, this study applied stricter inclusion criteria, restricting the analysis to large randomised cardiovascular outcome trials with a minimum sample size of 3000 participants and a minimum follow-up of at least 12 months