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As we described in the CY 2026 PFS proposed rule, use of the median final score in the logistic exchange function would likely mean that more ASM participants would be likely to receive positive ASM adjustment factors compared to using a midpoint value of 50, which would represent the midpoint of possible final scores, or the mean final score (90 FR 32612)

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requires screening and monitoring Lifestyle + medical coaching What it is: Nutrition, movement, sleep, and behavior supports Primary effect: Foundation (improves consistency and maintenance) Evidence for weight loss: Strong What to know: Makes every other option work better and supports long-term results Important safety note on online GLP-1s: If youre considering semaglutide/tirzepatide, avoid sketchy sources and dosing confusion