Proposed Revisions to the Definition of Primary Care Services (1) Background Section 1899(c)(1) of the Act, as amended by the CURES Act and the Bipartisan Budget Act of 2018, provides that for performance years beginning on or after January 1, 2019, the Secretary shall assign beneficiaries to an ACO based on their utilization of primary care services provided by a physician who is an ACO professional and all services furnished by Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs)
Thus, hookah users had significantly higher incidence of hypertriglyceridemia and hyperglycemia, as well as hypertension and abdominal obesity, which was observed after controlling for age, sex, social class, and area of residence [120]
[v] Xu, Meng, Yan, Gravely, Quah, Ouimet, OConnor, Sutanto, Yoshimi, Mochizuki, Tabuchi, & Fong, 2020
In some cases, delayed stomach emptying known as gastroparesis can contribute to reflux symptoms and may require additional treatment
