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In contrast, the Stage 2 methodological update resulted in teaching hospitals, non-safety-net hospitals, VHA hospitals, non-CAHs, large hospitals (100+ beds), and non-specialty hospitals being more likely to receive a lower Overall Hospital Quality Star Rating in the July 2024 simulation

Comment: One commenter requested we withdraw the 35 percent reduction in CMPs described in our proposed rule because it will incentivize noncompliant hospitals to pay reduced CMPs and remain noncompliant as a course of business, rather than come into compliance with the HPT rules