tag:blogger.com,1999:blog-12841129500089226652024-03-28T20:29:44.689-07:00BruceDocumentBlogBrucehttp://www.blogger.com/profile/05149672650241065616noreply@blogger.comBlogger738125tag:blogger.com,1999:blog-1284112950008922665.post-32520639489888365932024-03-26T10:57:00.000-07:002024-03-26T10:57:26.250-07:00Lobbying DNA<p><b>Numbers are approximate</b></p><p><a href="https://www.opensecrets.org/federal-lobbying/clients/summary?cycle=2022&id=D000083363">https://www.opensecrets.org/federal-lobbying/clients/summary?cycle=2022&id=D000083363</a></p><p><b> CareDx</b></p><p>2019, $400K</p><p>2020, $440K</p><p>2021, $150K</p><p>2022, $500K</p><p>2023, $650K</p><p><a href="https://www.opensecrets.org/federal-lobbying/clients/summary?cycle=2022&id=D000083508">https://www.opensecrets.org/federal-lobbying/clients/summary?cycle=2022&id=D000083508</a> </p><p><b>Natera</b></p><p>2019,. $75K</p><p>2020, $75K</p><p>2021, $115K</p><p>2022, $190K</p><p>2023, $75K</p><p><br /></p><p><br /></p><p><br /></p>Brucehttp://www.blogger.com/profile/05149672650241065616noreply@blogger.com0tag:blogger.com,1999:blog-1284112950008922665.post-6694237539166880712024-03-25T17:35:00.000-07:002024-03-25T17:36:20.308-07:00ASM Responds to FDA LDT Rule<p>At the House E&C hearing on FDA LDT on 3/21/2024, there were two or three paragraph-long comments on the adverse effect on microbiology. (Other specialty interests including tox testing and rare diseases and pediatric special cases).</p><p>ASM submitted a written comment to the hearing.</p><p><a href="https://asm.org/Press-Releases/2024/March/ASM-Statement-in-Response-to-Health-Subcommittee-H#:~:text=ASM%20submitted%20comments%20on%20the,LDTs%20for%20infectious%20disease%20testing.">https://asm.org/Press-Releases/2024/March/ASM-Statement-in-Response-to-Health-Subcommittee-H#:~:text=ASM%20submitted%20comments%20on%20the,LDTs%20for%20infectious%20disease%20testing.</a></p><p>ASM submitted 12/2023 comments to FDA:</p><p><a href="https://asm.org/articles/policy/2023/december/asm-responds-to-fda-proposed-rule-on-laboratory-de">https://asm.org/articles/policy/2023/december/asm-responds-to-fda-proposed-rule-on-laboratory-de</a></p><p>See also 9p pdf which includes a supplemental 3-page section of information and graphics (p 7-8-9).</p><p><a href="https://asm.org/getmedia/6d94930b-10e1-4b77-bbae-bcae1d1a07ad/PDF_Comments-to-FDA-on-Regulation-of-LDTs_Dec-2023.pdf">https://asm.org/getmedia/6d94930b-10e1-4b77-bbae-bcae1d1a07ad/PDF_Comments-to-FDA-on-Regulation-of-LDTs_Dec-2023.pdf</a></p><p>IDSA had a highly negative public blog on 11/2023:</p><p><a href="https://www.idsociety.org/science-speaks-blog/2023/fda-proposal-threatens-access-to-critical-id-diagnostic-tests/#/+/0/publishedDate_na_dt/desc/">https://www.idsociety.org/science-speaks-blog/2023/fda-proposal-threatens-access-to-critical-id-diagnostic-tests/#/+/0/publishedDate_na_dt/desc/</a></p><p><br /></p><p>####</p><p>Here are some quotes from the March 21 hearing.</p><p><br /></p><p>Thank you, ma'am. Dr. Eisner. You know, I've heard worries that FDAs proposal could make it</p><p>more difficult to treat <b>antibiotic resistant infections and address antimicrobial resistance and</b></p><p><b>currently FDA has no pathway for off label antibiotic test. </b>And at Vanderbilt University Medical</p><p>Center ICUs roughly <b>60% of antibiotics prescribed are for off label organisms</b> or off label</p><p>indications and use of off label antibiotics are made possible by LD T testing for antibiotic</p><p>susceptibility. How would the loss of such test affect the management of patients including those</p><p>with compromised immune systems or facing extremely rare infections?</p><p><br /></p><p>Speaker 9 2:19:48</p><p>Thank you for the question. I think that it's quite evident that the FDA rule as proposed would</p><p>clamp down on LDTs in a way that would bring testing such as antimicrobial resistance testing</p><p>to a halt, that could leave hospitalized patients without a pathway to exiting their infectious</p><p>status. It could lead to overtreatment with multiple antibiotics in an attempt to eradicate which</p><p>can lead to kidney failure, liver failure, etc. I think that it is a huge challenge to understand the</p><p>global impact of LDTs because it is not just about oncology genetics, it's about infectious</p><p>disease. It's about rare disease. It's about anatomic pathology, it's about there isn't a field of</p><p>medicine, where LDTs aren't part of the picture. And I think it is. It is understandable that we are</p><p>talking a lot about oncology today. I for one, appreciate that perspective. But I think when you</p><p>look at the larger landscape of laboratory testing LDTs plays such a pivotal role across every</p><p>specialty.</p><p>###</p><p>Thank you for yielding. I just have a follow up question I was someone asked question about</p><p>Anna my <b>antimicrobial resistant effort</b>s, which is a long standing issue we've been trying to</p><p>address and Mr. Rothstein under that, under that, how do you how would you see a framework</p><p>like valid handle new anti microbial resistance tests that might come available?</p><p><br /></p><p>Speaker 6 2:36:30</p><p>Thank you for the question. And this is a topic that's actually very well suited for the<b> technology</b></p><p><b>certification program contemplated in VALID right now anti microbial testing, </b>which is so</p><p>important for our nation, but for patients and for ensuring that we have antibiotics available. For</p><p>the long term requires for each test of whether it's a bacteria or a fungus, each of those tests</p><p>has to go through FDA one at a time. U<b>nder the technology certification program in valid a</b></p><p><b>manufacturer or a laboratory could develop a platform in which FDA looks at once, and then any</b></p><p><b>subsequent bacteria, fungus or other type of micro organism</b> that needs to be detected, could</p><p>go through that platform without going to FDA as long as the parameters are met within the</p><p>agreement between FDA and the industry. And it would make the process for antimicrobial</p><p>resistance products to come to market in an extremely efficient mechanism matter. Thank</p><p> </p>Brucehttp://www.blogger.com/profile/05149672650241065616noreply@blogger.com0tag:blogger.com,1999:blog-1284112950008922665.post-40662893274713089772024-03-18T11:54:00.000-07:002024-03-18T14:46:31.969-07:00scraping amazon orders<p> Until March 2023, you could download your year of amazon orders in Excel for taxes.</p><p>Then they stopped.</p><p>There is still a way to request data on your orders (or other data), but you get back an email "it may take a month." <a class="notion-link-token notion-focusable-token notion-enable-hover" data-token-index="0" href="https://www.amazon.com/gp/help/customer/display.html?nodeId=TP1zlemejtTn6pwYKS" rel="noopener noreferrer" style="cursor: pointer; overflow-wrap: break-word; text-decoration: inherit;" tabindex="0"><span class="link-annotation-unknown-block-id-1252011725" style="border-bottom: 0.05em solid rgba(55, 53, 47, 0.4); border-color: rgba(55,53,47,.4); border-left-color: rgba(55, 53, 47, 0.4); border-right-color: rgba(55, 53, 47, 0.4); border-top-color: rgba(55, 53, 47, 0.4); opacity: 0.7;">https://www.amazon.com/gp/help/customer/display.html?nodeId=TP1zlemejtTn6pwYKS</span></a></p><!--notionvc: 17907eee-3e15-43e4-8c5a-678c53d4036b--><p> ####</p><p>There is a chrome plug in that will "scrape" your order history for ten minutes and then give you a CSV table.</p><p>I got one that is 600 lines long, first digital orders then other orders (We get a lot of groceries etc via Amazon).</p><p>###</p><p>There is also a Chrome web store order scraper</p><p><a href="https://chromewebstore.google.com/detail/amazon-order-history-repo/mgkilgclilajckgnedgjgnfdokkgnibi">https://chromewebstore.google.com/detail/amazon-order-history-repo/mgkilgclilajckgnedgjgnfdokkgnibi</a></p><p>it takes a while for the years table to appear, when it does and you tap 2023 it immediatley starts “scraping” it may give odd nearlhy empty pages but updates tiny print</p><p>it seems to keep running and reducing PENIDNGS despite periodic ERROR PAGES SORRY that pop up.</p><p>just wait ten minutes</p><p>
<!--notionvc: 4e521c8d-8361-4d3c-ac91-6144ed72808c--></p><p>When it stops runninng, the top bar will say DOWNLOAD CSV (several iminutes)</p><p><br /></p><p></p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/a/AVvXsEiU33MGgMgGzr3g_H_raw7V5GlJq3qqW-x9r066pEqbS4TT4MmQLfZJQ1TM2QYnnOPZiL6F6PTMpg3LGR105CNjNLIBXxQ5x7BYigIszPdJGqNNr71g3xOXOiDo73RrrCQic46GLllZ2yAJQq3gfF-P_o_Z-nHBfhwOGSw2rJ9TLQvroHV5d9xFOvQ8MgE" style="margin-left: 1em; margin-right: 1em;"><img alt="" data-original-height="607" data-original-width="835" height="233" src="https://blogger.googleusercontent.com/img/a/AVvXsEiU33MGgMgGzr3g_H_raw7V5GlJq3qqW-x9r066pEqbS4TT4MmQLfZJQ1TM2QYnnOPZiL6F6PTMpg3LGR105CNjNLIBXxQ5x7BYigIszPdJGqNNr71g3xOXOiDo73RrrCQic46GLllZ2yAJQq3gfF-P_o_Z-nHBfhwOGSw2rJ9TLQvroHV5d9xFOvQ8MgE" width="320" /></a></div>There is ALSO a $14 app,<div>Amazon Order History Exporter,</div><div>which worked smoother but costs $14.</div><div><a href="https://chromewebstore.google.com/detail/amazon-order-history-down/gnemaookpcekfeidmgocagofgijpoced">https://chromewebstore.google.com/detail/amazon-order-history-down/gnemaookpcekfeidmgocagofgijpoced</a></div><div><br /></div><div><br /><br /><p></p></div>Brucehttp://www.blogger.com/profile/05149672650241065616noreply@blogger.com0tag:blogger.com,1999:blog-1284112950008922665.post-25141698036476969262024-03-17T13:29:00.000-07:002024-03-17T13:29:25.213-07:00CMS Staff Discuss ADLTs<p> CMS staff discuss ADLTs @ meeting.</p><p>##<br /></p><p><br /></p><p><b>AI RE WRITE</b></p><p><br /></p><p><b>Understanding the ADLT Application Process</b></p><p><br /></p><p>Jason Bennett, who oversees the office of new technology coding and pricing at Medicare, provided insights into the Advanced Diagnostic Laboratory Tests (ADLT) application process. He emphasized the relatively low application volume, with approximately 20 to 22 products reviewed over time. Bennett noted that about two-thirds of these applications meet the criteria for approval.</p><p>A key challenge in the ADLT application process, as Bennett described, is demonstrating the uniqueness and clinical utility of the test compared to existing options. The evaluation team, which includes clinicians, focuses on understanding the new information the test provides and its implications for patient care. Bennett advises applicants to clearly articulate how their test delivers unique, actionable insights that can improve patient outcomes.</p><p>Bennett also mentioned that some applications are denied for straightforward reasons, such as not being conducted in a single laboratory. However, the primary challenge remains proving the test's unique value and clinical relevance.</p><p><b>Addressing Timelines and Resource Constraints</b></p><p>Bruce Quinn, a consultant specializing in Medicare technology, raised concerns about delays in the ADLT decision-making process. Bennett acknowledged that FDA-based decisions tend to be more streamlined due to fewer criteria. He highlighted the broader issue of resource constraints at CMS, noting the contrast with the FDA's user fee system that supports its operations.</p><p>Bennett explained that the Medicare Trust Fund does not provide the same level of resource flexibility for CMS, which relies on annual appropriations. These budgetary constraints, combined with the need to prioritize tasks and manage a growing workload against flat or limited resources, lead to variability in review timelines. He stressed that current environmental factors might increase this variability, underscoring the challenges of managing the agency's mission within these constraints.</p><p><br /></p><p><b>CONCLUSION</b></p><p>In conclusion, Bennett's discussion sheds light on the complexities of the ADLT application process and the impact of resource limitations on CMS's ability to maintain timely reviews. Applicants are advised to focus on clearly demonstrating their test's unique value and clinical utility to navigate these challenges successfully.</p><p> </p><p>###</p><p>AUTO TRANSCRIPT (LOW QUALITY, UNEDITED)</p><p>Speaker 1 11:33 </p><p><br /></p><p>Well, that's helpful. No, thank you. S<b>o, Jason, you know, I know and part of your work is in review of the advanced diagnostic laboratory tests, ADLT</b> and can you help us understand that process, and market stakeholders can do to, in your view, would be a better approach to going to apply for a ADLT? And perhaps some tips, and then also maybe what some mistakes to avoid? In your view? Yeah,</p><p><br /></p><p> </p><p><br /></p><p>Speaker 3 12:01 </p><p><br /></p><p>there's not been a lot of application for the pathway. We've had around 2022 or so products, I think we've seen over the years. So it's not a high utilization, or kind of kind of high approach pathway. And I think we've had around two thirds or so that have met the criteria for it's really important to, to take the time to look at the criteria and assess how how the test relates to those criteria.</p><p><br /></p><p> </p><p><br /></p><p>And then really be prepared to help us understand your perspective or your business's perspective on that.</p><p><br /></p><p> </p><p><br /></p><p>One of the complexities that I think we see is around that kind of concept of telling us what new information there is that the test is bringing to market relative to other tasks.</p><p><br /></p><p> </p><p><br /></p><p>And the team that will look at it will include clinicians who are kind of trying to understand how to interpret those results as they would in clinical practice. And so it's important to be able to kind of describe, in many respects, what the test is saying about the patient. And then how is that supposed to affect the care that the decision right that the physician is making? Or, or, or sort of what that's why there isn't somewhere else, they would have gone to receive that same type of information.</p><p><br /></p><p> </p><p><br /></p><p>So that's probably you know, at a high level, the area where we see the most complexity, and often where there's most engagement back and forth, as we tried to kind of refine our understanding of that and and hear from your from the laboratories about what was behind that test and why they're there other issues that that have occurred, but that resulted in denials. But those are usually more straightforward.</p><p><br /></p><p> </p><p><br /></p><p>For instance, if it's not a single laboratory, that that can be a disqualifying reason. But the primary one tends to come around that aspect of what's unique what's different about this test? And how is that clinically useful to to improve the patient's outcomes or potential for for future outcomes?</p><p><br /></p><p><br /></p><p><br /></p><p>###</p><p><br /></p><p>Hi, my name is Bruce Quinn, I work full time on Medicare technology consulting. . Jason, I work with different companies in the lab industry. And I've been hearing where people have been talking that the ADL T decisions seem to be coming out on a longer timetable than they used to. And I just wondered if that was true? </p><p>And if so, are the FDA based ADLT still a fairly clean decision?</p><p><br /></p><p>Speaker 3 41:32 </p><p>Certainly the FDA ones are the cleanest decision, I think that we that we have. There's there's the fewest criterion. So that's a more straightforward decision. You know, one of the things that I think is helpful for everyone to understand, and it's timely, right, because we're potentially a week away from our annual budget, having that many of you work with the FDA, and they have a user fee system that helps support them and helps them have a robust agency to stay on top of the technologies. Think a lot of people assume that the trust fund the Medicare trust fund does the same thing for us from a resource standpoint. It did you hear your Tamarack? chuckling it does not. A lot of folks, I think think that we just have from that and pull the resources that the agency wants or needs to do the mission that we've been called to do by statute. And that's not the case. So we, most of our staff, are very much funded out of a primary administration appropriation line that is annually funded. And as we all see the environment that we're in, we know that the environment that we're in, and that's not different for CMS, as it is for many other federal agencies. So we have to take the workforce that we have and stretch them across everything that we possibly can do. We have to prioritize between the musters by certain dates, the really like to dues and the other commitments that we've made as an agency. And, and so there will be variability in that. And I do think that this immediate time is one of those with which the variability is probably going to increase relative to maybe the last few years as we, as we sort of see where, where our final appropriation comes in. But, but as you all know, if you work from a flat budget, you still have inflation. So that that means that there are in our appropriations lines notionally fund the types of things you would think of people are contracts, and our facilities.</p><p><br /></p><p> And so you have to make adjustments to to accommodate that. And if the workload is growing, at the same time, your resources are flat, or otherwise, you have to make trade offs.</p>Brucehttp://www.blogger.com/profile/05149672650241065616noreply@blogger.com0tag:blogger.com,1999:blog-1284112950008922665.post-2396619332454420022024-03-15T11:08:00.000-07:002024-03-15T11:08:59.706-07:00Pathologist Ordering Diagnostic Tests: The "Pathology Exception" Text<p>Periodically, questions arise whether pathologists can order genomic tests (e.g. lung cancer gene panels).</p><p>My reading of Medicare regulations, is "NO." There are two sources. In 42 CFR 410.32, CMS regulations state that diagnostic tests must be ordered by the treating physician who uses the test in the management of the patient's disease. For me,<b> the only natural reading</b> is that this was intended to excluded pathologists and radiologists (by intention, not by accident.) </p><p>Further, the origin of the rules is <a href="https://www.govinfo.gov/content/pkg/FR-1997-10-31/pdf/97-28973.pdf" target="_blank">62 Fed Reg 59048, 1997</a>, where they discuss for example an IDTF physician cannot order tests, but the primary physician "treating the patient" can. (59071). This despite the fact the IDTF radiologist is "managing" the patient to the extent of reading out the imaging. (See also 410.33(d).) See also p. 59058. CMS remarks that, "[in a radiology example,] <i>provision could be made for an emergency situation. We are trying to address situations in which there is a pattern of the testing entity’s adding procedures [tests] to those ordered by the patient’s personal physician."</i></p><p>Second, the Benefits Policy Manual, Chapter 15, 80.6.4, has several pages about when a pathologist or radiologist can order or alter a diagnostic test. They carefully distinguish not just between diagnostic and interventional radiologists, but between "therapeutic" and "diagnostic" interventional radiology procedures. (I assume they didn't mention pathologists here because the term<i> "therapeutic interventional pathologist"</i> isn't even availalble.) </p><p>In short, my reading of 410.32 and 80.6.4 is that <b><i>the only natural reading of the author's intent</i></b> was to exclude pathologists. '</p><p>Admittedly, there is a bit of gray area. A pathologist can order tests required to complete a case, such as a gram stain when bacteria are seen. </p><p>See my 2022 discussion here:</p><p><a href="https://www.discoveriesinhealthpolicy.com/2022/04/the-exception-for-pathologists-ordering.html">https://www.discoveriesinhealthpolicy.com/2022/04/the-exception-for-pathologists-ordering.html</a></p><p>While attending a March 2024 meeting where this was discussed, I ran across some further citations.</p><p>See LOSK 2017</p><p><a href="https://ascopubs.org/doi/10.1200/JOP.2017.023788">https://ascopubs.org/doi/10.1200/JOP.2017.023788</a></p><p><b><span style="color: #990000;">Losk et al (2017) Implementation of Surgeon-Initiated Gene Expression Profile Testing (Oncotype DX) Among Patients With Early-Stage Breast Cancer to Reduce Delays in Chemotherapy Initiation. J Onco Pract 13:e815. PMID 28858535</span></b></p><p>Finding:</p><p>The introduction of standardized criteria and workflows reduced time between surgery and Onco type DX ordering, and time from surgery to receipt of result, by 7.3 days ( P < .001) and 6.3 days ( P < .001), respectively. The mean number of days between surgery and initiation of chemotherapy was also reduced by 6.4 days ( P = .004).</p><p>The authors open with a number of citations to Oncotype causing downstream delays in decision-making. The authors do not discuss CMS rules.</p><p>I used a subscription data resource, SCITE, to pull later papers citing LOSK. It had been cited 14 times. These include:</p><p>Natsuhara (& Losk), 2018, The Ooncologist. Impact of genomic assay testing and clinical factors on chemotherapy use after implementation of standardized testing criteria. </p><p><a href="https://academic.oup.com/oncolo/article/24/5/595/6439227">https://academic.oup.com/oncolo/article/24/5/595/6439227</a></p><p>Zipkin 2021 Cancer Med. Surgeon and medical oncologist peer network effects on the uptake of the 21‐gene breast cancer recurrence score assay. </p><p><a href="https://onlinelibrary.wiley.com/doi/10.1002/cam4.3720">https://onlinelibrary.wiley.com/doi/10.1002/cam4.3720</a></p><p>Trapani 2023 JCO Identifying Patterns and Barriers in OncotypeDX Recurrence Score Testing in Older Patients With Early-Stage, Estrogen Receptor–Positive Breast Cancer: Implications for Guidance and Reimbursement.</p><p><a href="https://ascopubs.org/doi/10.1200/OP.22.00731">https://ascopubs.org/doi/10.1200/OP.22.00731</a> [not open access]</p><p>Gregg 2019. Tranl Lung Ca Res. Molecular testing strategies in non-small cell lung cancer: optimizing the diagnostic journey. </p><p><a href="https://tlcr.amegroups.org/article/view/29030/21559">https://tlcr.amegroups.org/article/view/29030/21559</a></p><p>Pruneri 2023 NPJ Breast Cancer. The central role of pathology labs in breast cancer precision oncology: a call for action</p><p><a href="https://www.nature.com/articles/s41523-023-00506-5">https://www.nature.com/articles/s41523-023-00506-5</a></p><p><br /></p><p>Another pivotal article was:</p><p><b><span style="color: #990000;">Roberts MC et al. (2016) Int J Tech Assmt HealthCare 32:355. PMID 27958190. ONCOLOGISTS' BARRIERS AND FACILITATORS FOR ONCOTYPE DX USE: QUALITATIVE STUDY</span></b></p><p><a href="https://pubmed.ncbi.nlm.nih.gov/27958190/">https://pubmed.ncbi.nlm.nih.gov/27958190/</a></p><p>According to SCITE, this has been cited 10 times.</p><p>Citations included</p><p>Roberts, 2015, Racial variations in adjuvant chemotherapy initiation among breast cancer patients receiving oncotype Dx testing. Br Ca Res Tx. (No diff found).</p><p><a href="https://link.springer.com/article/10.1007/s10549-015-3518-9">https://link.springer.com/article/10.1007/s10549-015-3518-9</a></p><p>McVeigh 2016, CLinical use of the Oncotype Dx genomic test... Br Ca Targets & Therapy. Primarily a review up to 2016. <a href="https://www.dovepress.com/clinical-use-of-the-oncotype-dx-genomic-test-to-guide-treatment-decisi-peer-reviewed-fulltext-article-BCTT">https://www.dovepress.com/clinical-use-of-the-oncotype-dx-genomic-test-to-guide-treatment-decisi-peer-reviewed-fulltext-article-BCTT</a></p><p>A small study, appearing in Cancers, looked at machine learning with clinical variables for recurrence risk.. Sukhadia et al, 2023, open access. <a href="https://www.mdpi.com/2072-6694/15/15/3960">https://www.mdpi.com/2072-6694/15/15/3960</a> </p><p><br /></p><p>##</p><p>Medicare, as I recall, has public cloud databases that include ordering physicians for DME, but not for other services. To get the type of physicians ordering, say, a Foundation Medicine or an Oncotype Dx test, I don't think FOIA would work, since FOIA releases only available documents and precludes any filtering or research work. But one could do a work order for CMS data on ordering physician for key diagnostic codes like Foundation or Oncotype. I suspect it would show none or next-to-none are ordered by radiologists or pathologists. Whether this is good or bad is a policy issue to debate or revise.</p>Brucehttp://www.blogger.com/profile/05149672650241065616noreply@blogger.com0tag:blogger.com,1999:blog-1284112950008922665.post-71348742522226849782024-03-10T10:30:00.000-07:002024-03-10T10:34:05.328-07:00FDA Cites Crazy Stats, Misuses Stats, on PPV or FP FN of "Probabilistic tests"<p> The Genomic Health Oncotype test gives out ranges mostly from 5% cancer reccurence risk to 40% cancer recurrence risk. So if you get the former, and recur, is that a False Negative? If you get the latter and do NOT recur, is that 60% FP? I don't think so, it's simply statistics.</p><p>FDA seems to deliberately misunderstand this, logging Oncotype Dx and other probalbilistic calls as being either right or wrong and thus either FN or FP. </p><p>I mean to explain in a blog. here are links.</p><p><br /></p><p>###</p><ol data-pm-slice="3 3 []" start="2"><li><p><strong>FDA LDT Proposal:</strong> Now that this is under <a href="https://www.reginfo.gov/public/do/eoDetails?rrid=431763" rel="noopener noreferrer nofollow" target="_blank"><u>review</u></a> at OMB, </p></li></ol><p><strong> </strong></p><ol start="2"><li><p>There’s a <a href="https://www.thefdalawblog.com/2024/03/the-ldt-rule-takes-another-step-to-finalization-and-a-likely-lawsuit/" rel="noopener noreferrer nofollow" target="_blank"><u>point of view</u></a> that, given the large number of substantive comments received and the relatively quick turnaround from the agency, it’s unlikely that FDA would have made significant revisions from the proposal.</p></li></ol><p><strong> </strong></p><ol start="2"><li><p>Given the workload this would entail for FDA, however, it would seem that <strong><em>something</em></strong> would need to be grandfathered in, which leaves the key question being which tests / type FDA views as posing the greatest risk (e.g., prenatal screening, cancer treatment decisions) and is therefore <em>less</em> likely to grandfather in.</p></li></ol><p><strong> </strong></p><ol start="2"><li><p>To that point, I managed to find this Sept. 22, 2023 FDA <a href="https://downloads.regulations.gov/FDA-2023-N-2177-0076/content.pdf" rel="noopener noreferrer nofollow" target="_blank"><u>memorandum</u></a> on specific testing examples “that raise public health concerns,” which was listed as a footnote citation in that joint FDA / CMS <a href="https://www.cms.gov/newsroom/press-releases/fda-and-cms-statement-americans-deserve-accurate-and-reliable-diagnostic-tests-wherever-they-are" rel="noopener noreferrer nofollow" target="_blank"><u>statement</u></a> from a few weeks ago</p></li></ol><div>The "few weeks ago" is FDA CMS press release.</div><div>THe second is this memo which I discussed above briefly</div><div><br /></div><div><a href="https://www.regulations.gov/document/FDA-2023-N-2177-0076">https://www.regulations.gov/document/FDA-2023-N-2177-0076</a></div><div>I've filed hard copy as </div><div>2023 FDA 1003 Shuck Goofy Memo on FP FN on Probabilistic LDTs 14p.pdf</div><div><br /></div><div><br /></div><div><br /></div>Brucehttp://www.blogger.com/profile/05149672650241065616noreply@blogger.com0tag:blogger.com,1999:blog-1284112950008922665.post-51526666938437315742024-03-06T10:50:00.000-08:002024-03-06T10:50:23.640-08:003 6 2024; FOCR HRD Email<p> Email from FOCR on HRD on March 6, 2024.</p><p>##</p><p><br /></p><table cellpadding="0" cellspacing="0" class="yiv6506673968contents" id="yiv6506673968id_917a9b50-0585-42dc-a8be-2cb4712b00fb" style="background-color: white; border-width: 0px; color: #1d2228; font-family: "Helvetica Neue", Helvetica, Arial, sans-serif; font-size: 13px; outline: none !important; padding: 0px; width: 665.333px;"><tbody style="outline: none !important;"><tr class="yiv6506673968sli-email-element yiv6506673968sli-text" style="border-width: 0px; color: #034c8e; font-family: "Trebuchet MS", Helvetica, sans-serif; font-size: 14px; outline: none !important; padding: 0px;"><td style="border-width: 0px; outline: none !important; padding: 0px; vertical-align: top; word-break: normal;"><table cellpadding="0" cellspacing="0" style="outline: none !important; width: 100%;"><tbody style="outline: none !important;"><tr style="outline: none !important;"><td id="yiv6506673968id_15e4bb57-4a61-40fa-97e8-c2b4fafb7618" style="color: #034c8e; font-size: 14px; outline: none !important; padding: 1em 1em 0.5em; vertical-align: top; word-break: normal;"><p style="clear: both; line-height: 21px; margin: 0px 0px 12px; outline: none !important;"><span style="font-size: 16px; line-height: 24px; outline: none !important;">Homologous Recombination Deficiency (HRD) is a complex biomarker that can help identify patients likely to respond to certain therapies. <strong style="outline: none !important;">Friends of Cancer Research's (</strong><em style="outline: none !important;"><b style="outline: none !important;">Friends</b></em><strong style="outline: none !important;">)</strong> <a href="https://default.salsalabs.org/Tf380f761-98f3-4af0-b41f-eff5208436e8/04fcbaa6-1722-4259-b435-a1d13dc23741" rel="nofollow noopener noreferrer" style="color: #0d78e3; outline: none !important; overflow-wrap: break-word;" target="_blank">HRD Harmonization Project</a> Harmonization Project is a unique research partnership to find alignment among different assays that measure HRD, to support its use as a biomarker in clinical research and care, and to serve as a foundational approach to inform future areas of research.</span></p><p style="clear: both; line-height: 21px; margin: 0px 0px 12px; outline: none !important;"><span style="font-size: 16px; line-height: 24px; outline: none !important;"><em style="outline: none !important;">Friends</em> worked with leading diagnostic test developers and other key stakeholders to evaluate a common set of tumor samples. The project assessed variability across 17 different HRD tests and identified opportunities for future alignment. </span></p><p style="clear: both; line-height: 21px; margin: 0px 0px 12px; outline: none !important;"><span style="font-size: 16px; line-height: 24px; outline: none !important;"><a href="https://default.salsalabs.org/Tc6d07cc5-5a80-42c1-a81b-ab0c143f04f5/04fcbaa6-1722-4259-b435-a1d13dc23741" rel="nofollow noopener noreferrer" style="color: #0d78e3; outline: none !important; overflow-wrap: break-word;" target="_blank">View initial findings here</a>. </span></p><p style="clear: both; line-height: 21px; margin: 0px 0px 12px; outline: none !important;"><span style="font-size: 16px; line-height: 24px; outline: none !important;">Optimizing assay alignment improves interpretation of HRD outputs from different tests, ultimately helping patients and healthcare providers to make the best treatment decisions. </span></p></td></tr></tbody></table></td></tr><tr class="yiv6506673968sli-email-element yiv6506673968sli-image" style="border-width: 0px; color: #034c8e; font-family: "Trebuchet MS", Helvetica, sans-serif; font-size: 14px; outline: none !important; padding: 0px;"><td align="center" id="yiv6506673968id_5c9b50d0-09ee-4973-b788-e6129d6530d6" style="border-width: 0px; outline: none !important; overflow: hidden; padding: 0px; vertical-align: top; word-break: normal;"><a href="https://default.salsalabs.org/Tcbcc723b-a058-4f53-b090-81ac8f787e83/04fcbaa6-1722-4259-b435-a1d13dc23741" rel="nofollow noopener noreferrer" style="color: #0d78e3; outline: none !important; overflow-wrap: break-word;" tabindex="0" target="_blank"><img align="center" alt="" id="yiv6506673968id_5c9b50d0-09ee-4973-b788-e6129d6530d6_img" src="https://ecp.yusercontent.com/mail?url=https%3A%2F%2Fdefault.salsalabs.org%2Fcadd6f13-d889-47e2-8176-f6433cc23bc8%2F1d57f90b-1825-4e11-8594-c56c13f22de1.jpg&t=1709750720&ymreqid=a006e547-d7a1-67c1-1c09-3f003401e900&sig=XRHrbyxAZgIrAiPqXxXvxQ--~D" style="border: 0px; display: block; float: none; margin-left: auto; margin-right: auto; max-width: 100%; outline: none !important; text-indent: -9999px; width: 499px;" width="600" /></a></td></tr><tr class="yiv6506673968sli-email-element yiv6506673968sli-text" style="border-width: 0px; color: #034c8e; font-family: "Trebuchet MS", Helvetica, sans-serif; font-size: 14px; outline: none !important; padding: 0px;"><td style="border-width: 0px; outline: none !important; padding: 0px; vertical-align: top; word-break: normal;"><table cellpadding="0" cellspacing="0" style="outline: none !important; width: 100%;"><tbody style="outline: none !important;"><tr style="outline: none !important;"><td id="yiv6506673968id_bc564a60-f5a6-4bc7-814b-f7e117707e11" style="color: #034c8e; font-size: 14px; outline: none !important; padding: 1em 1em 0.5em; vertical-align: top; word-break: normal;"><p style="clear: both; line-height: 21px; margin: 0px 0px 12px; outline: none !important;"><br style="outline: none !important;" /><span style="font-size: 16px; line-height: 24px; outline: none !important;">A panel discussion with project partners during <em style="outline: none !important;">Friends</em> recent public meeting, “<strong style="outline: none !important;">The Future of Diagnostic Tests: New Data & Modern Policy</strong>” held in Washington, DC and broadcast virtually focused on findings from the research partnership and their implications. The session, “Aligning on Approaches to Measuring HRD: Findings from the HRD Harmonization Project,” opened with a presentation from <em style="outline: none !important;">Friends'</em> Director, Regulatory and Research Partnerships, Hillary Andrews, discussing the intricacies of HRD as a biomarker and noting its significance in identifying patients suitable for a PARP inhibitor, a type of targeted cancer drug used as a treatment across various cancers. </span></p><p style="clear: both; line-height: 21px; margin: 0px 0px 12px; outline: none !important;"><span style="font-size: 16px; line-height: 24px; outline: none !important;">She also described the final findings from the project, demonstrating moderate variability among HRD outputs across 17 assays that assessed a common dataset. <a href="https://default.salsalabs.org/T86f1bfe9-2fc6-430b-a7ae-2fb002f0c451/04fcbaa6-1722-4259-b435-a1d13dc23741" rel="nofollow noopener noreferrer" style="color: #0d78e3; outline: none !important; overflow-wrap: break-word;" target="_blank">Click to watch the full meeting</a></span></p><p style="clear: both; line-height: 21px; margin: 0px 0px 12px; outline: none !important;"><span style="font-size: 16px; line-height: 24px; outline: none !important;">Dr. Andrews' presentation was followed by a panel conversation with Project work group members. This diverse set of panelists spoke to the recent developments within the project and next steps. </span></p><p style="clear: both; line-height: 21px; margin: 0px 0px 12px; outline: none !important;"><span style="font-size: 16px; line-height: 24px; outline: none !important;">One of the key take aways from the discussion is the need for assay alignment. This was addressed early on in the conversation by NCI project partner Lisa McShane. </span></p></td></tr></tbody></table></td></tr><tr class="yiv6506673968sli-email-element yiv6506673968sli-image" style="border-width: 0px; color: #034c8e; font-family: "Trebuchet MS", Helvetica, sans-serif; font-size: 14px; outline: none !important; padding: 0px;"><td align="center" id="yiv6506673968id_3c14254a-c18a-4f68-9490-e316c8e9f68e" style="border-width: 0px; outline: none !important; overflow: hidden; padding: 0px; vertical-align: top; word-break: normal;"><img align="center" alt="" id="yiv6506673968id_3c14254a-c18a-4f68-9490-e316c8e9f68e_img" src="https://ecp.yusercontent.com/mail?url=https%3A%2F%2Fdefault.salsalabs.org%2Fcadd6f13-d889-47e2-8176-f6433cc23bc8%2Fd4adc50f-8313-45f7-8b33-6e88f834fa44.jpg&t=1709750720&ymreqid=a006e547-d7a1-67c1-1c09-3f003401e900&sig=RObcgLWk5zvh2crvS2DCLA--~D" style="border: 0px; display: block; float: none; margin-left: auto; margin-right: auto; max-width: 100%; outline: none !important; text-indent: -9999px; width: 499px;" width="600" /></td></tr><tr class="yiv6506673968sli-email-element yiv6506673968sli-text" style="border-width: 0px; color: #034c8e; font-family: "Trebuchet MS", Helvetica, sans-serif; font-size: 14px; outline: none !important; padding: 0px;"><td style="border-width: 0px; outline: none !important; padding: 0px; vertical-align: top; word-break: normal;"><table cellpadding="0" cellspacing="0" style="outline: none !important; width: 100%;"><tbody style="outline: none !important;"><tr style="outline: none !important;"><td id="yiv6506673968id_49d2e609-6f69-4f15-bac2-2f16697636ce" style="color: #034c8e; font-size: 14px; outline: none !important; padding: 1em 1em 0.5em; vertical-align: top; word-break: normal;"><p style="clear: both; line-height: 21px; margin: 0px 0px 12px; outline: none !important;"><br style="outline: none !important;" /><span style="font-size: 16px; line-height: 24px; outline: none !important;">This importance of assay development and assay alignment segway into the role that providers play in supporting the work to reach a gold standard. Project partner Rebecca Arend at the University of Alabama Birmingham spoke to the implications of not having further develop assay alignment on doctors and patients. </span></p></td></tr></tbody></table></td></tr><tr class="yiv6506673968sli-email-element yiv6506673968sli-image" style="border-width: 0px; color: #034c8e; font-family: "Trebuchet MS", Helvetica, sans-serif; font-size: 14px; outline: none !important; padding: 0px;"><td align="center" id="yiv6506673968id_8ab16cbd-b339-4ea8-86a9-9a783ea2f46d" style="border-width: 0px; outline: none !important; overflow: hidden; padding: 0px; vertical-align: top; word-break: normal;"><img align="center" alt="" id="yiv6506673968id_8ab16cbd-b339-4ea8-86a9-9a783ea2f46d_img" src="https://ecp.yusercontent.com/mail?url=https%3A%2F%2Fdefault.salsalabs.org%2Fcadd6f13-d889-47e2-8176-f6433cc23bc8%2F079fd675-d5cb-4177-9c4d-373e0975b144.jpg&t=1709750720&ymreqid=a006e547-d7a1-67c1-1c09-3f003401e900&sig=7GugiTnHygfnynvrVhcpRQ--~D" style="border: 0px; display: block; float: none; margin-left: auto; margin-right: auto; max-width: 100%; outline: none !important; text-indent: -9999px; width: 499px;" width="600" /></td></tr><tr class="yiv6506673968sli-email-element yiv6506673968sli-text" style="border-width: 0px; color: #034c8e; font-family: "Trebuchet MS", Helvetica, sans-serif; font-size: 14px; outline: none !important; padding: 0px;"><td style="border-width: 0px; outline: none !important; padding: 0px; vertical-align: top; word-break: normal;"><table cellpadding="0" cellspacing="0" style="outline: none !important; width: 100%;"><tbody style="outline: none !important;"><tr style="outline: none !important;"><td id="yiv6506673968id_eceb0b61-dce2-4592-ba0b-46a2a6a2c061" style="color: #034c8e; font-size: 14px; outline: none !important; padding: 1em 1em 0.5em; vertical-align: top; word-break: normal;"><p style="clear: both; line-height: 21px; margin: 0px 0px 12px; outline: none !important;"> </p><p style="clear: both; line-height: 21px; margin: 0px 0px 12px; outline: none !important;"><span style="font-size: 16px; line-height: 24px; outline: none !important;">This critical point reaffirmed why continued work communicating and creating consistency in assay development is vital. </span></p><p style="clear: both; line-height: 21px; margin: 0px 0px 12px; outline: none !important;"><span style="font-size: 16px; line-height: 24px; outline: none !important;">An exciting recent development within the field is the application of machine-based learning. This was a closing remark from Pfizer's Douglas Laird as we look to the future use cases of HRD. </span></p></td></tr></tbody></table></td></tr><tr class="yiv6506673968sli-email-element yiv6506673968sli-image" style="border-width: 0px; color: #034c8e; font-family: "Trebuchet MS", Helvetica, sans-serif; font-size: 14px; outline: none !important; padding: 0px;"><td align="center" id="yiv6506673968id_ef548c77-7c1a-4d8d-ba48-961aae200085" style="border-width: 0px; outline: none !important; overflow: hidden; padding: 0px; vertical-align: top; word-break: normal;"><img align="center" alt="" id="yiv6506673968id_ef548c77-7c1a-4d8d-ba48-961aae200085_img" src="https://ecp.yusercontent.com/mail?url=https%3A%2F%2Fdefault.salsalabs.org%2Fcadd6f13-d889-47e2-8176-f6433cc23bc8%2Fa049b5ed-7aed-4fac-81d3-dfa3e8c94c44.jpg&t=1709750720&ymreqid=a006e547-d7a1-67c1-1c09-3f003401e900&sig=ICcDYlRNtk7Zb4PQd880sw--~D" style="border: 0px; display: block; float: none; margin-left: auto; margin-right: auto; max-width: 100%; outline: none !important; text-indent: -9999px; width: 499px;" width="600" /></td></tr><tr class="yiv6506673968sli-email-element yiv6506673968sli-text" style="border-width: 0px; color: #034c8e; font-family: "Trebuchet MS", Helvetica, sans-serif; font-size: 14px; outline: none !important; padding: 0px;"><td style="border-width: 0px; outline: none !important; padding: 0px; vertical-align: top; word-break: normal;"><table cellpadding="0" cellspacing="0" style="outline: none !important; width: 100%;"><tbody style="outline: none !important;"><tr style="outline: none !important;"><td id="yiv6506673968id_b2e6f772-cd29-459e-b15a-a35193c0fb7b" style="color: #034c8e; font-size: 14px; outline: none !important; padding: 1em 1em 0.5em; vertical-align: top; word-break: normal;"><p style="clear: both; line-height: 21px; margin: 0px 0px 12px; outline: none !important;"><br style="outline: none !important;" /><strong style="outline: none !important;"><span style="font-size: 16px; line-height: 24px; outline: none !important;">The HRD Harmonization Project serves as a foundation to support future research to: </span></strong></p><ul style="font-size: 1em; list-style-position: outside; margin: 1em 0px 1em 1em; outline: none !important; padding: 0px 0px 0px 1em;"><li style="outline: none !important;"><p style="clear: both; line-height: 21px; margin: 0px 0px 12px; outline: none !important;"><span style="font-size: 16px; line-height: 24px; outline: none !important;">Explore how disease context impacts association between HRD and clinical outcomes. </span></p></li><li style="outline: none !important;"><p style="clear: both; line-height: 21px; margin: 0px 0px 12px; outline: none !important;"><span style="font-size: 16px; line-height: 24px; outline: none !important;">Identify approaches for the development of clinical evidence to support development of HRD Assays. </span><br style="outline: none !important;" /> </p></li></ul><p style="clear: both; line-height: 21px; margin: 0px 0px 12px; outline: none !important;"><span style="font-size: 16px; line-height: 24px; outline: none !important;">To learn more about the project visit: <a href="https://default.salsalabs.org/T7999b0d3-aabd-48a3-9c4d-04aa328cb1a2/04fcbaa6-1722-4259-b435-a1d13dc23741" rel="nofollow noopener noreferrer" style="color: #0d78e3; outline: none !important; overflow-wrap: break-word;" target="_blank">https://friendsofcancerresearch.org/hrd/</a> </span><br style="outline: none !important;" /> </p><p style="clear: both; line-height: 21px; margin: 0px 0px 12px; outline: none !important;"><span style="font-size: 16px; line-height: 24px; outline: none !important;"><a href="https://default.salsalabs.org/T84beb4b3-082d-41c2-b2e7-e32f10dd5750/04fcbaa6-1722-4259-b435-a1d13dc23741" rel="nofollow noopener noreferrer" style="color: #0d78e3; outline: none !important; overflow-wrap: break-word;" target="_blank">Watch our recent HRD meeting here</a></span></p><p style="clear: both; line-height: 21px; margin: 0px 0px 12px; outline: none !important;"><span style="font-size: 16px; line-height: 24px; outline: none !important;"> <br style="outline: none !important;" />Interested in staying up to date with HRD Harmonization Project news? <br style="outline: none !important;" /><a href="https://default.salsalabs.org/T59031ada-8f32-4e29-8378-7580a72fa905/04fcbaa6-1722-4259-b435-a1d13dc23741" rel="nofollow noopener noreferrer" style="color: #0d78e3; outline: none !important; overflow-wrap: break-word;" target="_blank">Click here</a> </span></p><p style="clear: both; line-height: 21px; margin: 0px 0px 12px; outline: none !important;"> </p><p style="clear: both; line-height: 21px; margin: 0px 0px 12px; outline: none !important;"><span style="line-height: 21px; outline: none !important;"><u style="outline: none !important;"><strong style="outline: none !important;">Project Partners</strong></u><br style="outline: none !important;" /> <br style="outline: none !important;" />ACT Genomics, AmoyDx, AstraZeneca, Bayer, Bionano Genomics, Inc., BostonGene Corporation, Bristol Myers Squibb, Burning Rock, Diagnostic Laboratory Services, Inc., DNAnexus, EMD Serono, Inc., European Organization for Research and Treatment of Cancer (EORTC), Foundation Medicine, Inc., Genentech, Inc., Guardant Health, Inc., Illumina, Inc., Invitae Corp., Laboratory Corporation of America (Labcorp), MD Anderson Cancer Center, Merck & Co., Inc. (MSD), Molecular Characterization Laboratory (MoCha) at Frederick National Laboratory, the National Cancer Institute (NCI), NeoGenomics Neogenomics Laboratories, Inc., PathAI, Pfizer, Pillar Biosciences, SOPHiA Genetics, Tempus, Thermo Fisher Scientific, the U.S. Food and Drug Administration (FDA), University of Alabama at Birmingham, and the University of Heidelberg. </span></p><p style="clear: both; line-height: 21px; margin: 0px 0px 12px; outline: none !important;"><u style="outline: none !important;"><strong style="outline: none !important;">About Friends of Cancer Research</strong></u></p><p style="clear: both; line-height: 21px; margin: 0px 0px 12px; outline: none !important;"><span style="line-height: 21px; outline: none !important;">Friends of Cancer Research (<em style="outline: none !important;">Friends</em>) is working to accelerate policy change, support groundbreaking science, and deliver new therapies to patients quickly and safely. We unite scientists, pharmaceutical companies, and policy makers with shared trust and guide them toward meaningful cooperation. This collaboration among partners from every healthcare sector ultimately drives advances in science, policy, and regulation that speed life-saving treatments to patients. For more information, please visit <a href="https://default.salsalabs.org/Tea6705fd-d7fb-4522-93b5-8bd3251a2442/04fcbaa6-1722-4259-b435-a1d13dc23741" rel="nofollow noopener noreferrer" style="color: #0d78e3; outline: none !important; overflow-wrap: break-word;" target="_blank">https://friendsofcancerresearch.org/</a>.</span></p></td></tr></tbody></table></td></tr></tbody></table>Brucehttp://www.blogger.com/profile/05149672650241065616noreply@blogger.com0tag:blogger.com,1999:blog-1284112950008922665.post-10511050924181609192024-02-28T21:13:00.000-08:002024-02-28T21:13:19.231-08:00CareDx 2/2024: Auto Transcript of 4Q2024 call<p>Auto transcript only</p><p>CareDx 10-K investor call, 2/28/2024</p><p><br /></p><p>Speaker 1 0:03 </p><p>quarter 2023 earnings conference call. At this time all participants are in a listen only mode. A brief question and answer session will follow the formal presentation. If anyone should require operator assistance during the conference, please press star zero on your telephone keypad. As a reminder, this conference is being recorded. It is now my pleasure to introduce your host Greg Howe to check manager, Managing Director of investor relations. Thank you, sir, you may begin.</p><p><br /></p><p>Speaker 2 0:32 </p><p>Good afternoon and thank you for joining us today. Earlier today. KERDI. X release financial results for the quarter and full year ended December 31 2023. The release is currently available on the company's website at WWW dot KERDI x.com. Joining the call today is Alex Johnson, president of care dx is patient and Testing Services Office check Jain, Chief Financial Officer and Robert Woodward chief scientific officer. Also joining the call today is Michael Goldberg, chairman of the board. Before we get started, I would like to remind everyone that management will be making statements during this call that include forward looking statements within the meeting of the federal securities laws, which are made pursuant to the safe harbor provisions of the private securities litigation Reform Act of 1995. Any statements contained in this call, that are not statements of historical facts will be deemed to be forward looking statements. All forward looking statements including without limitation or examination of historic operation, operating trends expectation regarding coverage decisions, pricing and enrollment matters. And our financial expectations and results are based upon current estimates and various assumptions. These statements involve material risks and uncertainties that could cause actual results to differ materially from those anticipated or implied by the forward looking statements. Accordingly, you should not place undue reliance on these statements, or listen description of the risks and uncertainties associated with our business. Please see our filings with the Securities and Exchange Commission. The information provided in this conference Paul speaks only to the live broadcast today, February 28 2024 30x disclaims any intention or obligation as required by law to update or revise any information, financial projections or other forward looking statements, whether because of new information, future events, or otherwise. Just call it will also include a discussion of certain financial measures that are not calculated in accordance with generally accepted accounting principles. Reconciliation to the most directly comparable GAAP financial measure may be found in today's earnings release with the SEC. I will now turn the call to Alex. Thank you, Greg.</p><p><br /></p><p>Speaker 3 2:48 </p><p>Good afternoon, everyone and welcome to cared X's fourth quarter and full year 2023 earnings conference call 30x ended 2023 in a solid growth and market leadership position after a challenging start to the year. Our team spent the last year addressing the complexities associated with the billing article, reconfiguring the company to adjust to the Medicare changes to coverage and fighting to restore patient access to transplant innovation. Before we move into the details of the quarter and the year, let me step back for a moment and offer a bit of perspective. We are still in the early stages of a $6 billion market opportunity to health care for some of the highest need patients in the US healthcare system. transplant patients in the US are experiencing incrementally improve short term outcomes that are still far away from having their newly transplanted kidney heart or lung lasts as long as it should. We continue to believe that effective care means truly understanding transplant patient management. And this requires focus from our entire team working closely with some of the world's best clinicians, researchers and transplant centers. Our ability to successfully lead and execute in this growing market in the face of complexities associated with the billing article revisions is reflected in our results. Last year, we executed deliberately, quickly and with high impact and demonstrated by our performance has reduced our cost structure and stabilized our revenue base. Consistent with our pre announcement, we reported full year revenue of 280 million exceeding the high end of our updated guidance. We have regained our growth footing and our testing services business was with patient test volumes up 4% quarter over quarter increase for the second sequential quarter in a row. We delivered about 40,000 tests in the fourth quarter and patient testing services volume was approximately 165,000 patient results for the full year. We continue to make progress in driving our innovations into clinical practice. This year, we witnessed strong support from leading medical societies and from patients advocating for access to transplant molecular testing including Alisher an LM AP, underscoring the pivotal role our innovations play in improving transplant patient care.</p><p><br /></p><p>Unknown Speaker 5:08 </p><p>In 2023, two new</p><p><br /></p><p>Speaker 3 5:10 </p><p>Medicare coverage approvals supported the clinical value and market opportunity of our innovation pipeline. Alistair lung was a first donor derived cell free DNA approved for coverage by Medicare for lung transplant patients. With the approval of heartcare. In August 2023, our clinical approach of multimodality testing was confirmed by CMS. This approval defines a reimbursement pathway for our differentiated product portfolio, one that can leverage our rich pipeline of innovation to help improve patient outcomes. On the commercial payer side, we saw good progress. We ended the year with an additional 15 million covered lives. We expanded existing coverage for 31 point 5 million lives in our cardiothoracic business, primarily by adding coverage in the first six months post transplant for LM AP hearts. Looking at our other businesses, we are pleased with a double digit growth in both our patient and digital solutions, and lab products business lines, representing year over year growth of 29% and 15% respectively. Before moving on to 2024. I will touch on our recent patent litigation news. As we mentioned in our statement following a jury verdict in late January 30x was assessed damages of approximately 96 million. We intend to seek judicial review of the jury decision and monetary damages. We expect there to be active briefing on this matter at least through q3 2024. In the District Court. The matter would then be subject to appeal to the Federal Circuit. The precise timing would be speculative, but we would expect any resolution for the patent litigation the multi year multi step process.</p><p><br /></p><p>Speaker 2 6:51 </p><p>Looking forward to 2024. In our testing services business,</p><p><br /></p><p>Speaker 3 6:55 </p><p>the focus is on strategic profitable growth, continuing to grow pace and testing volumes and market penetration for Allah map and Allah ashore. While expanding reimbursement and coverage. There is a significant opportunity to gain coverage for non reimburse tests. This year, we will continue to invest in multicenter purpose driven studies to help secure additional reimbursement coverage. As mentioned last quarter KR our kidney allograft outcomes registry completed the last patient clinical visits, and we are now finalizing our data collection and monitoring. Kara was designed to demonstrate the clinical utility of Allah sharp in a variety of outcomes. And we continue to expect the publication this year. We also have other unique opportunities to publish evidence that can influence payer coverage policies. By working with leading researchers who have had extensive experience with Alisher kidney, and heart we anticipate an interim readout for our ongoing surveillance hard care outcomes registry or shore. Data from patient encounters in the early years of short have been collected in monitor. We are now working towards publication of interim readout with the twin goals of supporting the utility of multimodality testing and our care coverage beyond year one. We expect publication in 2024. These studies are expected to generate the evidence that along with the build out of our revenue cycle management infrastructure such as commercial payer coverage and billing appeals process will support an improved rate of reimbursement. In our patient and digital solutions business we aim to further increase adoption our portfolio offerings in 2024. Over 70% of transplant centers in the US use one or more of our digital solutions. As we first shared last month, we have now started to roll out a new platform, which enables greater uptake of cardiac services. The platform called KT X Pro is embedded within a transplant centers electronic medical record workflow. This allows clinicians and administrators to have a single interface to access our digital health and SAS solutions, as well as for clinicians to seamlessly order and view test results for Alisha alamat and heartcare. Our growing lab products businesses global, we have a strong portfolio and we will continue to expand the business to a new transplant laboratories worldwide with best in class added products using NGS and qPCR technologies. Our market leadership for NGS HLA typing through our LC TX line and broad geographical footprint allows us to benefit from scale leverage as our products business grows further. From an operational perspective, we'll remain focused on thoughtfully managing our cost structure and investments. You heard this during our annual investor day last month and it is worth repeating. This commitment underscores the dedication of our leadership team to driving growth and value for investors. We have taken multiple actions to reduce costs including a recent q4 action you streamline even further, you'll see us continue to take steps to manage our near term costs and cogs as we drive towards profitability. Projects are taking a disciplined approach to investments that support our clinicians, patients and employees and deliver shareholder value. Finally, I would like to touch on our advocacy efforts on behalf of transplant patients. We and our coalition partners continue to be actively engaged in discussions with HHS and CMS. While we support patient advocacy efforts to restore full access for Medicare beneficiaries to transplant community has made substantial progress. Some of you may have seen the honor the gift efforts in Washington DC in early December, where hundreds of transplant patients, physicians and advocates made a public plea on Capitol Hill to stop the recent rollback in Medicare coverage. Notable speakers of the press conference included Senator Gillibrand, former Speaker of the House, Newt Gingrich, and Reverend Al Sharpton, which shows the wide ranging bipartisan nature of the concerns here. We and the broad transplant community will continue to fight for access to transplant innovation in 2024 and beyond. In fact, as recently last Friday, the Wall Street Journal published their fourth powerful editorial since September, highlighting the patient access issue for transplant tests and the coverage disparities for Medicare patients. We are encouraged by our momentum as we enter 2024. Our team is laser focused and executing our plan. We are building on the testing services revenue baseline set in the second half of 23, expanding patient access to our innovative portfolio across all three businesses and expediting our journey back to profitability. With that I will ask Abhishek to share more details on our results for 2023 and our outlook for 24. From there, and we will go to Michael Goldberg, our board chair for an update our CEO search before moving into the q&a.</p><p><br /></p><p>Unknown Speaker 11:53 </p><p>Abishek. Thank you, Alex. In</p><p><br /></p><p>Speaker 4 11:58 </p><p>my remarks today, I will focus on our fourth quarter and full year 23 reserves before turning to 24 guidance. Unless otherwise noted. My remarks will focus on non GAAP results. Please refer to GAAP to non GAAP reconciliations in our press release today for further information. I'll start with the financial highlights. Number one reported fully at 23 revenue of 280 point 3 million exceeding the high end of our updated guidance. Number two delivered over 165,000 patient test results in 23. Patients as volumes grew 4% in the fourth quarter to approximately 39,900 tests as compared to the third quarter second consecutive quarter of sequential growth. Number three reported fully at 23. Testing Services revenue of 209 point 7,000,004th Quarter testing services revenue of 46 point 7 million came in better than expected primarily driven by volume growth. Number four, reported patient and digital solutions revenue of 37 point 1 million in 23. Up 29% year over year, and product revenue of 33 point 5 million up 15% year over year. Number five maintained a strong cash position of 235 point 4 million at the end of December and no debt and we bought 2.9 million shares for approximately 27 point 5 million in cash in 23. Moving to the details, starting with testing services. Testing Services revenue for the fourth quarter was 46 point 7 million down 2% as compared to the third quarter of 23. As discussed in our q3 earnings call. Fourth quarter revenue was expected to be lowered due to the fourth quarter impact of heart care tests that were outside of the new coverage criteria from all the ads as well as the exclusion of one time settlement to the large Medicare Advantage pair. As mentioned earlier, testing services volume increased by 4% sequentially and we are pleased to see both kidney and heart franchisee grow for the second consecutive quarter. As Alex alluded earlier, we stay focused on executing not testing services strategy to increase market penetration and drive volume growth or non GAAP testing services gross margin was 72% in the fourth quarter as compared to 74% a quarter ago. We are pleased with the efforts of our lab operations team in keeping the gross margin above 70%. Despite a significant top line impact from billing article revisions our operations team continues to execute on reducing the shipping and specimen processing costs. Improvements and inventory management has scrapped production and optimization of collection kits usage. Moving toward digital and patient solutions and lab products businesses are patient and Business Solutions. Sales recorded revenue of 9.6 million in the fourth quarter, up 14% year over year, and 37 point 1 million for the full year 23 Up 29% as compared to 22. On top line results were driven by both organic growth and our acquisitions of HLA data systems and medical. Our patient and research solutions business. Non GAAP gross margin for the fourth quarter was 42% as compared to 34% a year before for the full year 23. Non GAAP gross margin improved by 600 basis points to 37% as compared to 31% in 22. The gross margin expansion was driven by the top line growth cost savings initiatives, our transition to a recurring SaaS based model and the high gross margin profile of our newer acquisitions. Our products business recorded revenue of 9.2 million in the fourth quarter, up 8% year over year, and 33 point 5 million for the full year 23 up a solid 15% year over year. Growth in the products business was driven by our higher margin NGS offering products business non GAAP gross margin for the fourth quarter was 46% as compared to 54% A year ago, primarily due to a one time inventory charge associated with end of life for one of our products in this personal products business non GAAP gross margin for the full year 23 grew an impressive 500 basis points to 54% as compared to 49% in 22. And it was driven by organic growth cost efficiencies from supply chain optimization with ongoing manufacturing sites consolidation and the continued shift to NGS offerings in our revenue mix. Our team is focused on improving gross margins further as the drive for efficiencies and complete the plant size consolidation in 2024. Moving down the PnL non GAAP operating expenses for the fourth quarter were 54 point 2 million down approximately 3.5 million sequentially from q3. So the sales and marketing spend increased 1.6 million primarily related to our targeted policy efforts to restore Medicare coverage, D and expenses came down 4.4 million as a result of our focus on reducing legal expenses, or distributor losses in q4 were 10 point 3 million as compared to 10 point 9 million in q3. We've also accrued 96 point 3 million for damages awarded by a jury in the IP litigation case in the fourth quarter of 23. As Alex mentioned earlier, we intend to seek judicial review of the verdict and believe that we have good and substantial defenses against the claim Aleste in the suit and we will vigorously defend ourselves. For further disclosures on this matter, please refer to our recently filed 10k. Turning to cash. We continue to maintain a strong balance sheet with 235 million in cash cash equivalents and marketable securities with no debt. Cash used in operations for the full year 23 was 18 point 4 million down 27% as compared to 25 point 2 million in 22. Despite the operational and financial challenges introduced by the building article revisions, the improvement in Cash used in operations in 23 is a testament to the outstanding efforts of the entire kdss team. The cash use and operations was positively impacted by our RCM initiative that delivered a fifth consecutive quarter of collections over testing services revenue and added $17 million to cash in 23. Finally, I would also like to note that we earned 3.2 million in interest income in the fourth quarter and 11 point 9 million in 2023. Based on our current cash position and anticipated cash usage in operations, we continue to believe that we do not need to raise cash in the foreseeable future. Finally turning to guidance, we expect fully at 24 revenue to be in the range of 216,000,270 4 million. The midpoint of our 24 guidance assumes number one too low to mid single digit testing services revenue growth based on annualized actual testing services revenue for the fourth quarter of 23. Number two, Medicare reimbursement remains as currently implemented. No incremental revenue assumed from new coverage decisions from either Medicare or large commercial payers. Number three mid single digit growth for both products and patient and digital solution businesses year over year. We're expecting our gross margin to be approximately 63 to 65% with Testing Services gross margin slightly above 70% product business gross margin in the mid 50s, and distal inpatient solutions gross margin in the high 30s. We expect our non GAAP operating expenses to be between 207 million to 215 million down from an annualized fourth quarter run rate basis, while absorbing for merit increases, benefits reset and inflation effect or distributor losses to be between 20 million to 30 million in 24. With quarterly improvements in adjusted EBIT our losses throughout the year. Before we open the line for questions, I would like to turn the call over to Michael to discuss the ongoing CEO</p><p><br /></p><p>Speaker 2 20:42 </p><p>search, Michael, thank you Abba Shaq, we would like to briefly touch on the CEO search well underway, the board is leading an exhaustive search process created by the search firm of Russell Reynolds. As communicated previously, we remain on track to announce a new CEO within the originally projected six to nine month timeframe. During the initiation of the search in November, the Office of the CEO comprising of Alex Abba Shaq and myself continues to successfully drive the business forward. For over two decades KERDI X has been dedicated to improving transplantation outcomes and extending long term our graph survival. We look forward to a strong 2024. With that, I'll hand it over to the moderator to open the line for questions.</p><p><br /></p><p>Speaker 1 21:41 </p><p>Thank you. We will now be conducting a question and answer session. If you would like to ask a question please press star one on your telephone keypad. A confirmation tone will indicate that your line is in the question queue. You may press star two if you would like to remove your question from the queue. For participants using speaker equipment, it may be necessary to pick up your handset before pressing the star keys. One moment please while we pull for questions. Our first question comes from Andrew Cooper with Raymond James, please proceed with your question.</p><p><br /></p><p>Speaker 5 22:17 </p><p>Hey, everybody, thanks for the questions. Maybe just to start, you know, super high level obviously a lot of noise a lot that's happened through the course of 2323. It feels like this 40 result really kind of getting back to stability and the base to grow from but did anything stand out when you think about sort of ordering patterns, you know, the cohorts of patients that you're seeing those orders for or anything like that, I guess across both kidney and heart in the fourth quarter, just any surprises, any changes? Any any commentary there on sort of what you're really seeing in the end market would be would be great. You know, I</p><p><br /></p><p>Speaker 3 22:53 </p><p>think thanks for those nice comments. And I think it is back to stability. It's back to growth. And I think, you know, we're excited to continue to serve more patients. And I think q4 was a terrific baseline to grow on. And before that, we grew on to three. And so I'll add, I'll ask Abhishek to add some commentary. But I think the headline here is that, you know, we feel very good about consistent patterns that we've seen going forward for patient mix.</p><p><br /></p><p>Speaker 4 23:18 </p><p>Thank you, Alex, I think you have covered it pretty well, that we are very happy to see the second consecutive quarter of our testing services volume growth. And that gives us a lot more confidence as to how the business is progressing. As well as the growth is coming from both of our heart and the kidney franchises. So that gives us all the more comfort that we are basically kind of growing in the areas where we need to the good news is that we are seeing the market growth in the heart side the transplant volume growth to be less double digit last year. So definitely a lot more promise there as we enter into 2024.</p><p><br /></p><p>Speaker 5 24:00 </p><p>Okay, helpful, and then maybe just sticking to testing services, the gross margin side of things, you know, like I said, obviously some some lumpiness through the course of 23. But, you know, I think you said low 70s are slightly above 70 for the year just pretty quickly takes there and then as it pertains to the ongoing sort of legal dispute, you know, maybe talk about your ability to if you had to digest some form of royalty, how you would think about that in terms of, you know, 70 plus percent margin with, frankly, not a very large proportion of your tests actually being paid for at all in the first place.</p><p><br /></p><p>Speaker 4 24:41 </p><p>Yeah, so I think on the testing services, gross margin having like above 70%, that in itself is like very, very healthy. How we use we usually have been in the low 70s, mid 70s. Now the gross margin range, and with a billing article revisions if I were to Take the noise out, we basically kind of dropped to mid 60s, High 60s, kind of gross margin range. And that's the reason I was happy to see that we came in slightly above 70%. Because I remember calling out that testing services gross margin without that noise is close to 60 to 70%, in our previous calls. So from that standpoint, we started to definitely see the improvement there. And we're going to work through as to how do we drop most of our revenue incrementals to the gross margin, because we are not going to be increasing our spend other than the variable costs that we need to spend on the tests that we need to run. So that's the first part. And the second piece, I think, to your question that a lot of our tests are not being paid. You're absolutely right. And I did kind of articulate that that's a significant opportunity that we have in front of ourselves, I took the example of Q for 40,000 tests, maybe you should be booking $100 million revenue, but we put 47. So there's a large opportunity. And that's the piece that we continue to work on through, like spending a lot of time and effort in generating the data that we need to and then going off to the coverage. And finally, through our RCM initiative, getting that whole coverage that we've gained, coming through the collections to our revenue and the p&l with the overall process of I still feel that continue to do that test and having that ability to gain that. The opportunity that basically is the right thing to do as compared to worrying too much about the tests that are not paid today, because we will get there.</p><p><br /></p><p>Speaker 5 26:42 </p><p>Okay, helpful. And then maybe just one last one, if I can sneak in and just, you know, you've you've pulled a lot of costs out of the system. It's been impressive from from that perspective, as we think about the commentary on not needing to access markets not needing a tax raise. How do you think about the past that break even as you sit today? Is there more cost you can pull out? Is it more a function of hey, we've got to get the top line higher than where we are today is how do we think about that trajectory to get to EBIT da and cash flow breakeven longer</p><p><br /></p><p>Unknown Speaker 27:11 </p><p>term? Now,</p><p><br /></p><p>Speaker 4 27:14 </p><p>that's a great question Andrew and the way I kind of see about the adjustment to beta losses, if you look at the guide, we are guiding about 20 to $30 million have adjusted greater losses for the next year. Now, in my mind, we will have basically the first half to be more front loaded with our losses. And you can kind of model it based on a low double digit or just fit better losses. As we begin the 2024. And hopefully get to a low single digit kind of adjusted beta losses by the time we get to the 2024. And that will basically set us up pretty solid, to get back towards the street a bit of profitability and generating cash flow from operations in 2025. I'm not guiding for the 2025. But that's at least my thinking is that we are looking for improving the administrative burden losses throughout the year. Great, maybe I can go ahead, I can fully take the second part of your question on the cash flow. And that basically is also the reason that we have $235 million in cash, I can draw a quick parallel toward cash usage in operations in 23, which I pulled out at about $18 million. So looking at the adjusted beta losses in 24, my sense is that the cash usage and operations would be very similar to those are just repeat losses, without kind of thinking about any over collections, or the improvement to the awesome initiative. So from that standpoint, if you're talking about a $25 million at the midpoint cash usage, with $235 million in cash, and basically having basically having a foundation by the end of 24 to get back to an adjusted bit of profitability in the next year, then you probably don't need to raise cash. So that's how we are kind of thinking from the management standpoint. Great.</p><p><br /></p><p>Speaker 1 29:14 </p><p>Our next question comes from Matt Sykes with Goldman Sachs, please proceed with your question.</p><p><br /></p><p>Speaker 6 29:19 </p><p>Hey, guys, congrats on the quarter. This is Prashant on for Matt,</p><p><br /></p><p>Unknown Speaker 29:23 </p><p>can you hear me? Yes, we can hear you very well. Okay,</p><p><br /></p><p>Speaker 6 29:28 </p><p>great. So are you so first off, Are you still seeing any lingering impacts of the billing article across your business segments? Sure,</p><p><br /></p><p>Speaker 3 29:39 </p><p>certainly, we are. I mean, our revenue revenue and volumes and testing services are still you know, significantly below what they were when the billing article was introduced in March. So we're still I mean, that is that is that is just a numerical fact of our performance. What we are seeing though, is certainly clinicians and centers is getting much more comfortable with the billing article rules and coverage for the Medicare beneficiaries and for all their patients. And so what we're really seeing now is new protocols being put in place at the centers. And we're seeing that we saw that in q4 and kidney, multiple senators putting in protocols that now allow them to manage patients in kidney with without ashore in a way that's consistent with the Medicare billing article.</p><p><br /></p><p>Speaker 6 30:32 </p><p>Got it? And then could you just elaborate on the path to launching a multi modality product and obtaining reimbursement? How long does that typically take? And specifically for kidney? Are you required to obtain Medicare coverage? And then private payer coverage for Allah map kidney before proceeding with kidney care? Sure, so</p><p><br /></p><p>Speaker 3 30:52 </p><p>there's a couple of things to unpack there. And I think the pathway to multimodality reimbursement is a, you know, a multi step conversation. And we can certainly give you some highlights of that. You know, I think the headline is that we've done this now with heart care, it was a multi year process, we were able to produce the evidence and data for Medicare to do that. And that's not a trivial exercise. And as we go into kidney, if we know the playbook, we know where the minefields are, so to speak, and data analysis, it was a challenging effort, one that was ultimately extremely successful with Medicare. And now as, as we've talked about, our park care, still consistently as an attach rate of well over 90%, for Alisha and alamat being used together for patients. For a little more context, I'll turn it to Robert, to add some more on the process itself, which is I think, part of your question as well.</p><p><br /></p><p>Speaker 7 31:51 </p><p>I think when you one thing you asked was the, you know, coverage for one test, but for both tests before multi modality, that's not necessarily a requirement. But it's certainly something that we'll look at when we're looking at the data from our okra study, where we use both Alisher and element kidney. And we're where we see that going next. I think you asked, you know, how long or what time I think it's more about the data than the time and so as we assess that and look towards the future, we'll start to put together that plan.</p><p><br /></p><p>Speaker 6 32:24 </p><p>Thank you, that's really helpful. And then my last question is, do you see Euro map cannibalizing, alamat kidneys eventual sales at all? And how do these two tests complement each other in the kidney transplant space?</p><p><br /></p><p>Speaker 7 32:40 </p><p>They're really, you know, you're, they come from different directions in that element, kidney, the mechanism of looking at immune status, and whether there's activation of the immune system or whether it's quiescent. And in urine, the Euro map has a very different approach of being everything there can be about evaluating cellular mediated rejection, and especially the whether or not there's an influence of BK virus. And so as we're bringing these two and, you know, defining their paths and where they'll be used in the market, and we work with clinicians, there's really unique opportunities for each of them. So I think we'll see them in parallel, and now they're not in each other's way.</p><p><br /></p><p>Speaker 1 33:26 </p><p>Our next question comes from Brandon cool yard with Jefferies. Please proceed with your question. Thanks. This</p><p><br /></p><p>Speaker 8 33:33 </p><p>is Matt on for Brad, and maybe going back to the guide to help us a bit more in terms of the cadence as we move through 24. You know, I think, historically seen a bit of a step up in one two, do you expect that this year? And then, you know, is there is it kind of 66 67 million a quarter evenly spread out or there may be some initiatives or other items that kick in the back half that would make that a bit more waited for the year? Any color that would be appreciated?</p><p><br /></p><p>Speaker 4 34:02 </p><p>Sure, Matt, and let me break this down by the business because of the billing article. revisions. Last year, things have been ups and downs, up and down throughout the year. So starting with the testing services, business, what I would suggest start with the q4, actual revenue baseline there. And then based on the overall yearly guidance, I would basically suggest that you should make in a sequential growth quarter over quarter for that particular business. And for the other two businesses since they are a little bit more, I will say seasonal, specifically our products business, you should be looking at the year over year growth starting in q1 24. And you should basically model for the non testing services business slightly differently. And that will basically give you the cadence as to how the quarterly revenue number should look like.</p><p><br /></p><p>Unknown Speaker 34:54 </p><p>Okay, that's helpful and then</p><p><br /></p><p>Speaker 8 34:56 </p><p>going back to capital allocation or no debt to another fund million dollars of cash exit in the year. There's the potential litigation payout, which is sizable, but as you talked about the prepared remarks could be a multi year process. You repurchase about $25 million of shares during 23. How should we think about your capital allocation plans going forward? Is more of the buyback on the table? Just how you're thinking about Cassie using tear in 24? And beyond? Thanks?</p><p><br /></p><p>Speaker 4 35:24 </p><p>No, absolutely. And from the context standpoint, you you picked it picked it up pretty well that we bought actually 2.9 million shares for like 27 million bucks, in in 2003. And most of those purchases were actually in the fourth quarter. So we were like pretty confident with $235 million in cash. And based on the fact that we have taken a lot of cost out of our system. And based on the needs that we were projecting for cash, we felt very comfortable and actually pursuing the share buyback program. But with this IP litigation, Jury Award, even if there are like multiple steps that we have to go through, starting with the district court, and then possible appeals, multi multi step multi year process. We are taking a stance here to pause the share buyback program for now. And we will assess as to how some of these other pieces will play out. And at that time, we will bring the discussion or the decision on the share buyback program back into back onto the table.</p><p><br /></p><p>Speaker 1 36:34 </p><p>Thank you. Our next question comes from Alex noacs. Craig Hallum. Please proceed with your question. Okay,</p><p><br /></p><p>Speaker 2 36:44 </p><p>Greg. Good afternoon, everyone. If you look at the normal revenue for 2023. And basically taking what you did in q4 here and analyzing it, the guide for 2024 comes in at basically about 4% growth, give or take a little bit. I guess the question is, what level of growth can the company ultimately achieve in 2025 2026, pick a time point the future without necessarily more reimbursement.</p><p><br /></p><p>Speaker 4 37:13 </p><p>So I would basically say that there are multiple paths for the testing services to grow. And of course, there's a secular market growth, where shall we are seeing good momentum in our transplant volumes. Specifically, if you look at the heart side there have been growing on a low double digit basis in the last year, and also kidneys kind of growing at a high single digit. My sense is that if you continue to see that kind of growth patterns, the secular secular organic growth, that's basically the first piece. And then we heard from some of our shop, same space company like transmitting all the things that they are doing in this particular space to be able to kind of grow the usage of the organ, so on and so for, so we feel very good, that this particular space can actually grow in high single digit to a low double digit kind of scenario. But absolutely, like we have Alex kind of fat further, but my sense is that there's a lot of opportunity in this space to grow at a much more high rate.</p><p><br /></p><p>Speaker 3 38:16 </p><p>Yeah, Alex, as you mentioned, you know, without reimbursement, and obviously, that's a nice tailwind for us as well, because that'll apply to broad swaths of our of our business as different commercial payers Come on. And certainly, there's upside with the Medicare as well. I think Abby had covered it. Well, you know, one of the interesting data points that we look at heart and kidney, which is really the, the, you know, the bulwark of our transplant, testing services volume, right back in 2020, or 25,000, combined transplanted organs between heart and kidney. You know, last year it was 30,000. Right. So you're getting your aim is really significant growth, even during the pandemic, even when living donor volumes have basically flatlined for quite a while. And they're coming back. And I think you saw that you saw that last year. And when you look at utilization and other tailwinds here, you really start to see a model where when you when you have, you know, a percent transplant volume, just overall market growth in 2023. I think that's not wrong to think how long can that last for and when you look at all different avenues, whether it's not just better utilization, but also the the opportunity for living donation to increase, you really see that that tailwind on our business? So thanks for leaving out the reimbursement piece. I think it does. Let us take apart the story piece by piece because there are significant areas where our revenue can increase in in the long and middle term areas. Thanks for question outs.</p><p><br /></p><p>Speaker 2 39:54 </p><p>It makes sense if we're transplanting higher risk Oregon, they just need to be tough. So make your answer makes total sense there. I just want to be crystal clear around the moves with reimbursement again, so much has transpired over this last year. So as we entered right now, based on everything you're seeing with your conversations with with with CMS, and the like, is it fair to say we're, the reimbursement that sits today is pretty much set in stone. And the only view that you have is things can only go higher from here, like there's nothing as you're looking at records they have that could be another shoe to drop.</p><p><br /></p><p>Speaker 3 40:33 </p><p>I mean, I think, you know, set in stone is, is really, probably not the way we would look at it. You know, there's certainly a LCD process that's going on now, as well as significant public pressure and outcry to bring back coverage for for this, these Medicare patient transplant tests. So I think certainly there's there's a, an ongoing process that will play out, you know, certainly in the in 2024, that we'll see, we are currently in our base case, we're assuming that nothing does change, which would be very unfortunate for patients. But that's what that's what we'll live with. And that's what we'll execute on. If things don't change. But I think there is significant processes going on right now, that could potentially change. And I think, you know, as more data comes out, not just in 24, but in future years around surveillance, for example, for Medicare, which is really the area that that was pulled back on for for patients. That's something where we have our que or study that can help generate data that may in fact, be impactful evidence that can help bring back some of the coverage. So I think there's a number of shots on goal here for us to continue on growing it and making sure that coverage model evolves from where it is today.</p><p><br /></p><p>Speaker 2 41:51 </p><p>Can you just outline the scenarios here with the LCD if it does get finalized? As it stands at Medicare? I guess what, what could happen? In the middle? So just to clarify?</p><p><br /></p><p>Speaker 3 42:06 </p><p>Sure, maybe I asked Robert to answer that. But I think just to clarify your question, meaning what would change with our business? If it was solidified today? As as proposed? What's the maybe you can clarify the question, but that's absolutely</p><p><br /></p><p>Speaker 2 42:20 </p><p>scenarios on when this LCD does get finalized, because again, Medicare came out with the draft. And ideally, I guess, legally, they have to finalize that within a year if they're going to do so. So when it does get finalized, is that going to change, whether it be transplant centers interpretation of what they can get billed for, or what you can get billed for, and thus what tests they can run, I'm just trying to understand how this changes the scenarios out there.</p><p><br /></p><p>Speaker 7 42:46 </p><p>This is Robert. So the draft that they came out with very closely parallels and incorporates incorporates a lot of the language from the billing articles. And so it really seems to have been their response to a lot of pressure that there wasn't a public process. So they put in place a public process to get to the same place, even though they didn't call it what they had already done. So as as already been mentioned, you know, our base case for the businesses that it's going to be this way. And as is in the billing article, and, you know, if finalized in their draft form, if they didn't make any changes, or any substantive changes, then it would continue as currently for patients and businesses and providers, as far as finding ways to do the testing within the scope of what they're allowing.</p><p><br /></p><p>Speaker 2 43:38 </p><p>Got it make sense. Lastly, just any status on the the DOJ inquiry</p><p><br /></p><p>Speaker 4 43:46 </p><p>No, nothing material over there, like we have disclosed in the 10k whatever we had to bid on the DOJ side, nothing of substance.</p><p><br /></p><p>Unknown Speaker 43:58 </p><p>All right, appreciate the update. Thank you.</p><p><br /></p><p>Speaker 1 44:05 </p><p>Our next question comes from Yi Chen with HC Wainwright. Please proceed with your question.</p><p><br /></p><p>Speaker 9 44:11 </p><p>Thank you for taking my questions. Within the next 12 to 18 months. Do you expect there could be any potential upside regarding the reimbursement policies?</p><p><br /></p><p>Speaker 3 44:24 </p><p>Sure, and I think I lost the lat Yes. I think I lost the last piece your question. You're asking. Changes to reimbursement. And what was the last piece?</p><p><br /></p><p>Speaker 9 44:34 </p><p>You know, that that was the that was the question. Basically, your guidance, your 2024 guidance guidance is based on current reimbursement policy. Right. So I'm asking if there's any potential potential improvement, and we first met policy within the next 12 to 18 months? Yeah,</p><p><br /></p><p>Speaker 3 44:55 </p><p>that's a think opportunity for a catalyst you with potential, this finalization of the LCD, that can, as Robert mentioned, can happen before potentially before August. They have until August to finalize and so you know, what, what's in there if they if there is an opportunity to change, coverage, please Medicare patients, I think, would certainly be very impactful for for our business. On top of that, we have additional studies that we've have in publication, whether it's drafting or analysis, KR, ensure that that can provide additional data and evidence for payers to continue to add coverage for their patient populations. And those will happen as we mentioned, ashore and KR, certainly some publications in the next 12 months.</p><p><br /></p><p>Speaker 9 45:51 </p><p>And between different types of transplant, kidney, heart, lung, which type of transplant Do you see, do you expect to be to provide the largest growth driver for the top line revenue?</p><p><br /></p><p>Speaker 3 46:07 </p><p>Yeah, I think there's a there's a growth right now that is in heart that's significant. And certainly, you know, as as the billing article changed our mix a bit. Heart will continue to be a good growth driver. However, the ability for kidney to come back with living donors also will continue to push that mix. ever say anything else on?</p><p><br /></p><p>Speaker 4 46:33 </p><p>Yeah, I think from the opportunity standpoint, the way I see there are two different pieces. If the billing article coverage were to get changed, with some of our data publication or our policy efforts, then of course, there's a sizable opportunity on the kidney side, as well as when I talk for the studies on the QR. If that data turns out to be in the right manner, then of course, there's a significant opportunity there, based on what I previously called out that we have very limited commercial coverage there. So that can basically drive a fairly sizable upside. If you were to talk about the heart on the yellow show heart primarily, I think that's where the show comes in play. Can we get the coverage for surveillance back for greater than one year where we have limited coverage now for Medicare. So that is another piece that will play out from the opportunity standpoint. And last, but not the least, some of the health economic studies that we have been working on how those are gonna play out and some of the commercial coverage that we're trying to get on the yellow shore heart. So I would say again, there are multiple pieces that have been played. And to be honest, in my mind, they both are like, equally in play. I called out the revenues are pretty much 5050 Between her kidney and the heart franchises. So I see the opportunity lie in both areas.</p><p><br /></p><p>Speaker 9 48:00 </p><p>Thanks. And lastly, regarding the litigation expenses, is it going to be a recurring item every quarter going forward?</p><p><br /></p><p>Speaker 4 48:12 </p><p>No, I think I'm glad that you asked this question each time because this has been one of our key focus areas. And that's where we have been trying to eliminate the legal expenses. happy to report that if you look at our GNA expenses for the fourth quarter, it has come down by roughly four and a half million bucks. And I know that the team has been very focused in trying to figure out as to how to bring those expenses down with through like being more effective and efficient in some of the cases that you need to do. And to be honest, some of the legal cases that we have been kind of into, they have started to kind of taper off, for example, the SEC investigation is is has been decided in our favor on the TV or that there have been a lot of claims that have been actually adjudicated in our favor. And now we have a template there that we can use. So some of the legal spend is kind of coming down and we are looking for every single opportunity to be able to reduce them. But looking at the fourth quarter GNA, four and a half million dollars down primarily driven by the legal spend there. So that stays a priority. Thank you.</p><p><br /></p><p>Speaker 1 49:25 </p><p>Our next question comes from Mason carico. With Stevens, please proceed with your question. Hey, guys,</p><p><br /></p><p>Speaker 10 49:33 </p><p>this is Jacob bond for Mason, thanks for taking the questions. So just maybe a cleanup on the guide and apologies if this has been touched on and jumped on a little bit late. But Mickey said that you're wanting 24 revenue guidance as soon as low to single digit testing service revenue growth. Just wondering if maybe you could break that down a little bit further in terms of growth between you know different organ times kidney, heart, lung and are you baking in any ASP increases on there, that would be upside due to, you know, commercial wins or anything during the year.</p><p><br /></p><p>Speaker 4 50:09 </p><p>Sure. So on the testing services side, yes. So we are expecting a low to mid single digit revenue growth. And one of the important pieces there is that I'm making the same on fourth quarter revenue base for the testing services revenue. So just from the example standpoint, if you were to kind of have a testing services with revenue on the fourth quarter, annualized, you will basically get a lower revenue growth for the next year, because you're not taking it for the full year. But from the assumption standpoint, what I'm assuming is the testing services, volume growth would be very similar to the transplant volume growth that we're seeing, which is mid single digit. So that's the first part of the play. And then the second piece on the ESP, I'm kind of expecting about two to 4%, Edwin, and there could be different scenarios on the SP. But I'm not expecting SP headwinds to be similar to what we had seen in 2022. Based on our experience in the last few quarters, and based on all the collection efforts and the Ostium efforts, we have been collecting a lot more cash. So limited headwinds for the SPS, but they transplant volume growth of mid single digit driving the testing services volume growth in mid single digit lowered by ESP headwind a little bit that gives us a low to mid single digit growth for the testing services revenue,</p><p><br /></p><p>Unknown Speaker 51:36 </p><p>if that makes sense. Okay, got it.</p><p><br /></p><p>Speaker 10 51:40 </p><p>Thank you. That's, that's super helpful. And just maybe one follow up here on alamat kidney and again, sorry if this is already been touched on, just wondering what your expectations are around around when you could get a CMS decision on coverage for that test.</p><p><br /></p><p>Unknown Speaker 51:54 </p><p>ongoing process</p><p><br /></p><p>Speaker 7 51:59 </p><p>as far as seeking coverage and so you know, we don't have any specific expectation we want to get it as soon as we can.</p><p><br /></p><p>Unknown Speaker 52:10 </p><p>Okay, got it. Thanks, guys. Appreciate it.</p><p><br /></p><p>Speaker 1 52:15 </p><p>We have reached the end of our question and answer session. This concludes today's conference. Thank you for your participation. You may disconnect your lines at this time.</p><p><br /></p><p>Transcribed by https://otter.ai</p><div><br /></div>Brucehttp://www.blogger.com/profile/05149672650241065616noreply@blogger.com0tag:blogger.com,1999:blog-1284112950008922665.post-66225927608197776332024-02-28T21:06:00.000-08:002024-02-28T21:06:26.642-08:00GPT4 Reads CareDx 10K, Reads WSJ Op Ed (2/2024)<p>Primary Blog</p><p><a href="https://www.discoveriesinhealthpolicy.com/2024/02/very-brief-blog-caredx-and-medicare.html">https://www.discoveriesinhealthpolicy.com/2024/02/very-brief-blog-caredx-and-medicare.html</a></p><p><br /></p><p><b>Taking your reading of the WSJ op ed, and your reading of the 10-K PDF, what is going on between CareDx and Medicare (MOLDX)?</b></p><p><b><i>ChatGPT</i></b></p><p>The relationship between CareDx and Medicare, specifically through the MolDX program, is multifaceted and critical to CareDx's operations, as indicated in both the CareDx 10-K SEC report and the WSJ op-ed discussions. Here's a summary of the key points:</p><p></p><ol style="text-align: left;"><li><b>Medicare Reimbursement: </b>CareDx relies heavily on Medicare reimbursements for its diagnostic tests, including AlloSure Kidney, AlloMap Heart, AlloSure Heart, and AlloSure Lung. These tests have received coverage and reimbursement from Medicare, which represents a significant portion of CareDx's revenue. The Medicare reimbursement rates for these tests are specified in the 10-K, reflecting their importance to CareDx's financial performance.</li><li><b>Medicare Coverage and MolDX: </b>The MolDX program, developed by Palmetto GBA, plays a crucial role in setting reimbursement rates and coverage decisions for molecular diagnostic tests, including those offered by CareDx. These decisions directly impact CareDx's revenue and its ability to provide these tests to Medicare beneficiaries.</li><li><b>Billing Articles and LCDs (Local Coverage Determinations):</b> CareDx has been navigating changes in Medicare coverage and reimbursement processes, particularly with respect to new billing articles and LCDs. These changes have required CareDx to adapt its billing practices and potentially face challenges in securing reimbursement for its tests. </li><ol><li>For example, CareDx has engaged in communications with Noridian (a Medicare Administrative Contractor) and MolDX regarding the billing articles, which impose new restrictions on Medicare coverage for CareDx tests. </li><li>These interactions highlight the ongoing efforts by CareDx to ensure compliance with Medicare requirements and to advocate for favorable coverage decisions.</li></ol><li><b>Financial Impact:</b> The 10-K report discusses the potential risks to CareDx's financial performance stemming from changes in Medicare reimbursement and coverage policies. The company acknowledges that a loss of or significant reduction in Medicare reimbursement could severely affect its financial results. CareDx's proactive engagement with Noridian and MolDX, including submitting letters and comments on proposed changes, illustrates its commitment to navigating these regulatory challenges.</li></ol><p></p><p>In summary, the interaction between CareDx and Medicare, particularly through the MolDX program, is a critical aspect of CareDx's business model. The company is actively engaged in managing its relationship with Medicare to ensure continued coverage and reimbursement for its diagnostic tests, which is essential for its financial stability and growth. The concerns and efforts reflected in the 10-K report and the discussions surrounding the WSJ op-ed highlight the complexities of healthcare reimbursement and the importance of regulatory engagement for companies like CareDx.</p>Brucehttp://www.blogger.com/profile/05149672650241065616noreply@blogger.com0tag:blogger.com,1999:blog-1284112950008922665.post-350849472432918332024-02-28T08:30:00.000-08:002024-02-28T19:57:11.351-08:00MolDx and WSJ links (no pics)<p> </p><h1>TRANSPLANT MOLDX TAGMOLDX TAGWSJ TAGTRANSPLANT TAGCAREDX</h1>
<p><a href="https://www.southcarolinablues.com/web/public/brands/medicalpolicy/external/external-policies/transplant-rejection-testing/">https://www.southcarolinablues.com/web/public/brands/medicalpolicy/external/external-policies/transplant-rejection-testing/</a></p>
<p>CAM329</p>
<p><img alt="Untitled" src="https://prod-files-secure.s3.us-west-2.amazonaws.com/3b2d52fb-18df-4284-9874-9776516653fe/31921cff-0997-4f79-a1ec-b834b2cd81bc/Untitled.png" /></p>
<p>TRANSPLANT</p>
<p><img alt="Untitled" src="https://prod-files-secure.s3.us-west-2.amazonaws.com/3b2d52fb-18df-4284-9874-9776516653fe/09ae2c58-371e-4856-bacd-c770ae075b02/Untitled.png" /></p>
<p><a href="https://www.wsj.com/articles/moidx-organ-transplant-patients-blood-tests-medicare-coverage-cms-ken-sutha-1e285cfb">https://www.wsj.com/articles/moidx-organ-transplant-patients-blood-tests-medicare-coverage-cms-ken-sutha-1e285cfb</a></p>
<p>9 10 2023</p>
<p><img alt="Untitled" src="https://prod-files-secure.s3.us-west-2.amazonaws.com/3b2d52fb-18df-4284-9874-9776516653fe/a920db13-3904-4053-b493-58351e8d1d8a/Untitled.png" /></p>
<p><a href="https://www.wsj.com/articles/medicare-moidx-organ-transplant-patients-blood-tests-coverage-8dc89a7c">https://www.wsj.com/articles/medicare-moidx-organ-transplant-patients-blood-tests-coverage-8dc89a7c</a></p>
<p>9 22 2023</p>
<p><img alt="Untitled" src="https://prod-files-secure.s3.us-west-2.amazonaws.com/3b2d52fb-18df-4284-9874-9776516653fe/39967e4f-cf86-4ed9-98e3-94d0ef2ffd64/Untitled.png" /></p>
<p><a href="https://www.wsj.com/articles/organ-transplant-blood-tests-medicare-biden-administration-moldx-c6b14784">https://www.wsj.com/articles/organ-transplant-blood-tests-medicare-biden-administration-moldx-c6b14784</a></p>
<p>9 26 2023</p>
<p><img alt="Untitled" src="https://prod-files-secure.s3.us-west-2.amazonaws.com/3b2d52fb-18df-4284-9874-9776516653fe/46552c76-60cc-40c4-8f83-4d5747f464a3/Untitled.png" /></p>
<p><a href="https://www.wsj.com/articles/medicare-kidney-transplant-blood-tests-moldx-palmetto-bluecross-blueshield-b514102e">https://www.wsj.com/articles/medicare-kidney-transplant-blood-tests-moldx-palmetto-bluecross-blueshield-b514102e</a></p>
<p>2 22 2024</p>
<p><img alt="Untitled" src="https://prod-files-secure.s3.us-west-2.amazonaws.com/3b2d52fb-18df-4284-9874-9776516653fe/77463604-949a-4450-ac1e-732863f6c65f/Untitled.png" /></p>
<p>9 25 2023</p>
<p><a href="https://www.cms.gov/newsroom/press-releases/cms-statement-current-status-blood-tests-organ-transplant-rejection">https://www.cms.gov/newsroom/press-releases/cms-statement-current-status-blood-tests-organ-transplant-rejection</a></p>
<p><img alt="Untitled" src="https://prod-files-secure.s3.us-west-2.amazonaws.com/3b2d52fb-18df-4284-9874-9776516653fe/1ef83b79-d275-428d-a0e6-4b913f751c74/Untitled.png" /></p>
<p><a href="https://www.cms.gov/training-education/medicare-learning-network/newsletter/2023-09-28-mlnc#_Toc146695252">https://www.cms.gov/training-education/medicare-learning-network/newsletter/2023-09-28-mlnc#_Toc146695252</a></p>
<p><img alt="Untitled" src="https://prod-files-secure.s3.us-west-2.amazonaws.com/3b2d52fb-18df-4284-9874-9776516653fe/9ace7551-9baa-4302-bf51-28d4de19a7c1/Untitled.png" /></p>
<p><a href="https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58019">https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=58019</a></p>
<p><img alt="Untitled" src="https://prod-files-secure.s3.us-west-2.amazonaws.com/3b2d52fb-18df-4284-9874-9776516653fe/32b45b88-0a37-4b0b-8397-6f3a9f7ba4b6/Untitled.png" /></p>
<p><img alt="Untitled" src="https://prod-files-secure.s3.us-west-2.amazonaws.com/3b2d52fb-18df-4284-9874-9776516653fe/6651050f-a641-413d-ba91-e6af83624025/Untitled.png" /></p>
<p><a href="https://www.healio.com/news/nephrology/20231002/cms-defends-change-in-payment-language-for-coverage-of-transplant-test">https://www.healio.com/news/nephrology/20231002/cms-defends-change-in-payment-language-for-coverage-of-transplant-test</a></p>
<p><img alt="Untitled" src="https://prod-files-secure.s3.us-west-2.amazonaws.com/3b2d52fb-18df-4284-9874-9776516653fe/4002337c-f22e-4437-94c4-b990fde64fb6/Untitled.png" /></p>
<p>2023 0627</p>
<p><a href="https://www.genomeweb.com/molecular-diagnostics/moldx-reimbursement-decision-molecular-testing-organ-transplants-causes">https://www.genomeweb.com/molecular-diagnostics/moldx-reimbursement-decision-molecular-testing-organ-transplants-causes</a></p>
<p><img alt="Untitled" src="https://prod-files-secure.s3.us-west-2.amazonaws.com/3b2d52fb-18df-4284-9874-9776516653fe/841037bc-386c-4589-b7f4-a9c154a80236/Untitled.png" /></p>
<p><a href="https://www.genomeweb.com/reimbursement-news/moldx-reimbursement-decision-likely-have-negative-impact-caredx-natera">https://www.genomeweb.com/reimbursement-news/moldx-reimbursement-decision-likely-have-negative-impact-caredx-natera</a></p>
<p><img alt="Untitled" src="https://prod-files-secure.s3.us-west-2.amazonaws.com/3b2d52fb-18df-4284-9874-9776516653fe/eea7f64f-1dc3-42d8-8e27-1d0599030ad3/Untitled.png" /></p>
<p><a href="https://www.genomeweb.com/molecular-diagnostics/public-comment-period-opened-draft-lcd-solid-organ-transplant-molecular">https://www.genomeweb.com/molecular-diagnostics/public-comment-period-opened-draft-lcd-solid-organ-transplant-molecular</a></p>
<p><img alt="Untitled" src="https://prod-files-secure.s3.us-west-2.amazonaws.com/3b2d52fb-18df-4284-9874-9776516653fe/4320d3a4-4030-456e-a573-23dab5c90f9b/Untitled.png" /></p>
<p>DIHP PRESS RELEASE CMS</p>
<p><a href="https://www.discoveriesinhealthpolicy.com/2023/09/unprecedented-cms-press-release-insists.html">https://www.discoveriesinhealthpolicy.com/2023/09/unprecedented-cms-press-release-insists.html</a></p>
<p>20230925</p>
<p>DIHP REVISE LCD AUG 2023</p>
<p><a href="https://www.discoveriesinhealthpolicy.com/2023/08/moldx-reboots-molecular-testing-for.html">https://www.discoveriesinhealthpolicy.com/2023/08/moldx-reboots-molecular-testing-for.html</a></p>
<p>20230810</p>
<p><a href="https://www.notion.so/My-review-of-the-LCD-changes-many-and-old-citations-20230810-57398483ce5f4a2891a6cea440ca30d9?pvs=21">My review of the LCD changes (many) and old citations 20230810</a></p>
<p>x</p><p>Feb 28 GW</p><p><a href="https://www.genomeweb.com/molecular-diagnostics/caredx-q4-revenues-fall-20-percent-wake-billing-issue-beat-analyst-estimates">https://www.genomeweb.com/molecular-diagnostics/caredx-q4-revenues-fall-20-percent-wake-billing-issue-beat-analyst-estimates</a></p><p>10K - Hits Medicare 201 times, I think</p><p><a href="https://d18rn0p25nwr6d.cloudfront.net/CIK-0001217234/444dea75-d333-4e57-bcbe-7ac38fce2192.pdf">https://d18rn0p25nwr6d.cloudfront.net/CIK-0001217234/444dea75-d333-4e57-bcbe-7ac38fce2192.pdf</a></p><p>
<!-- notionvc: 8d9f0edd-27c7-40be-ac01-5ef1fac7f1ec --></p><p>PRESS</p><p><a href="https://investors.caredx.com/news/news-details/2024/CareDx-Announces-Fourth-Quarter-and-Full-Year-2023-Financial-Results/">https://investors.caredx.com/news/news-details/2024/CareDx-Announces-Fourth-Quarter-and-Full-Year-2023-Financial-Results/</a> </p><p><br /></p>
<!--notionvc: e8cd0c94-2000-4299-9e77-1bb51e684a39-->Brucehttp://www.blogger.com/profile/05149672650241065616noreply@blogger.com0tag:blogger.com,1999:blog-1284112950008922665.post-31000577319187802842024-02-28T08:27:00.000-08:002024-02-28T08:27:33.789-08:00GPT4 Advice on a Client Report: Both Specific and Generic<p> I wrote a consulting report about US policies for US market entry of a European diagnostic product. I assume some readers are European (with only a distant grasp of US policy subtleties) and some readers are US based, but with a commercial focus, not policy experts who are used to reading illogical CMS rules.</p><p>Chat GPT4 gave me advice on a rewrite and some points to check. While it seemed quite specific to this draft report (sterilized to be unrecognizable below and with some fake facts), it's also advice that is entirely generic to any such report.</p><p>###</p><p style="background-color: white; border: 0px solid rgb(227, 227, 227); color: #0d0d0d; font-family: ui-sans-serif, system-ui, -apple-system, Roboto, Ubuntu, Cantarell, sans-serif, Arial, "UI UI"; font-size: 16px; margin: 0px 0px 1.25em; outline: none !important;">To enhance <b>the report </b>and address <b>the diverse audience's </b>needs, consider the following strategies:</p><ol style="background-color: white; border: 0px solid rgb(227, 227, 227); color: #0d0d0d; font-family: ui-sans-serif, system-ui, -apple-system, Roboto, Ubuntu, Cantarell, sans-serif, Arial, "UI UI"; font-size: 16px; list-style: none; margin: 1.25em 0px; outline: none !important; padding: 0px;"><li style="border: 0px solid rgb(227, 227, 227); display: block; margin-bottom: 0px; margin-top: 0px; min-height: 28px; outline: none !important; padding-left: 0.375em;"><p dir="ltr" style="border: 0px solid rgb(227, 227, 227); margin: 0px; outline: none !important;"><span style="border: 0px solid rgb(227, 227, 227); font-weight: 600; outline: none !important;">Simplify and Clarify U.S. Healthcare Policies:</span> Given the complexity of U.S. reimbursement policies for diagnostics, and their unfamiliarity to some Swiss readers, include a primer or glossary on key terms, abbreviations, and concepts. This could involve a simplified overview of the 14-day rule, differential PCR and NGS testing coverage, and other relevant policies. Use diagrams or tables to visually represent complex processes.</p></li><li style="border: 0px solid rgb(227, 227, 227); display: block; margin-bottom: 0px; margin-top: 0px; min-height: 28px; outline: none !important; padding-left: 0.375em;"><p style="border: 0px solid rgb(227, 227, 227); margin: 0px; outline: none !important;"><span style="border: 0px solid rgb(227, 227, 227); font-weight: 600; outline: none !important;"><br clear="none" style="outline: none !important;" /></span></p></li><li style="border: 0px solid rgb(227, 227, 227); display: block; margin-bottom: 0px; margin-top: 0px; min-height: 28px; outline: none !important; padding-left: 0.375em;"><p style="border: 0px solid rgb(227, 227, 227); margin: 0px; outline: none !important;"><span style="border: 0px solid rgb(227, 227, 227); font-weight: 600; outline: none !important;">Tailor Content for Different Audiences:</span> Create sections or sidebars that speak directly to the specific interests of your audiences. For the Swiss readers, contextualize how U.S. policies might compare or contrast with European ones, highlighting implications for international businesses. For the U.S.-based commercial audience, focus on actionable insights on navigating policy barriers and leveraging XYZ's benefits in their sales strategies.</p></li><li style="border: 0px solid rgb(227, 227, 227); display: block; margin-bottom: 0px; margin-top: 0px; min-height: 28px; outline: none !important; padding-left: 0.375em;"><p style="border: 0px solid rgb(227, 227, 227); margin: 0px; outline: none !important;"><span style="border: 0px solid rgb(227, 227, 227); font-weight: 600; outline: none !important;"><br clear="none" style="outline: none !important;" /></span></p></li><li style="border: 0px solid rgb(227, 227, 227); display: block; margin-bottom: 0px; margin-top: 0px; min-height: 28px; outline: none !important; padding-left: 0.375em;"><p style="border: 0px solid rgb(227, 227, 227); margin: 0px; outline: none !important;"><span style="border: 0px solid rgb(227, 227, 227); font-weight: 600; outline: none !important;">Incorporate Strategic Advice:</span> Utilize your expertise (as an MD, MBA) to offer strategic recommendations. This could include advice on forming partnerships with healthcare providers, strategies for engaging with policymakers or insurance companies, and tips for market penetration and scaling. Highlight case studies or scenarios where similar challenges were successfully navigated. What use cases offer the strongest financial returns for the commercial team, given your policy findings?</p></li><li style="border: 0px solid rgb(227, 227, 227); display: block; margin-bottom: 0px; margin-top: 0px; min-height: 28px; outline: none !important; padding-left: 0.375em;"><p style="border: 0px solid rgb(227, 227, 227); margin: 0px; outline: none !important;"><span style="border: 0px solid rgb(227, 227, 227); font-weight: 600; outline: none !important;"><br clear="none" style="outline: none !important;" /></span></p></li><li style="border: 0px solid rgb(227, 227, 227); display: block; margin-bottom: 0px; margin-top: 0px; min-height: 28px; outline: none !important; padding-left: 0.375em;"><p style="border: 0px solid rgb(227, 227, 227); margin: 0px; outline: none !important;"><span style="border: 0px solid rgb(227, 227, 227); font-weight: 600; outline: none !important;">Enhance Accessibility and Engagement:</span> Use <b>visual aids</b>, such as charts, infographics, and process flow diagrams, to make complex information more accessible and engaging. Consider adding a summary or key takeaways section at the end of each major section for quick reference.</p></li><li style="border: 0px solid rgb(227, 227, 227); display: block; margin-bottom: 0px; margin-top: 0px; min-height: 28px; outline: none !important; padding-left: 0.375em;"><p style="border: 0px solid rgb(227, 227, 227); margin: 0px; outline: none !important;"><span style="border: 0px solid rgb(227, 227, 227); font-weight: 600; outline: none !important;"><br clear="none" style="outline: none !important;" /></span></p></li><li style="border: 0px solid rgb(227, 227, 227); display: block; margin-bottom: 0px; margin-top: 0px; min-height: 28px; outline: none !important; padding-left: 0.375em;"><p style="border: 0px solid rgb(227, 227, 227); margin: 0px; outline: none !important;"><span style="border: 0px solid rgb(227, 227, 227); font-weight: 600; outline: none !important;">Strengthen the Evidence Base:</span> While your report likely already includes data supporting the use of XYZ, further bolstering this with additional studies, real-world examples, or cost-benefit analyses can strengthen your argument for policy reform and adoption.</p></li><li style="border: 0px solid rgb(227, 227, 227); display: block; margin-bottom: 0px; margin-top: 0px; min-height: 28px; outline: none !important; padding-left: 0.375em;"><p style="border: 0px solid rgb(227, 227, 227); margin: 0px; outline: none !important;"><span style="border: 0px solid rgb(227, 227, 227); font-weight: 600; outline: none !important;"><br clear="none" style="outline: none !important;" /></span></p></li><li style="border: 0px solid rgb(227, 227, 227); display: block; margin-bottom: 0px; margin-top: 0px; min-height: 28px; outline: none !important; padding-left: 0.375em;"><p style="border: 0px solid rgb(227, 227, 227); margin: 0px; outline: none !important;"><span style="border: 0px solid rgb(227, 227, 227); font-weight: 600; outline: none !important;">Interactive Elements for Digital Versions:</span> If the report is shared digitally, consider incorporating interactive elements like <b>hyperlinks</b> to studies, policy documents, or explanatory videos. This can enhance understanding and engagement, especially for complex topics.</p></li><li style="border: 0px solid rgb(227, 227, 227); display: block; margin-bottom: 0px; margin-top: 0px; min-height: 28px; outline: none !important; padding-left: 0.375em;"><p style="border: 0px solid rgb(227, 227, 227); margin: 0px; outline: none !important;"><span style="border: 0px solid rgb(227, 227, 227); font-weight: 600; outline: none !important;"><br clear="none" style="outline: none !important;" /></span></p></li><li style="border: 0px solid rgb(227, 227, 227); display: block; margin-bottom: 0px; margin-top: 0px; min-height: 28px; outline: none !important; padding-left: 0.375em;"><p style="border: 0px solid rgb(227, 227, 227); margin: 0px; outline: none !important;"><span style="border: 0px solid rgb(227, 227, 227); font-weight: 600; outline: none !important;">Feedback Loop:</span> Before finalizing, <b>gather feedback</b> from a small, diverse group of your target audience to identify any areas of confusion or additional information they might find useful. This can help <b>ensure</b> the report meets the needs and expectations of both your European and U.S.-based readers.</p></li></ol><p style="background-color: white; border: 0px solid rgb(227, 227, 227); color: #0d0d0d; font-family: ui-sans-serif, system-ui, -apple-system, Roboto, Ubuntu, Cantarell, sans-serif, Arial, "UI UI"; font-size: 16px; margin: 1.25em 0px 0px; outline: none !important;">Incorporating these suggestions can make your report more informative, accessible, and actionable for your intended audience, thereby increasing its impact and usefulness.</p>Brucehttp://www.blogger.com/profile/05149672650241065616noreply@blogger.com0tag:blogger.com,1999:blog-1284112950008922665.post-23017224511527325602024-02-25T09:12:00.000-08:002024-02-25T09:12:08.876-08:00Chicken Case Law Auto Summarized, Frigaliment 1960<p> </p><p><a href="https://law.justia.com/cases/federal/district-courts/FSupp/190/116/1622834/">https://law.justia.com/cases/federal/district-courts/FSupp/190/116/1622834/</a></p><p><br /></p><p>CHAT GPT 4</p><p><br /></p><p>The case of Frigaliment Importing Co. v. B.N.S. International Sales Corp. involves a dispute over the definition of "chicken" in two contracts for the sale of chicken from B.N.S. International Sales Corp., a New York sales corporation, to Frigaliment Importing Co., a Swiss corporation. The plaintiff, Frigaliment, argued that "chicken" should be understood to mean a young chicken, suitable for broiling and frying, while the defendant, B.N.S., contended that "chicken" encompassed any bird of that genus that met the contract specifications on weight and quality, including what could be termed as "stewing chicken" or "fowl."</p><p>The contracts in question were for the sale of US Fresh Frozen Chicken, Grade A, Government Inspected, with specific weight ranges, and were to be individually wrapped and packed for export. Upon receiving the shipments in Switzerland, Frigaliment found that the birds in the specified weight range were not young chickens but rather stewing chickens or "fowl," which led to their protest and subsequent legal action.</p><p>The court, led by Circuit Judge Friendly, focused on the interpretation of the term "chicken" in the contracts. After examining dictionary definitions, the context of the contracts, previous negotiations, industry standards, and regulations from the Department of Agriculture, Judge Friendly concluded that the term "chicken" was ambiguous and could encompass a wide range of birds, including stewing chickens, as per the defendant's interpretation.</p><p>Judge Friendly noted that in contract law, the agreement between parties is based on the external expressions (the words used) rather than the internal intentions. He pointed out that the plaintiff, Frigaliment, had not sufficiently demonstrated that the term "chicken" was used in the narrower sense of young chicken suitable for broiling and frying. The contracts did not explicitly limit the term to this narrower category, and industry practices and regulatory definitions supported a broader interpretation.</p><p>Furthermore, the court examined evidence regarding trade usage, negotiations between the parties, and the practical aspects of the poultry market at the time of the contracts. The judgment emphasized that the plaintiff bore the burden of proving that "chicken" was intended to mean young chicken exclusively, which it failed to do.</p><p>As a result, the court ruled in favor of the defendant, B.N.S. International Sales Corp., concluding that the term "chicken" in the contracts encompassed stewing chickens as well as young chickens. The complaint was dismissed with costs, and the judgment underscored the importance of clear and precise language in contract drafting, especially when dealing with terms that may have multiple interpretations within an industry or broader context</p>Brucehttp://www.blogger.com/profile/05149672650241065616noreply@blogger.com0tag:blogger.com,1999:blog-1284112950008922665.post-45525005754317461752024-02-23T11:39:00.000-08:002024-02-23T11:39:29.048-08:00<p>WSJ Critiques MOLDX vs BCBS (Feb 22 2024) </p><p><a href="https://www.wsj.com/articles/medicare-kidney-transplant-blood-tests-moldx-palmetto-bluecross-blueshield-b514102e?mod=hp_opin_pos_6#cxrecs_s">https://www.wsj.com/articles/medicare-kidney-transplant-blood-tests-moldx-palmetto-bluecross-blueshield-b514102e?mod=hp_opin_pos_6#cxrecs_s</a></p><p><br /></p><p>The BCBS policy is very, very easy to read</p><p><a href="https://www.southcarolinablues.com/web/public/brands/medicalpolicy/external/external-policies/transplant-rejection-testing/">https://www.southcarolinablues.com/web/public/brands/medicalpolicy/external/external-policies/transplant-rejection-testing/</a></p><p><br /></p><p>It is hard to tell that the surveillance testing is NOT covered from the Medicare policy</p><p><br /></p><p><a href="https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=38582&ver=7">https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=38582&ver=7</a></p><p><br /></p><p>BCBS TEXT</p><p><br /></p><p>For single-kidney transplant recipients who are 18 years of age or older and who are at least 14 days post-transplant, the use of donor-derived cell-free DNA tests (e.g., AlloSure Kidney) to assess the probability of allograft rejection is considered MEDICALLY NECESSARY at the following frequency:</p><p><br /></p><p>Once per month for individuals who are 1 – 4 months post-transplant.</p><p>Every 3 months for individuals who are greater than 6 months post-transplant.</p><p><br /></p><p>BUT</p><p><br /></p><p>For kidney transplant recipients with stable renal function, the use of peripheral blood microarray-based genomic tests that analyze gene expression profiles to rule out kidney transplant rejection (e.g., TruGraf) is considered NOT MEDICALLY NECESSARY.</p><p><br /></p><p>###</p><p>###</p><p>MOLDX TEXT</p><p><br /></p><p style="background-color: white; color: #323a45; font-family: Muli, Arial, sans-serif; font-size: 16px; margin-top: 0px; min-height: 0px; min-width: 0px; outline: none !important;">Molecular diagnostic tests that assess a transplanted allograft for rejection status are covered when ALL of the following criteria are met:</p><ul style="background-color: white; color: #323a45; font-family: Muli, Arial, sans-serif; font-size: 16px; margin-top: 0px; min-height: 0px; min-width: 0px; outline: none !important;"><li style="line-height: normal; min-height: 0px; min-width: 0px; outline: none !important;">The test must provide information about at least on of the two following clinical status determinations:<ul style="margin-bottom: 0px; margin-top: 0px; min-height: 0px; min-width: 0px; outline: none !important;"><li style="line-height: normal; min-height: 0px; min-width: 0px; outline: none !important;">AR status</li><li style="line-height: normal; min-height: 0px; min-width: 0px; outline: none !important;">Cellular or Anibody-mediated rejection (ACR or AMR) status</li></ul></li><li style="line-height: normal; min-height: 0px; min-width: 0px; outline: none !important;">The tintended use of the test must be:<ul style="margin-bottom: 0px; margin-top: 0px; min-height: 0px; min-width: 0px; outline: none !important;"><li style="min-height: 0px; min-width: 0px; outline: none !important;">To assist in the evaluation of adequacy of immunosuppression, wherein a non-invasive or minimally invasive test can be used in lieu of a tissue biopsy in a patient for whom information from a tissue biopsy would be used to make a management decision regarding immunosuppression, OR</li><li style="min-height: 0px; min-width: 0px; outline: none !important;">As a rule-out test for AR in validated populations of patients with clinical suspicion of rejection with a non-invasive or minimally invasive test to make a clinical decision regarding obtaining a biopsy, OR</li><li style="min-height: 0px; min-width: 0px; outline: none !important;">For further evaluation of allograft status for the probability of allograft rejection after a physician-assessed pretest, OR</li><li style="min-height: 0px; min-width: 0px; outline: none !important;">To assess rejection status in patients that have received a biopsy, but the biopsy results are inconclusive or limited by insufficient material.</li></ul></li><li style="min-height: 0px; min-width: 0px; outline: none !important;">The test demonstrates analytical validity (AV), including an analytical and clinical validation for any given measured analytes, and has demonstrated equivalence or superiority for sensitivity or specificity (depending on intended use) of detecting allograft rejection to other already-accepted tests for the same intended use measuring the same or directly comparable analytes.</li><li style="min-height: 0px; min-width: 0px; outline: none !important;">Clinical validity (CV) of any analytes (or expression profiles) measured must be established through a study published in the peer-reviewed literature for the intended use of the test in the intended population. The degree of validity must be similar or superior to established and covered tests (see associated coverage Articles). If conducted with concordance to tissue histologic evaluation the Banff Classification for renal allografts or other accepted criteria (if existing) for other organs must be used.</li><li style="min-height: 0px; min-width: 0px; outline: none !important;">The test is being used in a patient who is part of the population in which the test was analytically validated and has demonstrated CV.</li><li style="min-height: 0px; min-width: 0px; outline: none !important;">For a given patient encounter, only one molecular test for assessing allograft status may be performed UNLESS a second test, meeting all the criteria established herein, is reasonable and necessary as an adjunct to the first test.</li><li style="min-height: 0px; min-width: 0px; outline: none !important;">For minimally or non-invasive tests, the benefit to risk profile of the molecular test is considered by the ordering clinician to be more favorable than the benefit to risk profile of a tissue biopsy, or a tissue biopsy cannot be obtained. For example, this may be the case if a biopsy is considered medically contraindicated in a patient.</li><li style="line-height: normal; min-height: 0px; min-width: 0px; outline: none !important;">The test successfully completes a Technical Assessment that will ensure that AV, CV, and clincal utility criteria are set tin this policy are met to establish the test as REasonable and Necessary.</li></ul>Brucehttp://www.blogger.com/profile/05149672650241065616noreply@blogger.com0tag:blogger.com,1999:blog-1284112950008922665.post-34328457827850939122024-02-22T13:37:00.000-08:002024-02-22T13:41:39.270-08:00Perplexity and ASTRO Anti RO Model Letter (2021)<p><br /></p><p>Source blog, <a href="https://www.discoveriesinhealthpolicy.com/2024/02/nerd-note-cms-deepsixes-advanced.html">https://www.discoveriesinhealthpolicy.com/2024/02/nerd-note-cms-deepsixes-advanced.html</a></p><p>####</p><p><a href="https://www.perplexity.ai/search/This-letter-and-s9fHjARDT9O6Qe5PLaA_8Q?s=c" target="_blank"> https://www.perplexity.ai/search/This-letter-and-s9fHjARDT9O6Qe5PLaA_8Q?s=c</a></p><p>This letter and similar complaints led Congress to delay, and CMS to even further delate (to time unknown) the Radiation Oncology care model, which at one time, CMS had been quite ivestment in. Eventually it threw up its hands. What are the stakeholders asking for and what was it seemingly so effective (meaning this particular letter but also no doubt many similar targets and documents around Washington). Consider the fact that CMS often bulldozes through complaints</p><p><br /></p><p>Sources: Vide infra.</p><p>CMS home page</p><p><a href="https://www.cms.gov/priorities/innovation/innovation-models/radiation-oncology-model">https://www.cms.gov/priorities/innovation/innovation-models/radiation-oncology-model</a></p><p><i>The Protecting Medicare and American Farmers from Sequester Cuts Act (P.L. 117-71) enacted on December 10, 2021 included a provision that prohibits implementation of the Radiation Oncology Model prior to January 1, 2023. Thus, the RO Model did not begin on January 1, 2022. </i></p><p><i>On August 29, 2022, CMS published a final rule in the Federal Register, CMS-5527-F2, which finalized delaying the current start date of the RO Model to a date to be determined through future rulemaking. Please reference the final rule CMS-5527-F2....</i></p><p><br /></p><p>Answer</p><p>The letter sent to CMS on March 1, 2021, by the American College of Radiology (ACR), the American Society for Radiation Oncology (ASTRO), and other stakeholders in the radiation oncology community, outlines several key concerns and requests for changes to the Radiation Oncology (RO) Model. The effectiveness of this letter, and others like it, in influencing CMS's decision to delay the RO Model can be attributed to the detailed articulation of concerns regarding the model's potential impact on patient care, access, and the financial viability of radiation oncology practices. Below are the primary concerns and requests highlighted in the letter:</p><div class="flex items-center justify-between border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark bg-background dark:bg-backgroundDark" style="--tw-bg-opacity: 1; --tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; display: flex; font-size: 16px; justify-content: space-between;"><div class="mb-sm flex w-full items-center justify-between" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: flex; justify-content: space-between; margin-bottom: 8px; width: 674.656px;"><div style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"><div class="flex items-center space-x-sm" color="super" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: flex;"><h2 class="default font-display text-lg font-medium text-textMain dark:text-textMainDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-space-x-reverse: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(19 52 59/var(--tw-text-opacity)); font-family: var(--font-fk-grotesk),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 1.125rem; font-weight: 500; line-height: 1.75rem; margin-bottom: 0px; margin-left: calc(8px * calc(1 - var(--tw-space-x-reverse))); margin-right: calc(8px * var(--tw-space-x-reverse)); margin-top: 0px;">Answer</h2></div></div></div></div><div class="relative default font-sans text-base text-textMain dark:text-textMainDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; background-color: #fcfcf9; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; color: rgb(19 52 59/var(--tw-text-opacity)); font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 16px; line-height: 1.5rem; position: relative;"><div class="min-w-0 break-words [word-break:break-word]" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; min-width: 0px; overflow-wrap: break-word; word-break: break-word;"><div dir="auto" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"><div class="prose dark:prose-invert inline leading-normal break-words min-w-0 [word-break:break-word]" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-prose-body: #13343b; --tw-prose-bold: #13343b; --tw-prose-bullets: #64645f; --tw-prose-captions: #64645f; --tw-prose-code: #13343b; --tw-prose-counters: #64645f; --tw-prose-headings: #13343b; --tw-prose-hr: #d7d7ce; --tw-prose-invert-body: #e8e8e6; --tw-prose-invert-bold: #e8e8e6; --tw-prose-invert-bullets: #8f8f8f; --tw-prose-invert-captions: #e8e8e6; --tw-prose-invert-code: #e8e8e6; --tw-prose-invert-counters: #8f8f8f; --tw-prose-invert-headings: #e8e8e6; --tw-prose-invert-hr: #3b3b3b; --tw-prose-invert-kbd-shadows: 255 255 255; --tw-prose-invert-kbd: #fff; --tw-prose-invert-lead: #e8e8e6; --tw-prose-invert-links: #e8e8e6; --tw-prose-invert-pre-bg: #292927; --tw-prose-invert-pre-code: #e8e8e6; --tw-prose-invert-quote-borders: #3b3b3b; --tw-prose-invert-quotes: #e8e8e6; --tw-prose-invert-td-borders: #3b3b3b; --tw-prose-invert-th-borders: #3b3b3b; --tw-prose-kbd-shadows: 17 24 39; --tw-prose-kbd: #111827; --tw-prose-lead: #13343b; --tw-prose-links: #13343b; --tw-prose-pre-bg: #f3f3ee; --tw-prose-pre-code: #13343b; --tw-prose-quote-borders: #d7d7ce; --tw-prose-quotes: #13343b; --tw-prose-td-borders: #d7d7ce; --tw-prose-th-borders: #d7d7ce; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: var(--tw-prose-body); display: inline; font-size: 1rem; line-height: 1.5; max-width: 65ch; min-width: 0px; overflow-wrap: break-word; word-break: break-word;"><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; margin-top: 0px;">The letter sent to CMS on March 1, 2021, by the American College of Radiology (ACR), the American Society for Radiation Oncology (ASTRO), and other stakeholders in the radiation oncology community, outlines several key concerns and requests for changes to the Radiation Oncology (RO) Model. The effectiveness of this letter, and others like it, in influencing CMS's decision to delay the RO Model can be attributed to the detailed articulation of concerns regarding the model's potential impact on patient care, access, and the financial viability of radiation oncology practices. Below are the primary concerns and requests highlighted in the letter:</span><h4 style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: var(--tw-prose-headings); font-size: inherit; font-weight: 550; line-height: 1.5; margin: 1.5em 0px 0.5em;">Stakeholder Concerns</h4><ol class="list-outside list-decimal marker:font-mono marker:text-sm pl-11" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; list-style-image: initial; list-style-position: outside; margin: 0px; padding: 0px 0px 0px 2.75rem;"><li style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; margin-bottom: 0.5em; margin-top: 0.5em; padding-left: 0.375em;"><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; margin-top: 1.25em;"></span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"><span color="var(--tw-prose-bold)" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;">Focus on Savings Over Quality</span></span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;">: The stakeholders expressed concern that the RO Model prioritizes cost savings over patient access to high-quality care. They argue that the model's design could negatively impact access to care and the quality of services provided</span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"><span class="whitespace-nowrap" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; text-wrap: nowrap;"><span class="citation ml-xs inline" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: inline; margin-left: 4px;"><div class="inline-flex relative -top-[0.3rem] light font-sans text-base text-textOff dark:text-textOffDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(100 100 95/var(--tw-text-opacity)); display: inline-flex; font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 1rem; line-height: 1.5rem; position: relative; top: -0.3rem;"><span class="text-[0.60rem]" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; font-size: 0.6rem;"><div class="inline-flex h-[1rem] min-w-[1rem] px-[0.2em] rounded-full items-center justify-center text-center font-mono md:hover:text-white tabular-nums border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark transition duration-300 bg-offsetPlus dark:bg-offsetPlusDark md:hover:bg-super" style="--tw-bg-opacity: 1; --tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-numeric-spacing: tabular-nums; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; animation-duration: 0.3s; background-color: rgb(232 232 227/var(--tw-bg-opacity)); border-radius: 9999px; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; display: inline-flex; font-family: var(--font-berkeley-mono),ui-monospace,SFMono-Regular,monospace; font-variant-numeric: var(--tw-ordinal) var(--tw-slashed-zero) var(--tw-numeric-figure) var(--tw-numeric-spacing) var(--tw-numeric-fraction); height: 1rem; justify-content: center; min-width: 1rem; padding-left: 0.2em; padding-right: 0.2em; text-align: center; transition-duration: 0.3s; transition-property: color, background-color, border-color, text-decoration-color, fill, stroke, opacity, box-shadow, transform, filter, backdrop-filter, -webkit-backdrop-filter; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1);">1</div></span></div></span>.</span></span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"></span></span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; margin-bottom: 1.25em;"></span></li><li style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; margin-bottom: 0.5em; margin-top: 0.5em; padding-left: 0.375em;"><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; margin-top: 1.25em;"></span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"><span color="var(--tw-prose-bold)" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;">Lack of Transparency and Data Sharing</span></span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;">: The letter emphasizes the need for transparency and open dialogue with CMS, particularly regarding the data used to formulate the payment methodology. Stakeholders request access to this data to fully understand the model's impact and identify potential flaws</span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"><span class="whitespace-nowrap" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; text-wrap: nowrap;"><span class="citation ml-xs inline" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: inline; margin-left: 4px;"><div class="inline-flex relative -top-[0.3rem] light font-sans text-base text-textOff dark:text-textOffDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(100 100 95/var(--tw-text-opacity)); display: inline-flex; font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 1rem; line-height: 1.5rem; position: relative; top: -0.3rem;"><span class="text-[0.60rem]" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; font-size: 0.6rem;"><div class="inline-flex h-[1rem] min-w-[1rem] px-[0.2em] rounded-full items-center justify-center text-center font-mono md:hover:text-white tabular-nums border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark transition duration-300 bg-offsetPlus dark:bg-offsetPlusDark md:hover:bg-super" style="--tw-bg-opacity: 1; --tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-numeric-spacing: tabular-nums; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; animation-duration: 0.3s; background-color: rgb(232 232 227/var(--tw-bg-opacity)); border-radius: 9999px; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; display: inline-flex; font-family: var(--font-berkeley-mono),ui-monospace,SFMono-Regular,monospace; font-variant-numeric: var(--tw-ordinal) var(--tw-slashed-zero) var(--tw-numeric-figure) var(--tw-numeric-spacing) var(--tw-numeric-fraction); height: 1rem; justify-content: center; min-width: 1rem; padding-left: 0.2em; padding-right: 0.2em; text-align: center; transition-duration: 0.3s; transition-property: color, background-color, border-color, text-decoration-color, fill, stroke, opacity, box-shadow, transform, filter, backdrop-filter, -webkit-backdrop-filter; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1);">1</div></span></div></span>.</span></span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"></span></span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; margin-bottom: 1.25em;"></span></li><li style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; margin-bottom: 0.5em; margin-top: 0.5em; padding-left: 0.375em;"><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; margin-top: 1.25em;"></span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"><span color="var(--tw-prose-bold)" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;">Payment Methodology Concerns</span></span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;">: The letter criticizes the discount factors applied to the Professional Component (PC) and Technical Component (TC) of radiation oncology services, arguing that they do not adequately account for the significant investments required in technology and skilled staff. Stakeholders urge CMS to reduce the discount factors to ensure the financial viability of practices</span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"><span class="whitespace-nowrap" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; text-wrap: nowrap;"><span class="citation ml-xs inline" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: inline; margin-left: 4px;"><div class="inline-flex relative -top-[0.3rem] light font-sans text-base text-textOff dark:text-textOffDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(100 100 95/var(--tw-text-opacity)); display: inline-flex; font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 1rem; line-height: 1.5rem; position: relative; top: -0.3rem;"><span class="text-[0.60rem]" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; font-size: 0.6rem;"><div class="inline-flex h-[1rem] min-w-[1rem] px-[0.2em] rounded-full items-center justify-center text-center font-mono md:hover:text-white tabular-nums border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark transition duration-300 bg-offsetPlus dark:bg-offsetPlusDark md:hover:bg-super" style="--tw-bg-opacity: 1; --tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-numeric-spacing: tabular-nums; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; animation-duration: 0.3s; background-color: rgb(232 232 227/var(--tw-bg-opacity)); border-radius: 9999px; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; display: inline-flex; font-family: var(--font-berkeley-mono),ui-monospace,SFMono-Regular,monospace; font-variant-numeric: var(--tw-ordinal) var(--tw-slashed-zero) var(--tw-numeric-figure) var(--tw-numeric-spacing) var(--tw-numeric-fraction); height: 1rem; justify-content: center; min-width: 1rem; padding-left: 0.2em; padding-right: 0.2em; text-align: center; transition-duration: 0.3s; transition-property: color, background-color, border-color, text-decoration-color, fill, stroke, opacity, box-shadow, transform, filter, backdrop-filter, -webkit-backdrop-filter; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1);">1</div></span></div></span>.</span></span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"></span></span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; margin-bottom: 1.25em;"></span></li><li style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; margin-bottom: 0.5em; margin-top: 0.5em; padding-left: 0.375em;"><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; margin-top: 1.25em;"></span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"><span color="var(--tw-prose-bold)" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;">National Base Rates and Case Mix Adjustment</span></span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;">: Concerns were raised about the methodology used to calculate National Base Rates and the inclusion of palliative care cases, which could undervalue the cost of curative cases. Stakeholders also request a COVID-19 adjustment to account for treatment delays and more advanced stage disease presentations</span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"><span class="whitespace-nowrap" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; text-wrap: nowrap;"><span class="citation ml-xs inline" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: inline; margin-left: 4px;"><div class="inline-flex relative -top-[0.3rem] light font-sans text-base text-textOff dark:text-textOffDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(100 100 95/var(--tw-text-opacity)); display: inline-flex; font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 1rem; line-height: 1.5rem; position: relative; top: -0.3rem;"><span class="text-[0.60rem]" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; font-size: 0.6rem;"><div class="inline-flex h-[1rem] min-w-[1rem] px-[0.2em] rounded-full items-center justify-center text-center font-mono md:hover:text-white tabular-nums border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark transition duration-300 bg-offsetPlus dark:bg-offsetPlusDark md:hover:bg-super" style="--tw-bg-opacity: 1; --tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-numeric-spacing: tabular-nums; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; animation-duration: 0.3s; background-color: rgb(232 232 227/var(--tw-bg-opacity)); border-radius: 9999px; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; display: inline-flex; font-family: var(--font-berkeley-mono),ui-monospace,SFMono-Regular,monospace; font-variant-numeric: var(--tw-ordinal) var(--tw-slashed-zero) var(--tw-numeric-figure) var(--tw-numeric-spacing) var(--tw-numeric-fraction); height: 1rem; justify-content: center; min-width: 1rem; padding-left: 0.2em; padding-right: 0.2em; text-align: center; transition-duration: 0.3s; transition-property: color, background-color, border-color, text-decoration-color, fill, stroke, opacity, box-shadow, transform, filter, backdrop-filter, -webkit-backdrop-filter; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1);">1</div></span></div></span>.</span></span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"></span></span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; margin-bottom: 1.25em;"></span></li><li style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; margin-bottom: 0.5em; margin-top: 0.5em; padding-left: 0.375em;"><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; margin-top: 1.25em;"></span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"><span color="var(--tw-prose-bold)" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;">Quality Reporting Requirements</span></span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;">: The letter describes the new quality and clinical data collection and reporting requirements as burdensome, especially for small and rural practices. Stakeholders suggest a stepped approach to implementation and accommodations for small and rural practices</span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"><span class="whitespace-nowrap" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; text-wrap: nowrap;"><span class="citation ml-xs inline" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: inline; margin-left: 4px;"><div class="inline-flex relative -top-[0.3rem] light font-sans text-base text-textOff dark:text-textOffDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(100 100 95/var(--tw-text-opacity)); display: inline-flex; font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 1rem; line-height: 1.5rem; position: relative; top: -0.3rem;"><span class="text-[0.60rem]" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; font-size: 0.6rem;"><div class="inline-flex h-[1rem] min-w-[1rem] px-[0.2em] rounded-full items-center justify-center text-center font-mono md:hover:text-white tabular-nums border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark transition duration-300 bg-offsetPlus dark:bg-offsetPlusDark md:hover:bg-super" style="--tw-bg-opacity: 1; --tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-numeric-spacing: tabular-nums; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; animation-duration: 0.3s; background-color: rgb(232 232 227/var(--tw-bg-opacity)); border-radius: 9999px; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; display: inline-flex; font-family: var(--font-berkeley-mono),ui-monospace,SFMono-Regular,monospace; font-variant-numeric: var(--tw-ordinal) var(--tw-slashed-zero) var(--tw-numeric-figure) var(--tw-numeric-spacing) var(--tw-numeric-fraction); height: 1rem; justify-content: center; min-width: 1rem; padding-left: 0.2em; padding-right: 0.2em; text-align: center; transition-duration: 0.3s; transition-property: color, background-color, border-color, text-decoration-color, fill, stroke, opacity, box-shadow, transform, filter, backdrop-filter, -webkit-backdrop-filter; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1);">1</div></span></div></span>.</span></span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"></span></span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; margin-bottom: 1.25em;"></span></li></ol><h4 style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: var(--tw-prose-headings); font-size: inherit; font-weight: 550; line-height: 1.5; margin: 1.5em 0px 0.5em;">Requests for Changes</h4><ul class="list-outside list-disc pl-8" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; list-style-image: initial; list-style-position: outside; margin: 0px; padding: 0px 0px 0px 2rem;"><li style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; margin-bottom: 0.5em; margin-top: 0.5em; padding-left: 0.375em;"><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; margin-top: 1.25em;"><span color="var(--tw-prose-bold)" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;">Reduction of Discount Factors</span></span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;">: Stakeholders request that CMS reduce the discount factors to 3% or less to maintain the financial viability of radiation oncology practices</span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"><span class="whitespace-nowrap" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; text-wrap: nowrap;"><span class="citation ml-xs inline" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: inline; margin-left: 4px;"><div class="inline-flex relative -top-[0.3rem] light font-sans text-base text-textOff dark:text-textOffDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(100 100 95/var(--tw-text-opacity)); display: inline-flex; font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 1rem; line-height: 1.5rem; position: relative; top: -0.3rem;"><span class="text-[0.60rem]" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; font-size: 0.6rem;"><div class="inline-flex h-[1rem] min-w-[1rem] px-[0.2em] rounded-full items-center justify-center text-center font-mono md:hover:text-white tabular-nums border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark transition duration-300 bg-offsetPlus dark:bg-offsetPlusDark md:hover:bg-super" style="--tw-bg-opacity: 1; --tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-numeric-spacing: tabular-nums; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; animation-duration: 0.3s; background-color: rgb(232 232 227/var(--tw-bg-opacity)); border-radius: 9999px; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; display: inline-flex; font-family: var(--font-berkeley-mono),ui-monospace,SFMono-Regular,monospace; font-variant-numeric: var(--tw-ordinal) var(--tw-slashed-zero) var(--tw-numeric-figure) var(--tw-numeric-spacing) var(--tw-numeric-fraction); height: 1rem; justify-content: center; min-width: 1rem; padding-left: 0.2em; padding-right: 0.2em; text-align: center; transition-duration: 0.3s; transition-property: color, background-color, border-color, text-decoration-color, fill, stroke, opacity, box-shadow, transform, filter, backdrop-filter, -webkit-backdrop-filter; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1);">1</div></span></div></span>.</span></span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; margin-bottom: 1.25em;"></span></li><li style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; margin-bottom: 0.5em; margin-top: 0.5em; padding-left: 0.375em;"><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; margin-top: 1.25em;"><span color="var(--tw-prose-bold)" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;">Revaluation of National Base Rates</span></span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;">: They urge CMS to revalue the National Base Rates based on cases with curative intent and to establish a separate episode of care for palliative treatment</span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"><span class="whitespace-nowrap" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; text-wrap: nowrap;"><span class="citation ml-xs inline" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: inline; margin-left: 4px;"><div class="inline-flex relative -top-[0.3rem] light font-sans text-base text-textOff dark:text-textOffDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(100 100 95/var(--tw-text-opacity)); display: inline-flex; font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 1rem; line-height: 1.5rem; position: relative; top: -0.3rem;"><span class="text-[0.60rem]" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; font-size: 0.6rem;"><div class="inline-flex h-[1rem] min-w-[1rem] px-[0.2em] rounded-full items-center justify-center text-center font-mono md:hover:text-white tabular-nums border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark transition duration-300 bg-offsetPlus dark:bg-offsetPlusDark md:hover:bg-super" style="--tw-bg-opacity: 1; --tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-numeric-spacing: tabular-nums; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; animation-duration: 0.3s; background-color: rgb(232 232 227/var(--tw-bg-opacity)); border-radius: 9999px; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; display: inline-flex; font-family: var(--font-berkeley-mono),ui-monospace,SFMono-Regular,monospace; font-variant-numeric: var(--tw-ordinal) var(--tw-slashed-zero) var(--tw-numeric-figure) var(--tw-numeric-spacing) var(--tw-numeric-fraction); height: 1rem; justify-content: center; min-width: 1rem; padding-left: 0.2em; padding-right: 0.2em; text-align: center; transition-duration: 0.3s; transition-property: color, background-color, border-color, text-decoration-color, fill, stroke, opacity, box-shadow, transform, filter, backdrop-filter, -webkit-backdrop-filter; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1);">1</div></span></div></span>.</span></span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; margin-bottom: 1.25em;"></span></li><li style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; margin-bottom: 0.5em; margin-top: 0.5em; padding-left: 0.375em;"><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; margin-top: 1.25em;"><span color="var(--tw-prose-bold)" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;">Transparency and Data Sharing</span></span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;">: The letter calls for greater transparency and data sharing regarding the payment methodology and the data used to formulate it</span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"><span class="whitespace-nowrap" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; text-wrap: nowrap;"><span class="citation ml-xs inline" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: inline; margin-left: 4px;"><div class="inline-flex relative -top-[0.3rem] light font-sans text-base text-textOff dark:text-textOffDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(100 100 95/var(--tw-text-opacity)); display: inline-flex; font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 1rem; line-height: 1.5rem; position: relative; top: -0.3rem;"><span class="text-[0.60rem]" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; font-size: 0.6rem;"><div class="inline-flex h-[1rem] min-w-[1rem] px-[0.2em] rounded-full items-center justify-center text-center font-mono md:hover:text-white tabular-nums border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark transition duration-300 bg-offsetPlus dark:bg-offsetPlusDark md:hover:bg-super" style="--tw-bg-opacity: 1; --tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-numeric-spacing: tabular-nums; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; animation-duration: 0.3s; background-color: rgb(232 232 227/var(--tw-bg-opacity)); border-radius: 9999px; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; display: inline-flex; font-family: var(--font-berkeley-mono),ui-monospace,SFMono-Regular,monospace; font-variant-numeric: var(--tw-ordinal) var(--tw-slashed-zero) var(--tw-numeric-figure) var(--tw-numeric-spacing) var(--tw-numeric-fraction); height: 1rem; justify-content: center; min-width: 1rem; padding-left: 0.2em; padding-right: 0.2em; text-align: center; transition-duration: 0.3s; transition-property: color, background-color, border-color, text-decoration-color, fill, stroke, opacity, box-shadow, transform, filter, backdrop-filter, -webkit-backdrop-filter; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1);">1</div></span></div></span>.</span></span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; margin-bottom: 1.25em;"></span></li><li style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; margin-bottom: 0.5em; margin-top: 0.5em; padding-left: 0.375em;"><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; margin-top: 1.25em;"><span color="var(--tw-prose-bold)" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;">Adjustments for COVID-19 Impact</span></span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;">: Stakeholders request adjustments to account for the impact of COVID-19 on patient presentations and treatment delays</span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"><span class="whitespace-nowrap" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; text-wrap: nowrap;"><span class="citation ml-xs inline" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: inline; margin-left: 4px;"><div class="inline-flex relative -top-[0.3rem] light font-sans text-base text-textOff dark:text-textOffDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(100 100 95/var(--tw-text-opacity)); display: inline-flex; font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 1rem; line-height: 1.5rem; position: relative; top: -0.3rem;"><span class="text-[0.60rem]" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; font-size: 0.6rem;"><div class="inline-flex h-[1rem] min-w-[1rem] px-[0.2em] rounded-full items-center justify-center text-center font-mono md:hover:text-white tabular-nums border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark transition duration-300 bg-offsetPlus dark:bg-offsetPlusDark md:hover:bg-super" style="--tw-bg-opacity: 1; --tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-numeric-spacing: tabular-nums; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; animation-duration: 0.3s; background-color: rgb(232 232 227/var(--tw-bg-opacity)); border-radius: 9999px; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; display: inline-flex; font-family: var(--font-berkeley-mono),ui-monospace,SFMono-Regular,monospace; font-variant-numeric: var(--tw-ordinal) var(--tw-slashed-zero) var(--tw-numeric-figure) var(--tw-numeric-spacing) var(--tw-numeric-fraction); height: 1rem; justify-content: center; min-width: 1rem; padding-left: 0.2em; padding-right: 0.2em; text-align: center; transition-duration: 0.3s; transition-property: color, background-color, border-color, text-decoration-color, fill, stroke, opacity, box-shadow, transform, filter, backdrop-filter, -webkit-backdrop-filter; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1);">1</div></span></div></span>.</span></span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; margin-bottom: 1.25em;"></span></li><li style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; margin-bottom: 0.5em; margin-top: 0.5em; padding-left: 0.375em;"><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; margin-top: 1.25em;"><span color="var(--tw-prose-bold)" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;">Consideration for New Equipment and Service Lines</span></span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;">: The letter asks CMS to recognize the need for investments in new technology and service lines, suggesting a rate review mechanism to support these investments</span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"><span class="whitespace-nowrap" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; text-wrap: nowrap;"><span class="citation ml-xs inline" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: inline; margin-left: 4px;"><div class="inline-flex relative -top-[0.3rem] light font-sans text-base text-textOff dark:text-textOffDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(100 100 95/var(--tw-text-opacity)); display: inline-flex; font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 1rem; line-height: 1.5rem; position: relative; top: -0.3rem;"><span class="text-[0.60rem]" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; font-size: 0.6rem;"><div class="inline-flex h-[1rem] min-w-[1rem] px-[0.2em] rounded-full items-center justify-center text-center font-mono md:hover:text-white tabular-nums border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark transition duration-300 bg-offsetPlus dark:bg-offsetPlusDark md:hover:bg-super" style="--tw-bg-opacity: 1; --tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-numeric-spacing: tabular-nums; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; animation-duration: 0.3s; background-color: rgb(232 232 227/var(--tw-bg-opacity)); border-radius: 9999px; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; display: inline-flex; font-family: var(--font-berkeley-mono),ui-monospace,SFMono-Regular,monospace; font-variant-numeric: var(--tw-ordinal) var(--tw-slashed-zero) var(--tw-numeric-figure) var(--tw-numeric-spacing) var(--tw-numeric-fraction); height: 1rem; justify-content: center; min-width: 1rem; padding-left: 0.2em; padding-right: 0.2em; text-align: center; transition-duration: 0.3s; transition-property: color, background-color, border-color, text-decoration-color, fill, stroke, opacity, box-shadow, transform, filter, backdrop-filter, -webkit-backdrop-filter; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1);">1</div></span></div></span>.</span></span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; margin-bottom: 1.25em;"></span></li></ul><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"><div dir="auto" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"><div class="prose dark:prose-invert inline leading-normal break-words min-w-0 [word-break:break-word]" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-prose-body: #13343b; --tw-prose-bold: #13343b; --tw-prose-bullets: #64645f; --tw-prose-captions: #64645f; --tw-prose-code: #13343b; --tw-prose-counters: #64645f; --tw-prose-headings: #13343b; --tw-prose-hr: #d7d7ce; --tw-prose-invert-body: #e8e8e6; --tw-prose-invert-bold: #e8e8e6; --tw-prose-invert-bullets: #8f8f8f; --tw-prose-invert-captions: #e8e8e6; --tw-prose-invert-code: #e8e8e6; --tw-prose-invert-counters: #8f8f8f; --tw-prose-invert-headings: #e8e8e6; --tw-prose-invert-hr: #3b3b3b; --tw-prose-invert-kbd-shadows: 255 255 255; --tw-prose-invert-kbd: #fff; --tw-prose-invert-lead: #e8e8e6; --tw-prose-invert-links: #e8e8e6; --tw-prose-invert-pre-bg: #292927; --tw-prose-invert-pre-code: #e8e8e6; --tw-prose-invert-quote-borders: #3b3b3b; --tw-prose-invert-quotes: #e8e8e6; --tw-prose-invert-td-borders: #3b3b3b; --tw-prose-invert-th-borders: #3b3b3b; --tw-prose-kbd-shadows: 17 24 39; --tw-prose-kbd: #111827; --tw-prose-lead: #13343b; --tw-prose-links: #13343b; --tw-prose-pre-bg: #f3f3ee; --tw-prose-pre-code: #13343b; --tw-prose-quote-borders: #d7d7ce; --tw-prose-quotes: #13343b; --tw-prose-td-borders: #d7d7ce; --tw-prose-th-borders: #d7d7ce; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: var(--tw-prose-body); display: inline; font-size: 1rem; line-height: 1.5; max-width: 65ch; min-width: 0px; overflow-wrap: break-word; word-break: break-word;"><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"><br /></span></div></div><b>The effectiveness of this letter in delaying the RO Model likely stems from its comprehensive detailing of the stakeholders' concerns, the broad coalition of organizations involved, and the constructive suggestions for improving the model to better balance cost savings with the quality of patient care. </b>The letter leverages the collective voice of the radiation oncology community, including practitioners, patient advocates, and industry representatives, to make a compelling case for reevaluation and modification of the RO Model</span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"><span class="citation ml-xs inline" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: inline; margin-left: 4px;"><div class="inline-flex relative -top-[0.3rem] light font-sans text-base text-textOff dark:text-textOffDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(100 100 95/var(--tw-text-opacity)); display: inline-flex; font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 1rem; line-height: 1.5rem; position: relative; top: -0.3rem;"><span class="text-[0.60rem]" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; font-size: 0.6rem;"><div class="inline-flex h-[1rem] min-w-[1rem] px-[0.2em] rounded-full items-center justify-center text-center font-mono md:hover:text-white tabular-nums border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark transition duration-300 bg-offsetPlus dark:bg-offsetPlusDark md:hover:bg-super" style="--tw-bg-opacity: 1; --tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-numeric-spacing: tabular-nums; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; animation-duration: 0.3s; background-color: rgb(232 232 227/var(--tw-bg-opacity)); border-radius: 9999px; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; display: inline-flex; font-family: var(--font-berkeley-mono),ui-monospace,SFMono-Regular,monospace; font-variant-numeric: var(--tw-ordinal) var(--tw-slashed-zero) var(--tw-numeric-figure) var(--tw-numeric-spacing) var(--tw-numeric-fraction); height: 1rem; justify-content: center; min-width: 1rem; padding-left: 0.2em; padding-right: 0.2em; text-align: center; transition-duration: 0.3s; transition-property: color, background-color, border-color, text-decoration-color, fill, stroke, opacity, box-shadow, transform, filter, backdrop-filter, -webkit-backdrop-filter; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1);">1</div></span></div></span></span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"><span class="whitespace-nowrap" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; text-wrap: nowrap;"><a class="citation ml-xs inline" href="https://www.acr.org/Advocacy-and-Economics/Advocacy-News/Advocacy-News-Issues/In-the-March-6-2021-Issue/Stakeholders-Send-RO-Model-Letter-to-CMS" rel="noopener noreferrer" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: inline; margin-left: 4px; text-decoration-line: none;" target="_blank"><div class="inline-flex relative -top-[0.3rem] light font-sans text-base text-textOff dark:text-textOffDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(100 100 95/var(--tw-text-opacity)); display: inline-flex; font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 1rem; line-height: 1.5rem; position: relative; top: -0.3rem;"><span class="text-[0.60rem]" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; font-size: 0.6rem;"><div class="inline-flex h-[1rem] min-w-[1rem] px-[0.2em] rounded-full items-center justify-center text-center font-mono md:hover:text-white tabular-nums border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark transition duration-300 bg-offsetPlus dark:bg-offsetPlusDark md:hover:bg-super" style="--tw-bg-opacity: 1; --tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-numeric-spacing: tabular-nums; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; animation-duration: 0.3s; background-color: rgb(232 232 227/var(--tw-bg-opacity)); border-radius: 9999px; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; display: inline-flex; font-family: var(--font-berkeley-mono),ui-monospace,SFMono-Regular,monospace; font-variant-numeric: var(--tw-ordinal) var(--tw-slashed-zero) var(--tw-numeric-figure) var(--tw-numeric-spacing) var(--tw-numeric-fraction); height: 1rem; justify-content: center; min-width: 1rem; padding-left: 0.2em; padding-right: 0.2em; text-align: center; transition-duration: 0.3s; transition-property: color, background-color, border-color, text-decoration-color, fill, stroke, opacity, box-shadow, transform, filter, backdrop-filter, -webkit-backdrop-filter; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1);">2</div></span></div></a>.</span></span></div></div></div></div><p>Focus on Savings Over Quality: The stakeholders expressed concern that the RO Model prioritizes cost savings over patient access to high-quality care. They argue that the model's design could negatively impact access to care and the quality of services provided</p><p>1</p><p>.</p><p>Lack of Transparency and Data Sharing: The letter emphasizes the need for transparency and open dialogue with CMS, particularly regarding the data used to formulate the payment methodology. Stakeholders request access to this data to fully understand the model's impact and identify potential flaws</p><p>1</p><p>.</p><p>Payment Methodology Concerns: The letter criticizes the discount factors applied to the Professional Component (PC) and Technical Component (TC) of radiation oncology services, arguing that they do not adequately account for the significant investments required in technology and skilled staff. Stakeholders urge CMS to reduce the discount factors to ensure the financial viability of practices</p><p>1</p><p>.</p><p>National Base Rates and Case Mix Adjustment: Concerns were raised about the methodology used to calculate National Base Rates and the inclusion of palliative care cases, which could undervalue the cost of curative cases. Stakeholders also request a COVID-19 adjustment to account for treatment delays and more advanced stage disease presentations</p><p>1</p><p>.</p><p>Quality Reporting Requirements: The letter describes the new quality and clinical data collection and reporting requirements as burdensome, especially for small and rural practices. Stakeholders suggest a stepped approach to implementation and accommodations for small and rural practices</p><p>1</p><p>.</p><p><b>Requests for Changes</b></p><p>Reduction of Discount Factors: Stakeholders request that CMS reduce the discount factors to 3% or less to maintain the financial viability of radiation oncology practices</p><p>1</p><p>.</p><p>Revaluation of National Base Rates: They urge CMS to revalue the National Base Rates based on cases with curative intent and to establish a separate episode of care for palliative treatment</p><p>1</p><p>.</p><p>Transparency and Data Sharing: The letter calls for greater transparency and data sharing regarding the payment methodology and the data used to formulate it</p><p>1</p><p>.</p><p>Adjustments for COVID-19 Impact: Stakeholders request adjustments to account for the impact of COVID-19 on patient presentations and treatment delays</p><p>1</p><p>.</p><p>Consideration for New Equipment and Service Lines: The letter asks CMS to recognize the need for investments in new technology and service lines, suggesting a rate review mechanism to support these investments</p><p>1</p><p>.</p><p><b>The effectiveness of this letter in delaying the RO Model likely stems from its comprehensive detailing of the stakeholders' concerns</b>, the broad coalition of organizations involved, and the constructive suggestions for improving the model to better balance cost savings with the quality of patient care. The letter leverages the collective voice of the radiation oncology community, including practitioners, patient advocates, and industry representatives, to make a compelling case for reevaluation and modification of the RO Model</p><p>1</p><p>2</p><p><br /></p><p>####</p><p>SOURCES</p><p>There were 14 sources. They appear in a side panel that is blocked from copy paste.</p><p><br /></p><p></p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/a/AVvXsEiAJQYcWAqakkkYLGc4Oiuf-TLeDJyy-iu5A4YjdEWB6Az2F0cTc1C817vBMV_Mto-MLqWo1wGe9ws8HPhofe2yNelElXEkmdQv99zjTs_zcVdHYexPDsFE3geocTEjJLgNjNAMQs9wipITg2kdH7iyOYFeBvYEEYgwCt7UhHhKgPXQteXWSRpRkzYLjdU" style="margin-left: 1em; margin-right: 1em;"><img alt="" data-original-height="456" data-original-width="480" height="240" src="https://blogger.googleusercontent.com/img/a/AVvXsEiAJQYcWAqakkkYLGc4Oiuf-TLeDJyy-iu5A4YjdEWB6Az2F0cTc1C817vBMV_Mto-MLqWo1wGe9ws8HPhofe2yNelElXEkmdQv99zjTs_zcVdHYexPDsFE3geocTEjJLgNjNAMQs9wipITg2kdH7iyOYFeBvYEEYgwCt7UhHhKgPXQteXWSRpRkzYLjdU" width="253" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/a/AVvXsEjuHFkhEP9purlDMNMK3A8AvVt9uvwOMTjYal9nBInVD938bggJFJ9g7Bo2ZqnUOeu5rqBmsQ4QpQjd3y0teCFkNcoKSkNBJmD7I9p4yyC_5nx3sRpFYHtgodhO0YGScEVltT4vYSReLbfNZeCpMObaDeV9GQGyeRvGYN0VxdvLhtGJZ_r5RCr5XitZAXA" style="margin-left: 1em; margin-right: 1em;"><img alt="" data-original-height="712" data-original-width="460" height="330" src="https://blogger.googleusercontent.com/img/a/AVvXsEjuHFkhEP9purlDMNMK3A8AvVt9uvwOMTjYal9nBInVD938bggJFJ9g7Bo2ZqnUOeu5rqBmsQ4QpQjd3y0teCFkNcoKSkNBJmD7I9p4yyC_5nx3sRpFYHtgodhO0YGScEVltT4vYSReLbfNZeCpMObaDeV9GQGyeRvGYN0VxdvLhtGJZ_r5RCr5XitZAXA=w213-h330" width="213" /></a></div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/a/AVvXsEgKkceepfl7xgqWAbbR3-O4PVDHAgx7JCESspf_axpe_SKbiuH7-1PScPMmMaPEtbE4gB5xScGLBErNE5QYljEBMFJHhDn0eZh7KqU8hwxXw7NJyJTmFBKAwmcDmttIMDdYK1xxpbsuW5ACS_ueFwxqpKlmy6QusDFlJDh5Cy4ifTWniU9yiLUvS1qKP5w" style="margin-left: 1em; margin-right: 1em;"><img alt="" data-original-height="706" data-original-width="437" height="290" src="https://blogger.googleusercontent.com/img/a/AVvXsEgKkceepfl7xgqWAbbR3-O4PVDHAgx7JCESspf_axpe_SKbiuH7-1PScPMmMaPEtbE4gB5xScGLBErNE5QYljEBMFJHhDn0eZh7KqU8hwxXw7NJyJTmFBKAwmcDmttIMDdYK1xxpbsuW5ACS_ueFwxqpKlmy6QusDFlJDh5Cy4ifTWniU9yiLUvS1qKP5w=w262-h290" width="262" /></a></div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/a/AVvXsEgyjbO3hmOMzU3tWMGWIFA4nCUCTrbWYkKN8gPSjbg0rSFmR9yqFS2bcU6RhS1t9BwbUm8P6fIboD_etVIIQmud897B_MqBYaiFXaVVCymt3sRP1NtZkUyt7o8x3WXGbR1DnvzISGSt5kNajgLLwtf0ZREwE9m195k_PQEcmldxUoD3LhiVdCnuDIcIRaU" style="margin-left: 1em; margin-right: 1em;"><img alt="" data-original-height="317" data-original-width="465" height="218" src="https://blogger.googleusercontent.com/img/a/AVvXsEgyjbO3hmOMzU3tWMGWIFA4nCUCTrbWYkKN8gPSjbg0rSFmR9yqFS2bcU6RhS1t9BwbUm8P6fIboD_etVIIQmud897B_MqBYaiFXaVVCymt3sRP1NtZkUyt7o8x3WXGbR1DnvzISGSt5kNajgLLwtf0ZREwE9m195k_PQEcmldxUoD3LhiVdCnuDIcIRaU" width="320" /></a></div><br /><br /><br /><br /><p></p><p><br /></p><p>.</p>Brucehttp://www.blogger.com/profile/05149672650241065616noreply@blogger.com0tag:blogger.com,1999:blog-1284112950008922665.post-81984697321775884932024-02-16T15:52:00.000-08:002024-02-16T15:52:59.266-08:00CAP Table of Dig Path Codes<p><a href="https://www.cap.org/advocacy/payments-for-pathology-services/digital-pathology-codes" target="_blank"> https://www.cap.org/advocacy/payments-for-pathology-services/digital-pathology-codes</a></p>Brucehttp://www.blogger.com/profile/05149672650241065616noreply@blogger.com0tag:blogger.com,1999:blog-1284112950008922665.post-62313238121659748472024-02-15T13:37:00.000-08:002024-02-15T13:50:40.081-08:00PERPLEXITY and the HHS ONC RULE on AI & PREDICTIVE ALGORITHMS for EHRs<p><span style="white-space-collapse: preserve;"><b>In December 2023, HHS released a major, very important rule about AI and Predictive Algorithms (broadly defined) in EHRs. See <a href="https://www.hhs.gov/about/news/2023/12/13/hhs-finalizes-rule-to-advance-health-it-interoperability-and-algorithm-transparency.html" target="_blank">press release</a>. See <a href="https://www.hhs.gov/hipaa/for-professionals/security/laws-regulations/index.html" target="_blank">fact summary</a>. See <a href="https://www.federalregister.gov/documents/2024/01/09/2023-28857/health-data-technology-and-interoperability-certification-program-updates-algorithm-transparency-and" target="_blank">Federal Register</a>. See PDF, 247pp (Dense!) <a href="https://www.govinfo.gov/content/pkg/FR-2024-01-09/pdf/2023-28857.pdf" target="_blank">here</a>.</b></span></p><p><span style="white-space-collapse: preserve;"><b>Here is a go-to detailed article on the requirements:</b></span></p><p><span style="white-space-collapse: preserve;"><b><a href="https://www.mintz.com/insights-center/viewpoints/2146/2024-01-08-hhs-onc-hti-1-final-rule-introduces-new-transparency">https://www.mintz.com/insights-center/viewpoints/2146/2024-01-08-hhs-onc-hti-1-final-rule-introduces-new-transparency</a></b></span></p><p><span face="var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"" style="font-size: 1rem; white-space-collapse: preserve;"><b><span>As an AI experiment, I asked PERPLEXITY, an AI resource with a free tier, to summarize the rule.</span></b></span></p><p><span face="var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"" style="font-size: 1rem; white-space-collapse: preserve;"><b><span style="color: #990000;"><br /></span></b></span></p><p><span face="var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"" style="font-size: 1rem; white-space-collapse: preserve;"><b><span style="color: #990000;">###</span></b></span></p><p><span face="var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"" style="font-size: 1rem; white-space-collapse: preserve;"><b><span style="color: #990000;">In the last few weeks, the Department of health and human services issued a massive couple hundred page rule about health system, IT security and electronic health records, including a great deal of requirements for artificial intelligence or algorithms that are predictive. </span></b></span></p><p><span face="var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"" style="font-size: 1rem; white-space-collapse: preserve;"><b><span style="color: #990000;">Can you discuss?</span></b></span></p><div style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; font-size: 16px;"><div class="pb-lg border-b border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark bg-transparent" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; 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--tw-translate-x: 0; --tw-translate-y: 0; align-items: center; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; column-gap: 8px; display: flex; font-family: var(--font-fk-grotesk),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 1.125rem; line-height: 1.75rem; margin: 0px;"><svg aria-hidden="true" class="svg-inline--fa fa-star-christmas" data-icon="star-christmas" data-prefix="far" focusable="false" role="img" viewbox="0 0 512 512" xmlns="http://www.w3.org/2000/svg"></svg><span style="color: #990000;"><path d="M279.2 17.9C276.5 7.4 266.9 0 256 0s-20.5 7.4-23.2 17.9L188.3 188.3 17.9 232.8C7.4 235.5 0 245.1 0 256s7.4 20.5 17.9 23.2l170.4 44.4 44.4 170.4c2.8 10.6 12.3 17.9 23.2 17.9s20.5-7.4 23.2-17.9l44.4-170.4 170.4-44.4c10.6-2.8 17.9-12.3 17.9-23.2s-7.4-20.5-17.9-23.2L323.7 188.3 279.2 17.9zm-48 196.1l24.8-95 24.8 95c2.2 8.4 8.8 15 17.2 17.2l95 24.8-95 24.8c-8.4 2.2-15 8.8-17.2 17.2l-24.8 95-24.8-95c-2.2-8.4-8.8-15-17.2-17.2l-95-24.8 95-24.8c8.4-2.2 15-8.8 17.2-17.2zM71 71c-9.4 9.4-9.4 24.6 0 33.9l48 48c9.4 9.4 24.6 9.4 33.9 0s9.4-24.6 0-33.9L105 71c-9.4-9.4-24.6-9.4-33.9 0zM441 71c-9.4-9.4-24.6-9.4-33.9 0l-48 48c-9.4 9.4-9.4 24.6 0 33.9s24.6 9.4 33.9 0l48-48c9.4-9.4 9.4-24.6 0-33.9zm0 336l-48-48c-9.4-9.4-24.6-9.4-33.9 0s-9.4 24.6 0 33.9l48 48c9.4 9.4 24.6 9.4 33.9 0s9.4-24.6 0-33.9zM71 441c9.4 9.4 24.6 9.4 33.9 0l48-48c9.4-9.4 9.4-24.6 0-33.9s-24.6-9.4-33.9 0L71 407c-9.4 9.4-9.4 24.6 0 33.9z" fill="currentColor"></path></span><p style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; margin: 0px;">Copilot</p></h2><div class="flex items-center gap-sm" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: flex; gap: 8px;"><div style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; opacity: 1;"><div class="light font-sans text-xs font-medium text-textOff dark:text-textOffDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(100 100 95/var(--tw-text-opacity)); font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 0.75rem; line-height: 1rem;">3 steps completed</div></div><button class="md:hover:bg-offsetPlus text-textOff dark:text-textOffDark md:hover:text-textMain dark:md:hover:bg-offsetPlusDark dark:md:hover:text-textMainDark font-sans focus:outline-none outline-none outline-transparent transition duration-300 ease-in-out font-sans select-none items-center relative group justify-center text-center items-center rounded-full cursor-point active:scale-95 origin-center whitespace-nowrap inline-flex text-sm aspect-square h-8" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; animation-duration: 0.3s; animation-timing-function: cubic-bezier(0.4, 0, 0.2, 1); appearance: button; aspect-ratio: 1 / 1; background-image: none; border-color: rgb(229, 231, 235); border-radius: 9999px; border-style: solid; border-width: 0px; cursor: pointer; display: inline-flex; font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-feature-settings: inherit; font-size: 0.875rem; font-variation-settings: inherit; font-weight: inherit; height: 2rem; justify-content: center; line-height: 1.25rem; margin: 0px; outline-offset: 2px; outline: transparent solid 2px; padding: 0px; position: relative; text-wrap: nowrap; transform-origin: center center; transition-duration: 0.3s; transition-property: color, background-color, border-color, text-decoration-color, fill, stroke, opacity, box-shadow, transform, filter, backdrop-filter, -webkit-backdrop-filter; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1); user-select: none;" type="button"><div class="flex items-center leading-none justify-center gap-xs" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: flex; gap: 4px; justify-content: center; line-height: 1;"><svg aria-hidden="true" class="svg-inline--fa fa-chevron-down fa-fw fa-1x" data-icon="chevron-down" data-prefix="far" focusable="false" role="img" viewbox="0 0 512 512" xmlns="http://www.w3.org/2000/svg"><path d="M239 401c9.4 9.4 24.6 9.4 33.9 0L465 209c9.4-9.4 9.4-24.6 0-33.9s-24.6-9.4-33.9 0l-175 175L81 175c-9.4-9.4-24.6-9.4-33.9 0s-9.4 24.6 0 33.9L239 401z" fill="currentColor"></path></svg></div></button></div></div><div style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"></div></div></div></div></div></div><div class="mb-lg border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark bg-transparent" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; background-color: transparent; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; margin-bottom: 32px;"><div class="mt-md" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; margin-top: 16px;"><div class="border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark bg-transparent" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; background-color: transparent; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box;"><div class="flex items-center justify-between border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark bg-background dark:bg-backgroundDark" style="--tw-bg-opacity: 1; --tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; background-color: rgb(252 252 249/var(--tw-bg-opacity)); border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; display: flex; justify-content: space-between;"><div class="flex items-center justify-between w-full mb-sm" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: flex; justify-content: space-between; margin-bottom: 8px; width: 674.656px;"><div style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"><div class="space-x-sm flex items-center" color="super" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: flex;"><h2 class="default font-display text-lg font-medium text-textMain dark:text-textMainDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(19 52 59/var(--tw-text-opacity)); font-family: var(--font-fk-grotesk),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 1.125rem; font-weight: 500; line-height: 1.75rem; margin: 0px;"><svg aria-hidden="true" class="svg-inline--fa fa-list-timeline fa-fw" data-icon="list-timeline" data-prefix="far" focusable="false" role="img" viewbox="0 0 512 512" xmlns="http://www.w3.org/2000/svg"><path d="M219.9 112H400V80H219.9l-16 16 16 16zm-72.6-4.7c-6.2-6.2-6.2-16.4 0-22.6l43.3-43.3c6-6 14.1-9.4 22.6-9.4H416c17.7 0 32 14.3 32 32v64c0 17.7-14.3 32-32 32H213.3c-8.5 0-16.6-3.4-22.6-9.4l-43.3-43.3zM64 128a32 32 0 1 1 0-64 32 32 0 1 1 0 64zm0 160a32 32 0 1 1 0-64 32 32 0 1 1 0 64zM32 416a32 32 0 1 1 64 0 32 32 0 1 1 -64 0zm187.9 16H400V400H219.9l-16 16 16 16zm-72.6-4.7c-6.2-6.2-6.2-16.4 0-22.6l43.3-43.3c6-6 14.1-9.4 22.6-9.4H416c17.7 0 32 14.3 32 32v64c0 17.7-14.3 32-32 32H213.3c-8.5 0-16.6-3.4-22.6-9.4l-43.3-43.3zM203.9 256l16 16H464V240H219.9l-16 16zm-13.3 54.6l-43.3-43.3c-6.2-6.2-6.2-16.4 0-22.6l43.3-43.3c6-6 14.1-9.4 22.6-9.4H480c17.7 0 32 14.3 32 32v64c0 17.7-14.3 32-32 32H213.3c-8.5 0-16.6-3.4-22.6-9.4z" fill="currentColor"></path></svg></h2><h2 class="default font-display text-lg font-medium text-textMain dark:text-textMainDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-space-x-reverse: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(19 52 59/var(--tw-text-opacity)); font-family: var(--font-fk-grotesk),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 1.125rem; font-weight: 500; line-height: 1.75rem; margin-bottom: 0px; margin-left: calc(8px * calc(1 - var(--tw-space-x-reverse))); margin-right: calc(8px * var(--tw-space-x-reverse)); margin-top: 0px;">Sources</h2></div></div></div></div><div class="grid grid-cols-2 gap-sm md:grid-cols-4" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; display: grid; gap: 8px; grid-template-columns: repeat(4, minmax(0px, 1fr));"><a class="flex group items-stretch cursor-pointer" href="https://www.hhs.gov/hipaa/for-professionals/security/laws-regulations/index.html" rel="noopener" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: stretch; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; cursor: pointer; display: flex; text-decoration: inherit;" target="_blank"><div class="w-full" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; width: 162.656px;"><div class="flex group items-stretch w-full relative h-[74px]" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: stretch; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: flex; height: 74px; position: relative; width: 162.656px;"><div class="rounded-md flex w-full border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark transition duration-300 bg-offset dark:bg-offsetDark md:hover:bg-offsetPlus md:dark:hover:bg-offsetPlusDark" style="--tw-bg-opacity: 1; --tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; 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font-size: 0.75rem; line-height: 1rem; overflow: hidden;">Summary of the HIPAA Security Rule</div></div><div class="flex items-center space-x-xs" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: flex;"><div class="flex items-center gap-x-xs border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark bg-transparent" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); 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--tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-space-x-reverse: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(100 100 95/var(--tw-text-opacity)); font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 0.75rem; line-height: 1rem; margin-left: calc(4px * calc(1 - var(--tw-space-x-reverse))); margin-right: calc(4px * var(--tw-space-x-reverse));">1</div></div></div></div></div></div></a><a class="flex group items-stretch cursor-pointer" href="https://www.hhs.gov/about/news/2023/12/13/hhs-finalizes-rule-to-advance-health-it-interoperability-and-algorithm-transparency.html" rel="noopener" style="--tw-border-spacing-x: 0; 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font-size: 0.75rem; line-height: 1rem; overflow: hidden;">HHS Finalizes Rule to Advance Health IT Interoperability and Algorithm Transparency</div></div><div class="flex items-center space-x-xs" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: flex;"><div class="flex items-center gap-x-xs border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark bg-transparent" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); 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-webkit-box-orient: vertical; -webkit-line-clamp: 1; animation-duration: 0.3s; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; color: rgb(100 100 95/var(--tw-text-opacity)); display: -webkit-box; font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 0.75rem; line-height: 1rem; overflow: hidden; transition-duration: 0.3s; transition-property: all; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1); word-break: break-all;">hhs</div></div><h2 class="light font-display text-lg font-medium text-textOff dark:text-textOffDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-space-x-reverse: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(100 100 95/var(--tw-text-opacity)); font-family: var(--font-fk-grotesk),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 1.125rem; font-weight: 500; line-height: 1.75rem; margin-bottom: 0px; margin-left: calc(4px * calc(1 - var(--tw-space-x-reverse))); margin-right: calc(4px * var(--tw-space-x-reverse)); margin-top: 0px;">·</h2><div class="light font-sans text-xs font-medium text-textOff dark:text-textOffDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-space-x-reverse: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(100 100 95/var(--tw-text-opacity)); font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 0.75rem; line-height: 1rem; margin-left: calc(4px * calc(1 - var(--tw-space-x-reverse))); margin-right: calc(4px * var(--tw-space-x-reverse));">2</div></div></div></div></div></div></a><a class="flex group items-stretch cursor-pointer" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7710328/" rel="noopener" style="--tw-border-spacing-x: 0; 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font-size: 0.75rem; line-height: 1rem; overflow: hidden;">Clinical Implementation of Predictive Models Embedded within Electronic Health Record Systems: A Systematic Review</div></div><div class="flex items-center space-x-xs" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: flex;"><div class="flex items-center gap-x-xs border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark bg-transparent" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; 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--tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; flex: 0 0 auto; position: relative;"><div class="rounded-full overflow-hidden" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border-radius: 9999px; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; overflow: hidden;"><img alt="nih.gov favicon" class="block" height="16" src="https://www.google.com/s2/favicons?sz=128&domain=nih.gov" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: block; height: auto; max-width: 100%; vertical-align: middle;" width="16" /></div></div><div class="duration-300 transition-all line-clamp-1 break-all light font-sans text-xs font-medium text-textOff dark:text-textOffDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; -webkit-box-orient: vertical; -webkit-line-clamp: 1; animation-duration: 0.3s; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; color: rgb(100 100 95/var(--tw-text-opacity)); display: -webkit-box; font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 0.75rem; line-height: 1rem; overflow: hidden; transition-duration: 0.3s; transition-property: all; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1); word-break: break-all;">nih</div></div><h2 class="light font-display text-lg font-medium text-textOff dark:text-textOffDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-space-x-reverse: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(100 100 95/var(--tw-text-opacity)); font-family: var(--font-fk-grotesk),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 1.125rem; font-weight: 500; line-height: 1.75rem; margin-bottom: 0px; margin-left: calc(4px * calc(1 - var(--tw-space-x-reverse))); margin-right: calc(4px * var(--tw-space-x-reverse)); margin-top: 0px;">·</h2><div class="light font-sans text-xs font-medium text-textOff dark:text-textOffDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-space-x-reverse: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(100 100 95/var(--tw-text-opacity)); font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 0.75rem; line-height: 1rem; margin-left: calc(4px * calc(1 - var(--tw-space-x-reverse))); margin-right: calc(4px * var(--tw-space-x-reverse));">3</div></div></div></div></div></div></a><div class="rounded h-full p-sm flex flex-col justify-between cursor-pointer border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark transition duration-300 bg-offset dark:bg-offsetDark md:hover:bg-offsetPlus md:dark:hover:bg-offsetPlusDark" style="--tw-bg-opacity: 1; 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align-items: center; background-color: transparent; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; display: flex; justify-content: space-between;"><div class="flex items-center justify-between w-full mb-sm" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: flex; justify-content: space-between; margin-bottom: 8px; width: 674.656px;"><div style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"><div class="space-x-sm flex items-center" color="super" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: flex;"><h2 class="default font-display text-lg font-medium text-textMain dark:text-textMainDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(19 52 59/var(--tw-text-opacity)); font-family: var(--font-fk-grotesk),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 1.125rem; font-weight: 500; line-height: 1.75rem; margin: 0px;"><svg aria-hidden="true" class="svg-inline--fa fa-align-left fa-fw" data-icon="align-left" data-prefix="far" focusable="false" role="img" viewbox="0 0 448 512" xmlns="http://www.w3.org/2000/svg"><b><path d="M24 40C10.7 40 0 50.7 0 64S10.7 88 24 88H264c13.3 0 24-10.7 24-24s-10.7-24-24-24H24zm0 128c-13.3 0-24 10.7-24 24s10.7 24 24 24H424c13.3 0 24-10.7 24-24s-10.7-24-24-24H24zM0 320c0 13.3 10.7 24 24 24H264c13.3 0 24-10.7 24-24s-10.7-24-24-24H24c-13.3 0-24 10.7-24 24zM24 424c-13.3 0-24 10.7-24 24s10.7 24 24 24H424c13.3 0 24-10.7 24-24s-10.7-24-24-24H24z" fill="currentColor"></path></b></svg></h2><h2 class="default font-display text-lg font-medium text-textMain dark:text-textMainDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-space-x-reverse: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(19 52 59/var(--tw-text-opacity)); font-family: var(--font-fk-grotesk),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 1.125rem; line-height: 1.75rem; margin-bottom: 0px; margin-left: calc(8px * calc(1 - var(--tw-space-x-reverse))); margin-right: calc(8px * var(--tw-space-x-reverse)); margin-top: 0px;">Answer</h2></div></div></div></div><div class="relative default font-sans text-base text-textMain dark:text-textMainDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; color: rgb(19 52 59/var(--tw-text-opacity)); font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 1rem; line-height: 1.5rem; position: relative;"><div class="break-words min-w-0 [word-break:break-word]" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; min-width: 0px; overflow-wrap: break-word; word-break: break-word;"><div dir="auto" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"><div class="prose dark:prose-invert inline leading-normal break-words min-w-0 [word-break:break-word]" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-prose-body: #13343b; --tw-prose-bold: #13343b; --tw-prose-bullets: #64645f; --tw-prose-captions: #64645f; --tw-prose-code: #13343b; --tw-prose-counters: #64645f; --tw-prose-headings: #13343b; --tw-prose-hr: #d7d7ce; --tw-prose-invert-body: #e8e8e6; --tw-prose-invert-bold: #e8e8e6; --tw-prose-invert-bullets: #8f8f8f; --tw-prose-invert-captions: #e8e8e6; --tw-prose-invert-code: #e8e8e6; --tw-prose-invert-counters: #8f8f8f; --tw-prose-invert-headings: #e8e8e6; --tw-prose-invert-hr: #3b3b3b; --tw-prose-invert-kbd-shadows: 255 255 255; --tw-prose-invert-kbd: #fff; --tw-prose-invert-lead: #e8e8e6; --tw-prose-invert-links: #e8e8e6; --tw-prose-invert-pre-bg: #292927; --tw-prose-invert-pre-code: #e8e8e6; --tw-prose-invert-quote-borders: #3b3b3b; --tw-prose-invert-quotes: #e8e8e6; --tw-prose-invert-td-borders: #3b3b3b; --tw-prose-invert-th-borders: #3b3b3b; --tw-prose-kbd-shadows: 17 24 39; --tw-prose-kbd: #111827; --tw-prose-lead: #13343b; --tw-prose-links: #13343b; --tw-prose-pre-bg: #f3f3ee; --tw-prose-pre-code: #13343b; --tw-prose-quote-borders: #d7d7ce; --tw-prose-quotes: #13343b; --tw-prose-td-borders: #d7d7ce; --tw-prose-th-borders: #d7d7ce; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: var(--tw-prose-body); display: inline; font-size: 1rem; line-height: 1.5; max-width: 65ch; min-width: 0px; overflow-wrap: break-word; word-break: break-word;"><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; margin-top: 0px;">The Department of Health and Human Services (HHS) recently finalized a significant rule aimed at advancing health IT interoperability and enhancing algorithm transparency within the healthcare system. This rule, known as the <b style="background-color: #ffd966;">HTI-1 final rule</b>, is a comprehensive effort to improve patient access to their own health information, ensure the seamless exchange of data across different health IT systems, and establish clear guidelines for the use of artificial intelligence (AI) and algorithms in healthcare settings</span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; background-color: transparent; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"><span class="whitespace-nowrap" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; text-wrap: nowrap;"><a class="citation ml-xs inline" href="https://www.hhs.gov/about/news/2023/12/13/hhs-finalizes-rule-to-advance-health-it-interoperability-and-algorithm-transparency.html" rel="noopener noreferrer" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: inline; margin-left: 4px; text-decoration-line: none;" target="_blank"><div class="inline-flex relative -top-[0.3rem] light font-sans text-base text-textOff dark:text-textOffDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(100 100 95/var(--tw-text-opacity)); display: inline-flex; font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 1rem; line-height: 1.5rem; position: relative; top: -0.3rem;"><span class="text-[0.60rem]" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; font-size: 0.6rem;"><div class="inline-flex h-[1rem] min-w-[1rem] px-[0.2em] rounded-full items-center justify-center text-center font-mono md:hover:text-white tabular-nums border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark transition duration-300 bg-offsetPlus dark:bg-offsetPlusDark md:hover:bg-super" style="--tw-bg-opacity: 1; --tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-numeric-spacing: tabular-nums; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; animation-duration: 0.3s; background-color: rgb(232 232 227/var(--tw-bg-opacity)); border-radius: 9999px; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; display: inline-flex; font-family: var(--font-berkeley-mono),ui-monospace,SFMono-Regular,monospace; font-variant-numeric: var(--tw-ordinal) var(--tw-slashed-zero) var(--tw-numeric-figure) var(--tw-numeric-spacing) var(--tw-numeric-fraction); height: 1rem; justify-content: center; min-width: 1rem; padding-left: 0.2em; padding-right: 0.2em; text-align: center; transition-duration: 0.3s; transition-property: color, background-color, border-color, text-decoration-color, fill, stroke, opacity, box-shadow, transform, filter, backdrop-filter, -webkit-backdrop-filter; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1);">2</div></span></div></a>.</span></span><span style="border-image: initial;"><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"></span></span><h4 style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; background-color: transparent; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: var(--tw-prose-headings); font-size: inherit; font-weight: 550; line-height: 1.5; margin: 1.5em 0px 0.5em;">Key Components of the HTI-1 Final Rule</h4><h4 style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; background-color: transparent; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: var(--tw-prose-headings); font-size: inherit; font-weight: 550; line-height: 1.5; margin: 0px 0px 0.5em;">Algorithm Transparency</h4><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; background-color: transparent; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; margin-top: 0px;">One of the standout features of the HTI-1 final rule is its focus on algorithm transparency. This aspect of the rule mandates that health IT developers disclose detailed information about the AI and algorithmic tools they create, particularly those used for decision support interventions (DSI). The aim is to provide a "nutrition label" for algorithms, making it easier for healthcare providers and patients to understand how these tools work, the data they use, and the basis on which they make predictions or recommendations</span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; background-color: transparent; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"><span class="whitespace-nowrap" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; text-wrap: nowrap;"><a class="citation ml-xs inline" href="https://fedscoop.com/hhs-maintains-ai-transparency-requirement-deadline/" rel="noopener noreferrer" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: inline; margin-left: 4px; text-decoration-line: none;" target="_blank"><div class="inline-flex relative -top-[0.3rem] light font-sans text-base text-textOff dark:text-textOffDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(100 100 95/var(--tw-text-opacity)); display: inline-flex; font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 1rem; line-height: 1.5rem; position: relative; top: -0.3rem;"><span class="text-[0.60rem]" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; font-size: 0.6rem;"><div class="inline-flex h-[1rem] min-w-[1rem] px-[0.2em] rounded-full items-center justify-center text-center font-mono md:hover:text-white tabular-nums border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark transition duration-300 bg-offsetPlus dark:bg-offsetPlusDark md:hover:bg-super" style="--tw-bg-opacity: 1; --tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-numeric-spacing: tabular-nums; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; animation-duration: 0.3s; background-color: rgb(232 232 227/var(--tw-bg-opacity)); border-radius: 9999px; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; display: inline-flex; font-family: var(--font-berkeley-mono),ui-monospace,SFMono-Regular,monospace; font-variant-numeric: var(--tw-ordinal) var(--tw-slashed-zero) var(--tw-numeric-figure) var(--tw-numeric-spacing) var(--tw-numeric-fraction); height: 1rem; justify-content: center; min-width: 1rem; padding-left: 0.2em; padding-right: 0.2em; text-align: center; transition-duration: 0.3s; transition-property: color, background-color, border-color, text-decoration-color, fill, stroke, opacity, box-shadow, transform, filter, backdrop-filter, -webkit-backdrop-filter; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1);">8</div></span></div></a>.</span></span><span style="border-image: initial;"><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"></span></span><h4 style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; background-color: transparent; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: var(--tw-prose-headings); font-size: inherit; font-weight: 550; line-height: 1.5; margin: 1.5em 0px 0.5em;">Health IT Interoperability</h4><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; background-color: transparent; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; margin-top: 0px;">The rule also emphasizes the importance of interoperability among different health IT systems. By setting standards and requirements for data exchange, the HTI-1 final rule seeks to ensure that electronic health records (EHRs) and other health IT tools can communicate with one another seamlessly. This is crucial for providing comprehensive and coordinated care, as it allows healthcare providers to access and share patient information more efficiently</span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; background-color: transparent; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"><span class="whitespace-nowrap" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; text-wrap: nowrap;"><a class="citation ml-xs inline" href="https://www.hhs.gov/about/news/2023/12/13/hhs-finalizes-rule-to-advance-health-it-interoperability-and-algorithm-transparency.html" rel="noopener noreferrer" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: inline; margin-left: 4px; text-decoration-line: none;" target="_blank"><div class="inline-flex relative -top-[0.3rem] light font-sans text-base text-textOff dark:text-textOffDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(100 100 95/var(--tw-text-opacity)); display: inline-flex; font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 1rem; line-height: 1.5rem; position: relative; top: -0.3rem;"><span class="text-[0.60rem]" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; font-size: 0.6rem;"><div class="inline-flex h-[1rem] min-w-[1rem] px-[0.2em] rounded-full items-center justify-center text-center font-mono md:hover:text-white tabular-nums border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark transition duration-300 bg-offsetPlus dark:bg-offsetPlusDark md:hover:bg-super" style="--tw-bg-opacity: 1; --tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-numeric-spacing: tabular-nums; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; animation-duration: 0.3s; background-color: rgb(232 232 227/var(--tw-bg-opacity)); border-radius: 9999px; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; display: inline-flex; font-family: var(--font-berkeley-mono),ui-monospace,SFMono-Regular,monospace; font-variant-numeric: var(--tw-ordinal) var(--tw-slashed-zero) var(--tw-numeric-figure) var(--tw-numeric-spacing) var(--tw-numeric-fraction); height: 1rem; justify-content: center; min-width: 1rem; padding-left: 0.2em; padding-right: 0.2em; text-align: center; transition-duration: 0.3s; transition-property: color, background-color, border-color, text-decoration-color, fill, stroke, opacity, box-shadow, transform, filter, backdrop-filter, -webkit-backdrop-filter; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1);">2</div></span></div></a>.</span></span><span style="border-image: initial;"><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"></span></span><h4 style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; background-color: transparent; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: var(--tw-prose-headings); font-size: inherit; font-weight: 550; line-height: 1.5; margin: 1.5em 0px 0.5em;">Compliance Deadlines</h4><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; background-color: transparent; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; margin-top: 0px;">Health IT developers have been given specific deadlines to comply with the new requirements set forth by the HTI-1 final rule. For existing certified health IT, developers must meet the AI and algorithm transparency requirements by the end of the next year. This tight timeline underscores the urgency with which HHS is addressing the need for transparency and responsible use of AI in healthcare</span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; background-color: transparent; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"><span class="whitespace-nowrap" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; text-wrap: nowrap;"><a class="citation ml-xs inline" href="https://fedscoop.com/hhs-maintains-ai-transparency-requirement-deadline/" rel="noopener noreferrer" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: inline; margin-left: 4px; text-decoration-line: none;" target="_blank"><div class="inline-flex relative -top-[0.3rem] light font-sans text-base text-textOff dark:text-textOffDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(100 100 95/var(--tw-text-opacity)); display: inline-flex; font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 1rem; line-height: 1.5rem; position: relative; top: -0.3rem;"><span class="text-[0.60rem]" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; font-size: 0.6rem;"><div class="inline-flex h-[1rem] min-w-[1rem] px-[0.2em] rounded-full items-center justify-center text-center font-mono md:hover:text-white tabular-nums border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark transition duration-300 bg-offsetPlus dark:bg-offsetPlusDark md:hover:bg-super" style="--tw-bg-opacity: 1; --tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-numeric-spacing: tabular-nums; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; animation-duration: 0.3s; background-color: rgb(232 232 227/var(--tw-bg-opacity)); border-radius: 9999px; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; display: inline-flex; font-family: var(--font-berkeley-mono),ui-monospace,SFMono-Regular,monospace; font-variant-numeric: var(--tw-ordinal) var(--tw-slashed-zero) var(--tw-numeric-figure) var(--tw-numeric-spacing) var(--tw-numeric-fraction); height: 1rem; justify-content: center; min-width: 1rem; padding-left: 0.2em; padding-right: 0.2em; text-align: center; transition-duration: 0.3s; transition-property: color, background-color, border-color, text-decoration-color, fill, stroke, opacity, box-shadow, transform, filter, backdrop-filter, -webkit-backdrop-filter; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1);">8</div></span></div></a>.</span></span><span style="border-image: initial;"><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"></span></span><h4 style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; background-color: transparent; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: var(--tw-prose-headings); font-size: inherit; font-weight: 550; line-height: 1.5; margin: 1.5em 0px 0.5em;">Implications for Healthcare</h4><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; background-color: transparent; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; margin-top: 0px;">The HTI-1 final rule represents a significant step forward in the use of technology within the healthcare sector. By promoting transparency and interoperability, the rule aims to enhance the quality of care, improve patient outcomes, and foster innovation in health IT. The emphasis on algorithm transparency is particularly noteworthy, as it addresses growing concerns about the ethical use of AI and the need for accountability in automated decision-making processes.</span><span class="block mt-md" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; background-color: transparent; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: block; margin-top: 16px;"></span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; background-color: transparent; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;">Moreover, the rule's focus on interoperability is expected to break down barriers to information sharing, making it easier for healthcare providers to collaborate and for patients to access their own health data. This could lead to more personalized and effective treatments, as well as greater patient engagement in their own care.</span><span class="block mt-md" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; background-color: transparent; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: block; margin-top: 16px;"></span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; background-color: transparent; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; margin-bottom: 0px;">In conclusion, the HTI-1 final rule by HHS marks a pivotal moment in the integration of technology into healthcare. By setting clear standards for AI transparency and data interoperability, it paves the way for a more open, efficient, and patient-centered health system.</span></div></div></div></div><div class="flex items-center justify-between mt-sm" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; background-color: transparent; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; display: flex; justify-content: space-between; margin-top: 8px;"><div class="flex items-center gap-xs -ml-sm" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: flex; gap: 4px; margin-left: -8px;"><button class="md:hover:bg-offsetPlus text-textOff dark:text-textOffDark md:hover:text-textMain dark:md:hover:bg-offsetPlusDark dark:md:hover:text-textMainDark font-sans focus:outline-none outline-none outline-transparent transition duration-300 ease-in-out font-sans select-none items-center relative group justify-center text-center items-center rounded-full cursor-point active:scale-95 origin-center whitespace-nowrap inline-flex text-sm px-sm font-medium h-8" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; animation-duration: 0.3s; animation-timing-function: cubic-bezier(0.4, 0, 0.2, 1); appearance: button; background-image: none; border-color: rgb(229, 231, 235); border-radius: 9999px; border-style: solid; border-width: 0px; cursor: pointer; display: inline-flex; font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-feature-settings: inherit; font-size: 0.875rem; font-variation-settings: inherit; font-weight: 500; height: 2rem; justify-content: center; line-height: 1.25rem; margin: 0px; outline-offset: 2px; outline: transparent solid 2px; padding: 0px 8px; position: relative; text-wrap: nowrap; transform-origin: center center; transition-duration: 0.3s; transition-property: color, background-color, border-color, text-decoration-color, fill, stroke, opacity, box-shadow, transform, filter, backdrop-filter, -webkit-backdrop-filter; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1); user-select: none;" type="button"><div class="pointer-events-none absolute z-30 opacity-0 shadow-sm transition-all delay-200 duration-200 group-hover:translate-y-0 group-hover:translate-x-0 group-hover:opacity-100 bottom-[120%] translate-y-1" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 1px 2px 0 var(--tw-shadow-color); --tw-shadow: 0 1px 2px 0 rgba(0,0,0,.05); --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0.25rem; animation-delay: 0.2s; animation-duration: 0.2s; border: 0px solid rgb(229, 231, 235); bottom: 38.3906px; box-shadow: var(--tw-ring-offset-shadow,0 0 #0000),var(--tw-ring-shadow,0 0 #0000),var(--tw-shadow); box-sizing: border-box; opacity: 0; pointer-events: none; position: absolute; transform: translate(var(--tw-translate-x),var(--tw-translate-y)) rotate(var(--tw-rotate)) skewX(var(--tw-skew-x)) skewY(var(--tw-skew-y)) scaleX(var(--tw-scale-x)) scaleY(var(--tw-scale-y)); transition-delay: 0.2s; transition-duration: 0.2s; transition-property: all; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1); z-index: 30;"><div class="py-xs px-sm rounded flex items-center gap-x-sm border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark bg-offsetPlusDark" style="--tw-bg-opacity: 1; --tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; background-color: rgb(51 51 49/var(--tw-bg-opacity)); border-radius: 0.25rem; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; column-gap: 8px; display: flex; padding: 4px 8px;"><div class="default font-sans text-xs font-medium text-textMain dark:text-textMainDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(19 52 59/var(--tw-text-opacity)); font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 0.75rem; line-height: 1rem;"><span class="text-textMainDark" color="rgb(232 232 230/var(--tw-text-opacity))" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;">Copy Link</span></div></div></div><div class="flex items-center leading-none justify-center gap-xs" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: flex; gap: 4px; justify-content: center; line-height: 1;"><svg aria-hidden="true" class="svg-inline--fa fa-share fa-fw fa-1x" data-icon="share" data-prefix="far" focusable="false" role="img" viewbox="0 0 512 512" xmlns="http://www.w3.org/2000/svg"><path d="M288 240H192c-66.2 0-122 44.7-138.8 105.5C49.9 333.1 48 319.3 48 304c0-70.7 57.3-128 128-128H288h24c13.3 0 24-10.7 24-24V128 99.9L456.1 208 336 316.1V288 264c0-13.3-10.7-24-24-24H288zm0 48v48 16c0 12.6 7.4 24.1 19 29.2s25 3 34.4-5.4l160-144c6.7-6.1 10.6-14.7 10.6-23.8s-3.8-17.7-10.6-23.8l-160-144c-9.4-8.5-22.9-10.6-34.4-5.4s-19 16.6-19 29.2V80v48H240 176C78.8 128 0 206.8 0 304c0 78 38.6 126.2 68.7 152.1c4.1 3.5 8.1 6.6 11.7 9.3c3.2 2.4 6.2 4.4 8.9 6.2c4.5 3 8.3 5.1 10.8 6.5c2.5 1.4 5.3 1.9 8.1 1.9c10.9 0 19.7-8.9 19.7-19.7c0-6.8-3.6-13.2-8.3-18.1c-.5-.5-.9-.9-1.4-1.4c-2.4-2.3-5.1-5.1-7.7-8.6c-1.7-2.3-3.4-5-5-7.9c-5.3-9.7-9.5-22.9-9.5-40.2c0-53 43-96 96-96h48 48z" fill="currentColor"></path></svg><div class="text-align-center relative" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; position: relative;">Share</div></div></button><div style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"><button class="md:hover:bg-offsetPlus text-textOff dark:text-textOffDark md:hover:text-textMain dark:md:hover:bg-offsetPlusDark dark:md:hover:text-textMainDark font-sans focus:outline-none outline-none outline-transparent transition duration-300 ease-in-out font-sans select-none items-center relative group justify-center text-center items-center rounded-full cursor-point active:scale-95 origin-center whitespace-nowrap inline-flex text-sm px-sm font-medium h-8" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; animation-duration: 0.3s; animation-timing-function: cubic-bezier(0.4, 0, 0.2, 1); appearance: button; background-image: none; border-color: rgb(229, 231, 235); border-radius: 9999px; border-style: solid; border-width: 0px; cursor: pointer; display: inline-flex; font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-feature-settings: inherit; font-size: 0.875rem; font-variation-settings: inherit; font-weight: 500; height: 2rem; justify-content: center; line-height: 1.25rem; margin: 0px; outline-offset: 2px; outline: transparent solid 2px; padding: 0px 8px; position: relative; text-wrap: nowrap; transform-origin: center center; transition-duration: 0.3s; transition-property: color, background-color, border-color, text-decoration-color, fill, stroke, opacity, box-shadow, transform, filter, backdrop-filter, -webkit-backdrop-filter; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1); user-select: none;" type="button"><div class="pointer-events-none absolute z-30 opacity-0 shadow-sm transition-all delay-200 duration-200 group-hover:translate-y-0 group-hover:translate-x-0 group-hover:opacity-100 bottom-[120%] translate-y-1" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 1px 2px 0 var(--tw-shadow-color); --tw-shadow: 0 1px 2px 0 rgba(0,0,0,.05); --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0.25rem; animation-delay: 0.2s; animation-duration: 0.2s; border: 0px solid rgb(229, 231, 235); bottom: 38.3906px; box-shadow: var(--tw-ring-offset-shadow,0 0 #0000),var(--tw-ring-shadow,0 0 #0000),var(--tw-shadow); box-sizing: border-box; opacity: 0; pointer-events: none; position: absolute; transform: translate(var(--tw-translate-x),var(--tw-translate-y)) rotate(var(--tw-rotate)) skewX(var(--tw-skew-x)) skewY(var(--tw-skew-y)) scaleX(var(--tw-scale-x)) scaleY(var(--tw-scale-y)); transition-delay: 0.2s; transition-duration: 0.2s; transition-property: all; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1); z-index: 30;"><div class="py-xs px-sm rounded flex items-center gap-x-sm border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark bg-offsetPlusDark" style="--tw-bg-opacity: 1; --tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; background-color: rgb(51 51 49/var(--tw-bg-opacity)); border-radius: 0.25rem; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; column-gap: 8px; display: flex; padding: 4px 8px;"><div class="default font-sans text-xs font-medium text-textMain dark:text-textMainDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(19 52 59/var(--tw-text-opacity)); font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 0.75rem; line-height: 1rem;"><span class="text-textMainDark" color="rgb(232 232 230/var(--tw-text-opacity))" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;">Rewrite this answer</span></div></div></div><div class="flex items-center leading-none justify-center gap-xs" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: flex; gap: 4px; justify-content: center; line-height: 1;"><svg aria-hidden="true" class="svg-inline--fa fa-repeat fa-fw fa-1x" data-icon="repeat" data-prefix="far" focusable="false" role="img" viewbox="0 0 512 512" xmlns="http://www.w3.org/2000/svg"><path d="M22.8 280C9.6 279.3-.6 268 0 254.8l.4-8C5.3 148.9 86.2 72 184.2 72H304l0-36.4C304 15.9 319.9 0 339.6 0c8.8 0 17.3 3.3 23.8 9.1l76.7 69c5.1 4.6 7.9 11 7.9 17.8s-2.9 13.3-7.9 17.8l-76.7 69c-6.5 5.9-15 9.1-23.8 9.1c-19.6 0-35.6-15.9-35.6-35.6V120H184.2C111.7 120 52 176.8 48.4 249.2l-.4 8C47.3 270.4 36 280.6 22.8 280zM352 128.5L388.1 96 352 63.5l0 65zM489.2 232c13.2 .7 23.4 11.9 22.8 25.2l-.4 8C506.7 363.1 425.8 440 327.8 440L208 440v36.4c0 19.6-15.9 35.6-35.6 35.6c-8.8 0-17.3-3.3-23.8-9.1l-76.7-69c-5.1-4.6-7.9-11-7.9-17.8s2.9-13.3 7.9-17.8l76.7-69c6.5-5.9 15-9.1 23.8-9.1c19.6 0 35.6 15.9 35.6 35.6V392l119.8 0c72.5 0 132.2-56.8 135.8-129.2l.4-8c.7-13.2 11.9-23.4 25.2-22.8zM160 383.5L123.9 416 160 448.5v-65z" fill="currentColor"></path></svg><div class="text-align-center relative" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; position: relative;">Rewrite</div></div></button></div></div><div class="flex items-center gap-x-xs" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; column-gap: 4px; display: flex;"><button class="text-textOff dark:text-textOffDark md:hover:bg-offsetPlus dark:md:hover:bg-offsetPlusDark md:hover:text-superAlt font-sans focus:outline-none outline-none outline-transparent transition duration-300 ease-in-out font-sans select-none items-center relative group justify-center text-center items-center rounded-full cursor-point active:scale-95 origin-center whitespace-nowrap inline-flex text-sm aspect-square h-8" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; animation-duration: 0.3s; animation-timing-function: cubic-bezier(0.4, 0, 0.2, 1); appearance: button; aspect-ratio: 1 / 1; background-image: none; border-color: rgb(229, 231, 235); border-radius: 9999px; border-style: solid; border-width: 0px; cursor: pointer; display: inline-flex; font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-feature-settings: inherit; font-size: 0.875rem; font-variation-settings: inherit; font-weight: inherit; height: 2rem; justify-content: center; line-height: 1.25rem; margin: 0px; outline-offset: 2px; outline: transparent solid 2px; padding: 0px; position: relative; text-wrap: nowrap; transform-origin: center center; transition-duration: 0.3s; transition-property: color, background-color, border-color, text-decoration-color, fill, stroke, opacity, box-shadow, transform, filter, backdrop-filter, -webkit-backdrop-filter; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1); user-select: none;" type="button"><div class="pointer-events-none absolute z-30 opacity-0 shadow-sm transition-all delay-200 duration-200 group-hover:translate-y-0 group-hover:translate-x-0 group-hover:opacity-100 bottom-[120%] translate-y-1" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 1px 2px 0 var(--tw-shadow-color); --tw-shadow: 0 1px 2px 0 rgba(0,0,0,.05); --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0.25rem; animation-delay: 0.2s; animation-duration: 0.2s; border: 0px solid rgb(229, 231, 235); bottom: 38.3906px; box-shadow: var(--tw-ring-offset-shadow,0 0 #0000),var(--tw-ring-shadow,0 0 #0000),var(--tw-shadow); box-sizing: border-box; opacity: 0; pointer-events: none; position: absolute; transform: translate(var(--tw-translate-x),var(--tw-translate-y)) rotate(var(--tw-rotate)) skewX(var(--tw-skew-x)) skewY(var(--tw-skew-y)) scaleX(var(--tw-scale-x)) scaleY(var(--tw-scale-y)); transition-delay: 0.2s; transition-duration: 0.2s; transition-property: all; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1); z-index: 30;"><div class="py-xs px-sm rounded flex items-center gap-x-sm border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark bg-offsetPlusDark" style="--tw-bg-opacity: 1; --tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; background-color: rgb(51 51 49/var(--tw-bg-opacity)); border-radius: 0.25rem; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; column-gap: 8px; display: flex; padding: 4px 8px;"><div class="default font-sans text-xs font-medium text-textMain dark:text-textMainDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(19 52 59/var(--tw-text-opacity)); font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 0.75rem; line-height: 1rem;"><span class="text-textMainDark" color="rgb(232 232 230/var(--tw-text-opacity))" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;">Inaccurate or unhelpful</span></div></div></div><div class="flex items-center leading-none justify-center gap-xs" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: flex; gap: 4px; justify-content: center; line-height: 1;"><svg aria-hidden="true" class="svg-inline--fa fa-thumbs-down fa-fw fa-1x" data-icon="thumbs-down" data-prefix="far" focusable="false" role="img" viewbox="0 0 512 512" xmlns="http://www.w3.org/2000/svg"><path d="M323.8 477.2c-38.2 10.9-78.1-11.2-89-49.4l-5.7-20c-3.7-13-10.4-25-19.5-35l-51.3-56.4c-8.9-9.8-8.2-25 1.6-33.9s25-8.2 33.9 1.6l51.3 56.4c14.1 15.5 24.4 34 30.1 54.1l5.7 20c3.6 12.7 16.9 20.1 29.7 16.5s20.1-16.9 16.5-29.7l-5.7-20c-5.7-19.9-14.7-38.7-26.6-55.5c-5.2-7.3-5.8-16.9-1.7-24.9s12.3-13 21.3-13L448 288c8.8 0 16-7.2 16-16c0-6.8-4.3-12.7-10.4-15c-7.4-2.8-13-9-14.9-16.7s.1-15.8 5.3-21.7c2.5-2.8 4-6.5 4-10.6c0-7.8-5.6-14.3-13-15.7c-8.2-1.6-15.1-7.3-18-15.2s-1.6-16.7 3.6-23.3c2.1-2.7 3.4-6.1 3.4-9.9c0-6.7-4.2-12.6-10.2-14.9c-11.5-4.5-17.7-16.9-14.4-28.8c.4-1.3 .6-2.8 .6-4.3c0-8.8-7.2-16-16-16H286.5c-12.6 0-25 3.7-35.5 10.7l-61.7 41.1c-11 7.4-25.9 4.4-33.3-6.7s-4.4-25.9 6.7-33.3l61.7-41.1c18.4-12.3 40-18.8 62.1-18.8H384c34.7 0 62.9 27.6 64 62c14.6 11.7 24 29.7 24 50c0 4.5-.5 8.8-1.3 13c15.4 11.7 25.3 30.2 25.3 51c0 6.5-1 12.8-2.8 18.7C504.8 238.3 512 254.3 512 272c0 35.3-28.6 64-64 64l-92.3 0c4.7 10.4 8.7 21.2 11.8 32.2l5.7 20c10.9 38.2-11.2 78.1-49.4 89zM32 384c-17.7 0-32-14.3-32-32V128c0-17.7 14.3-32 32-32H96c17.7 0 32 14.3 32 32V352c0 17.7-14.3 32-32 32H32z" fill="currentColor"></path></svg></div></button><button class="md:hover:bg-offsetPlus text-textOff dark:text-textOffDark md:hover:text-textMain dark:md:hover:bg-offsetPlusDark dark:md:hover:text-textMainDark font-sans focus:outline-none outline-none outline-transparent transition duration-300 ease-in-out font-sans select-none items-center relative group justify-center text-center items-center rounded-full cursor-point active:scale-95 origin-center whitespace-nowrap inline-flex text-sm aspect-square h-8" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; animation-duration: 0.3s; animation-timing-function: cubic-bezier(0.4, 0, 0.2, 1); appearance: button; aspect-ratio: 1 / 1; background-image: none; border-color: rgb(229, 231, 235); border-radius: 9999px; border-style: solid; border-width: 0px; cursor: pointer; display: inline-flex; font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-feature-settings: inherit; font-size: 0.875rem; font-variation-settings: inherit; font-weight: inherit; height: 2rem; justify-content: center; line-height: 1.25rem; margin: 0px; outline-offset: 2px; outline: transparent solid 2px; padding: 0px; position: relative; text-wrap: nowrap; transform-origin: center center; transition-duration: 0.3s; transition-property: color, background-color, border-color, text-decoration-color, fill, stroke, opacity, box-shadow, transform, filter, backdrop-filter, -webkit-backdrop-filter; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1); user-select: none;" type="button"><div class="pointer-events-none absolute z-30 opacity-0 shadow-sm transition-all delay-200 duration-200 group-hover:translate-y-0 group-hover:translate-x-0 group-hover:opacity-100 bottom-[120%] translate-y-1" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 1px 2px 0 var(--tw-shadow-color); --tw-shadow: 0 1px 2px 0 rgba(0,0,0,.05); --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0.25rem; animation-delay: 0.2s; animation-duration: 0.2s; border: 0px solid rgb(229, 231, 235); bottom: 38.3906px; box-shadow: var(--tw-ring-offset-shadow,0 0 #0000),var(--tw-ring-shadow,0 0 #0000),var(--tw-shadow); box-sizing: border-box; opacity: 0; pointer-events: none; position: absolute; transform: translate(var(--tw-translate-x),var(--tw-translate-y)) rotate(var(--tw-rotate)) skewX(var(--tw-skew-x)) skewY(var(--tw-skew-y)) scaleX(var(--tw-scale-x)) scaleY(var(--tw-scale-y)); transition-delay: 0.2s; transition-duration: 0.2s; transition-property: all; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1); z-index: 30;"><div class="py-xs px-sm rounded flex items-center gap-x-sm border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark bg-offsetPlusDark" style="--tw-bg-opacity: 1; --tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; background-color: rgb(51 51 49/var(--tw-bg-opacity)); border-radius: 0.25rem; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; column-gap: 8px; display: flex; padding: 4px 8px;"><div class="default font-sans text-xs font-medium text-textMain dark:text-textMainDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(19 52 59/var(--tw-text-opacity)); font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 0.75rem; line-height: 1rem;"><span class="text-textMainDark" color="rgb(232 232 230/var(--tw-text-opacity))" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;">Copy</span></div></div></div><div class="flex items-center leading-none justify-center gap-xs" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: flex; gap: 4px; justify-content: center; line-height: 1;"><svg aria-hidden="true" class="svg-inline--fa fa-clipboard fa-fw fa-1x" data-icon="clipboard" data-prefix="far" focusable="false" role="img" viewbox="0 0 384 512" xmlns="http://www.w3.org/2000/svg"><path d="M280 64h40c35.3 0 64 28.7 64 64V448c0 35.3-28.7 64-64 64H64c-35.3 0-64-28.7-64-64V128C0 92.7 28.7 64 64 64h40 9.6C121 27.5 153.3 0 192 0s71 27.5 78.4 64H280zM64 112c-8.8 0-16 7.2-16 16V448c0 8.8 7.2 16 16 16H320c8.8 0 16-7.2 16-16V128c0-8.8-7.2-16-16-16H304v24c0 13.3-10.7 24-24 24H192 104c-13.3 0-24-10.7-24-24V112H64zm128-8a24 24 0 1 0 0-48 24 24 0 1 0 0 48z" fill="currentColor"></path></svg></div></button><button class="md:hover:bg-offsetPlus text-textOff dark:text-textOffDark md:hover:text-textMain dark:md:hover:bg-offsetPlusDark dark:md:hover:text-textMainDark font-sans focus:outline-none outline-none outline-transparent transition duration-300 ease-in-out font-sans select-none items-center relative group justify-center text-center items-center rounded-full cursor-point active:scale-95 origin-center whitespace-nowrap inline-flex text-sm aspect-square h-8" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; animation-duration: 0.3s; animation-timing-function: cubic-bezier(0.4, 0, 0.2, 1); appearance: button; aspect-ratio: 1 / 1; background-image: none; border-color: rgb(229, 231, 235); border-radius: 9999px; border-style: solid; border-width: 0px; cursor: pointer; display: inline-flex; font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-feature-settings: inherit; font-size: 0.875rem; font-variation-settings: inherit; font-weight: inherit; height: 2rem; justify-content: center; line-height: 1.25rem; margin: 0px; outline-offset: 2px; outline: transparent solid 2px; padding: 0px; position: relative; text-wrap: nowrap; transform-origin: center center; transition-duration: 0.3s; transition-property: color, background-color, border-color, text-decoration-color, fill, stroke, opacity, box-shadow, transform, filter, backdrop-filter, -webkit-backdrop-filter; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1); user-select: none;" type="button"><div class="pointer-events-none absolute z-30 opacity-0 shadow-sm transition-all delay-200 duration-200 group-hover:translate-y-0 group-hover:translate-x-0 group-hover:opacity-100 bottom-[120%] translate-y-1" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 1px 2px 0 var(--tw-shadow-color); --tw-shadow: 0 1px 2px 0 rgba(0,0,0,.05); --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0.25rem; animation-delay: 0.2s; animation-duration: 0.2s; border: 0px solid rgb(229, 231, 235); bottom: 38.3906px; box-shadow: var(--tw-ring-offset-shadow,0 0 #0000),var(--tw-ring-shadow,0 0 #0000),var(--tw-shadow); box-sizing: border-box; opacity: 0; pointer-events: none; position: absolute; transform: translate(var(--tw-translate-x),var(--tw-translate-y)) rotate(var(--tw-rotate)) skewX(var(--tw-skew-x)) skewY(var(--tw-skew-y)) scaleX(var(--tw-scale-x)) scaleY(var(--tw-scale-y)); transition-delay: 0.2s; transition-duration: 0.2s; transition-property: all; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1); z-index: 30;"><div class="py-xs px-sm rounded flex items-center gap-x-sm border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark bg-offsetPlusDark" style="--tw-bg-opacity: 1; --tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; background-color: rgb(51 51 49/var(--tw-bg-opacity)); border-radius: 0.25rem; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; column-gap: 8px; display: flex; padding: 4px 8px;"><div class="default font-sans text-xs font-medium text-textMain dark:text-textMainDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(19 52 59/var(--tw-text-opacity)); font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 0.75rem; line-height: 1rem;"><span class="text-textMainDark" color="rgb(232 232 230/var(--tw-text-opacity))" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;">Edit Query</span></div></div></div><div class="flex items-center leading-none justify-center gap-xs" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: flex; gap: 4px; justify-content: center; line-height: 1;"><svg aria-hidden="true" class="svg-inline--fa fa-pen-to-square fa-fw fa-1x" data-icon="pen-to-square" data-prefix="far" focusable="false" role="img" viewbox="0 0 512 512" xmlns="http://www.w3.org/2000/svg"><path d="M441 58.9L453.1 71c9.4 9.4 9.4 24.6 0 33.9L424 134.1 377.9 88 407 58.9c9.4-9.4 24.6-9.4 33.9 0zM209.8 256.2L344 121.9 390.1 168 255.8 302.2c-2.9 2.9-6.5 5-10.4 6.1l-58.5 16.7 16.7-58.5c1.1-3.9 3.2-7.5 6.1-10.4zM373.1 25L175.8 222.2c-8.7 8.7-15 19.4-18.3 31.1l-28.6 100c-2.4 8.4-.1 17.4 6.1 23.6s15.2 8.5 23.6 6.1l100-28.6c11.8-3.4 22.5-9.7 31.1-18.3L487 138.9c28.1-28.1 28.1-73.7 0-101.8L474.9 25C446.8-3.1 401.2-3.1 373.1 25zM88 64C39.4 64 0 103.4 0 152V424c0 48.6 39.4 88 88 88H360c48.6 0 88-39.4 88-88V312c0-13.3-10.7-24-24-24s-24 10.7-24 24V424c0 22.1-17.9 40-40 40H88c-22.1 0-40-17.9-40-40V152c0-22.1 17.9-40 40-40H200c13.3 0 24-10.7 24-24s-10.7-24-24-24H88z" fill="currentColor"></path></svg></div></button></div></div></div><div style="--tw-border-spacing-x: 0; 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border: 0px solid rgb(229, 231, 235); box-sizing: border-box; grid-column: span 4 / span 4;"><div class="mt-lg sticky top-[68px] max-h-[90vh] border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark bg-transparent" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; background-color: transparent; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; margin-top: 32px; max-height: 90vh; position: sticky; top: 68px;"><div class="grid grid-cols-1 lg:grid-cols-2 gap-sm mb-sm" style="--tw-border-spacing-x: 0; 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--tw-translate-x: 0; --tw-translate-y: 0; background-color: #fcfcf9; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; font-size: 16px;"></div><div style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; background-color: #fcfcf9; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; font-size: 16px;"></div><div style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; font-size: 16px;"><div class="pb-lg border-b border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark bg-transparent" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border-color: rgba(216, 216, 207, 0.6); border-image: initial; border-style: solid; border-width: 0px 0px 1px; box-sizing: border-box; padding-bottom: 32px;"><div class="md:grid grid-cols-12 gap-xl" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: grid; gap: 48px; grid-template-columns: repeat(12, minmax(0px, 1fr));"><div class="col-span-8" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; grid-column: span 8 / span 8;"><div class="my-md md:my-lg" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; background-color: transparent; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; margin-bottom: 32px; margin-top: 32px;"><div class="break-words [word-break:break-word] whitespace-pre-line default font-display text-3xl font-regular text-textMain dark:text-textMainDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; font-family: var(--font-fk-grotesk),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 1.875rem; line-height: 2.25rem; overflow-wrap: break-word; white-space-collapse: preserve-breaks; word-break: break-word;"><span style="color: #990000;">What are the specific requirements for ai or algorithms in the new hhs rule?</span></div></div><div class="mb-lg" style="--tw-border-spacing-x: 0; 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box-sizing: border-box;"><div class="border rounded-lg cursor-pointer border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark transition duration-300 bg-transparent md:hover:bg-offset md:dark:hover:bg-offsetDark" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; animation-duration: 0.3s; background-color: transparent; border-radius: 0.5rem; border: 1px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; cursor: pointer; transition-duration: 0.3s; transition-property: color, background-color, border-color, text-decoration-color, fill, stroke, opacity, box-shadow, transform, filter, backdrop-filter, -webkit-backdrop-filter; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1);"><div style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; height: 48px;"><div class="py-sm px-md" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; padding: 8px 16px;"><div class="flex items-center justify-between select-none" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: flex; justify-content: space-between; user-select: none;"><h2 class="flex items-center gap-x-sm default font-display text-lg font-medium text-textMain dark:text-textMainDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(19 52 59/var(--tw-text-opacity)); column-gap: 8px; display: flex; font-family: var(--font-fk-grotesk),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 1.125rem; font-weight: 500; line-height: 1.75rem; margin: 0px;"><svg aria-hidden="true" class="svg-inline--fa fa-star-christmas" data-icon="star-christmas" data-prefix="far" focusable="false" role="img" viewbox="0 0 512 512" xmlns="http://www.w3.org/2000/svg"><path d="M279.2 17.9C276.5 7.4 266.9 0 256 0s-20.5 7.4-23.2 17.9L188.3 188.3 17.9 232.8C7.4 235.5 0 245.1 0 256s7.4 20.5 17.9 23.2l170.4 44.4 44.4 170.4c2.8 10.6 12.3 17.9 23.2 17.9s20.5-7.4 23.2-17.9l44.4-170.4 170.4-44.4c10.6-2.8 17.9-12.3 17.9-23.2s-7.4-20.5-17.9-23.2L323.7 188.3 279.2 17.9zm-48 196.1l24.8-95 24.8 95c2.2 8.4 8.8 15 17.2 17.2l95 24.8-95 24.8c-8.4 2.2-15 8.8-17.2 17.2l-24.8 95-24.8-95c-2.2-8.4-8.8-15-17.2-17.2l-95-24.8 95-24.8c8.4-2.2 15-8.8 17.2-17.2zM71 71c-9.4 9.4-9.4 24.6 0 33.9l48 48c9.4 9.4 24.6 9.4 33.9 0s9.4-24.6 0-33.9L105 71c-9.4-9.4-24.6-9.4-33.9 0zM441 71c-9.4-9.4-24.6-9.4-33.9 0l-48 48c-9.4 9.4-9.4 24.6 0 33.9s24.6 9.4 33.9 0l48-48c9.4-9.4 9.4-24.6 0-33.9zm0 336l-48-48c-9.4-9.4-24.6-9.4-33.9 0s-9.4 24.6 0 33.9l48 48c9.4 9.4 24.6 9.4 33.9 0s9.4-24.6 0-33.9zM71 441c9.4 9.4 24.6 9.4 33.9 0l48-48c9.4-9.4 9.4-24.6 0-33.9s-24.6-9.4-33.9 0L71 407c-9.4 9.4-9.4 24.6 0 33.9z" fill="currentColor"></path></svg><p style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; margin: 0px;">Copilot</p></h2><div class="flex items-center gap-sm" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: flex; gap: 8px;"><div style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; opacity: 1;"><div class="light font-sans text-xs font-medium text-textOff dark:text-textOffDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(100 100 95/var(--tw-text-opacity)); font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 0.75rem; line-height: 1rem;">3 steps completed</div></div><button class="md:hover:bg-offsetPlus text-textOff dark:text-textOffDark md:hover:text-textMain dark:md:hover:bg-offsetPlusDark dark:md:hover:text-textMainDark font-sans focus:outline-none outline-none outline-transparent transition duration-300 ease-in-out font-sans select-none items-center relative group justify-center text-center items-center rounded-full cursor-point active:scale-95 origin-center whitespace-nowrap inline-flex text-sm aspect-square h-8" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; animation-duration: 0.3s; animation-timing-function: cubic-bezier(0.4, 0, 0.2, 1); appearance: button; aspect-ratio: 1 / 1; background-image: none; border-color: rgb(229, 231, 235); border-radius: 9999px; border-style: solid; border-width: 0px; cursor: pointer; display: inline-flex; font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-feature-settings: inherit; font-size: 0.875rem; font-variation-settings: inherit; font-weight: inherit; height: 2rem; justify-content: center; line-height: 1.25rem; margin: 0px; outline-offset: 2px; outline: transparent solid 2px; padding: 0px; position: relative; text-wrap: nowrap; transform-origin: center center; transition-duration: 0.3s; transition-property: color, background-color, border-color, text-decoration-color, fill, stroke, opacity, box-shadow, transform, filter, backdrop-filter, -webkit-backdrop-filter; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1); user-select: none;" type="button"><div class="flex items-center leading-none justify-center gap-xs" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: flex; gap: 4px; justify-content: center; line-height: 1;"><svg aria-hidden="true" class="svg-inline--fa fa-chevron-down fa-fw fa-1x" data-icon="chevron-down" data-prefix="far" focusable="false" role="img" viewbox="0 0 512 512" xmlns="http://www.w3.org/2000/svg"><path d="M239 401c9.4 9.4 24.6 9.4 33.9 0L465 209c9.4-9.4 9.4-24.6 0-33.9s-24.6-9.4-33.9 0l-175 175L81 175c-9.4-9.4-24.6-9.4-33.9 0s-9.4 24.6 0 33.9L239 401z" fill="currentColor"></path></svg></div></button></div></div><div style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"></div></div></div></div></div></div><div class="mb-lg border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark bg-transparent" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; background-color: transparent; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; margin-bottom: 32px;"><div class="mt-md" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; margin-top: 16px;"><div class="border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark bg-transparent" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; background-color: transparent; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box;"><div class="flex items-center justify-between border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark bg-background dark:bg-backgroundDark" style="--tw-bg-opacity: 1; --tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; background-color: rgb(252 252 249/var(--tw-bg-opacity)); border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; display: flex; justify-content: space-between;"><div class="flex items-center justify-between w-full mb-sm" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: flex; justify-content: space-between; margin-bottom: 8px; width: 674.656px;"><div style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"><div class="space-x-sm flex items-center" color="super" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: flex;"><h2 class="default font-display text-lg font-medium text-textMain dark:text-textMainDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(19 52 59/var(--tw-text-opacity)); font-family: var(--font-fk-grotesk),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 1.125rem; font-weight: 500; line-height: 1.75rem; margin: 0px;"><svg aria-hidden="true" class="svg-inline--fa fa-list-timeline fa-fw" data-icon="list-timeline" data-prefix="far" focusable="false" role="img" viewbox="0 0 512 512" xmlns="http://www.w3.org/2000/svg"><path d="M219.9 112H400V80H219.9l-16 16 16 16zm-72.6-4.7c-6.2-6.2-6.2-16.4 0-22.6l43.3-43.3c6-6 14.1-9.4 22.6-9.4H416c17.7 0 32 14.3 32 32v64c0 17.7-14.3 32-32 32H213.3c-8.5 0-16.6-3.4-22.6-9.4l-43.3-43.3zM64 128a32 32 0 1 1 0-64 32 32 0 1 1 0 64zm0 160a32 32 0 1 1 0-64 32 32 0 1 1 0 64zM32 416a32 32 0 1 1 64 0 32 32 0 1 1 -64 0zm187.9 16H400V400H219.9l-16 16 16 16zm-72.6-4.7c-6.2-6.2-6.2-16.4 0-22.6l43.3-43.3c6-6 14.1-9.4 22.6-9.4H416c17.7 0 32 14.3 32 32v64c0 17.7-14.3 32-32 32H213.3c-8.5 0-16.6-3.4-22.6-9.4l-43.3-43.3zM203.9 256l16 16H464V240H219.9l-16 16zm-13.3 54.6l-43.3-43.3c-6.2-6.2-6.2-16.4 0-22.6l43.3-43.3c6-6 14.1-9.4 22.6-9.4H480c17.7 0 32 14.3 32 32v64c0 17.7-14.3 32-32 32H213.3c-8.5 0-16.6-3.4-22.6-9.4z" fill="currentColor"></path></svg></h2><h2 class="default font-display text-lg font-medium text-textMain dark:text-textMainDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-space-x-reverse: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(19 52 59/var(--tw-text-opacity)); font-family: var(--font-fk-grotesk),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 1.125rem; font-weight: 500; line-height: 1.75rem; margin-bottom: 0px; margin-left: calc(8px * calc(1 - var(--tw-space-x-reverse))); margin-right: calc(8px * var(--tw-space-x-reverse)); margin-top: 0px;">Sources</h2></div></div></div></div><div class="grid grid-cols-2 gap-sm md:grid-cols-4" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; display: grid; gap: 8px; grid-template-columns: repeat(4, minmax(0px, 1fr));"><a class="flex group items-stretch cursor-pointer" href="https://www.hhs.gov/about/news/2023/12/13/hhs-finalizes-rule-to-advance-health-it-interoperability-and-algorithm-transparency.html" rel="noopener" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: stretch; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; cursor: pointer; display: flex; text-decoration: inherit;" target="_blank"><div class="w-full" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; width: 162.656px;"><div class="flex group items-stretch w-full relative h-[74px]" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; 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font-size: 0.75rem; line-height: 1rem; overflow: hidden;">HHS Finalizes Rule to Advance Health IT Interoperability and Algorithm Transparency</div></div><div class="flex items-center space-x-xs" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: flex;"><div class="flex items-center gap-x-xs border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark bg-transparent" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); 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font-size: 0.75rem; line-height: 1rem; overflow: hidden;">Health Data, Technology, and Interoperability: Certification Program Updates, Algorithm Transparency, and Information Sharing (HTI-1) Final Rule</div></div><div class="flex items-center space-x-xs" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: flex;"><div class="flex items-center gap-x-xs border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark bg-transparent" style="--tw-border-spacing-x: 0; 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font-size: 0.75rem; line-height: 1rem; overflow: hidden;">ONC inks final health IT certification rule</div></div><div class="flex items-center space-x-xs" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: flex;"><div class="flex items-center gap-x-xs border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark bg-transparent" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); 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box-sizing: border-box; color: rgb(19 52 59/var(--tw-text-opacity)); font-family: var(--font-fk-grotesk),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 1.125rem; font-weight: 500; line-height: 1.75rem; margin: 0px;"><svg aria-hidden="true" class="svg-inline--fa fa-align-left fa-fw" data-icon="align-left" data-prefix="far" focusable="false" role="img" viewbox="0 0 448 512" xmlns="http://www.w3.org/2000/svg"><path d="M24 40C10.7 40 0 50.7 0 64S10.7 88 24 88H264c13.3 0 24-10.7 24-24s-10.7-24-24-24H24zm0 128c-13.3 0-24 10.7-24 24s10.7 24 24 24H424c13.3 0 24-10.7 24-24s-10.7-24-24-24H24zM0 320c0 13.3 10.7 24 24 24H264c13.3 0 24-10.7 24-24s-10.7-24-24-24H24c-13.3 0-24 10.7-24 24zM24 424c-13.3 0-24 10.7-24 24s10.7 24 24 24H424c13.3 0 24-10.7 24-24s-10.7-24-24-24H24z" fill="currentColor"></path></svg></h2><h2 class="default font-display text-lg font-medium text-textMain dark:text-textMainDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-space-x-reverse: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(19 52 59/var(--tw-text-opacity)); font-family: var(--font-fk-grotesk),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 1.125rem; font-weight: 500; line-height: 1.75rem; margin-bottom: 0px; margin-left: calc(8px * calc(1 - var(--tw-space-x-reverse))); margin-right: calc(8px * var(--tw-space-x-reverse)); margin-top: 0px;">Answer</h2></div></div></div></div><div class="relative default font-sans text-base text-textMain dark:text-textMainDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; color: rgb(19 52 59/var(--tw-text-opacity)); font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 1rem; line-height: 1.5rem; position: relative;"><div class="break-words min-w-0 [word-break:break-word]" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; min-width: 0px; overflow-wrap: break-word; word-break: break-word;"><div dir="auto" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"><div class="prose dark:prose-invert inline leading-normal break-words min-w-0 [word-break:break-word]" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-prose-body: #13343b; --tw-prose-bold: #13343b; --tw-prose-bullets: #64645f; --tw-prose-captions: #64645f; --tw-prose-code: #13343b; --tw-prose-counters: #64645f; --tw-prose-headings: #13343b; --tw-prose-hr: #d7d7ce; --tw-prose-invert-body: #e8e8e6; --tw-prose-invert-bold: #e8e8e6; --tw-prose-invert-bullets: #8f8f8f; --tw-prose-invert-captions: #e8e8e6; --tw-prose-invert-code: #e8e8e6; --tw-prose-invert-counters: #8f8f8f; --tw-prose-invert-headings: #e8e8e6; --tw-prose-invert-hr: #3b3b3b; --tw-prose-invert-kbd-shadows: 255 255 255; --tw-prose-invert-kbd: #fff; --tw-prose-invert-lead: #e8e8e6; --tw-prose-invert-links: #e8e8e6; --tw-prose-invert-pre-bg: #292927; --tw-prose-invert-pre-code: #e8e8e6; --tw-prose-invert-quote-borders: #3b3b3b; --tw-prose-invert-quotes: #e8e8e6; --tw-prose-invert-td-borders: #3b3b3b; --tw-prose-invert-th-borders: #3b3b3b; --tw-prose-kbd-shadows: 17 24 39; --tw-prose-kbd: #111827; --tw-prose-lead: #13343b; --tw-prose-links: #13343b; --tw-prose-pre-bg: #f3f3ee; --tw-prose-pre-code: #13343b; --tw-prose-quote-borders: #d7d7ce; --tw-prose-quotes: #13343b; --tw-prose-td-borders: #d7d7ce; --tw-prose-th-borders: #d7d7ce; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: var(--tw-prose-body); display: inline; font-size: 1rem; line-height: 1.5; max-width: 65ch; min-width: 0px; overflow-wrap: break-word; word-break: break-word;"><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; background-color: transparent; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; margin-top: 0px;">The new Health and Human Services (HHS) rule, known as the HTI-1 final rule, introduces specific requirements for artificial intelligence (AI) or algorithms within the health IT sector. These requirements are part of a broader effort to advance health IT interoperability, improve transparency, and support the access, exchange, and use of electronic health information. Here are the key components related to AI or algorithms as outlined in the HTI-1 final rule:</span><h4 style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; background-color: transparent; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: var(--tw-prose-headings); font-size: inherit; font-weight: 550; line-height: 1.5; margin: 1.5em 0px 0.5em;">Algorithm Transparency</h4><ul class="list-outside list-disc pl-8" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; list-style-image: initial; list-style-position: outside; margin: 0px; padding: 0px 0px 0px 2rem;"><li style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; margin-bottom: 0.5em; margin-top: 0.5em; padding-left: 0.375em;"><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; background-color: transparent; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; margin-top: 1.25em;"><span color="var(--tw-prose-bold)" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;">Transparency Requirements</span></span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;">: The rule establishes <b style="background-color: #ffd966;">first-of-its-kind transparency requirements</b> for AI and other predictive algorithms that are part of certified health IT. This move aims to promote responsible AI use and enable clinical users to access a consistent baseline set of information about the algorithms they use. This information is intended to help assess algorithms for fairness, appropriateness, validity, effectiveness, and safety</span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; background-color: transparent; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"><span class="whitespace-nowrap" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; text-wrap: nowrap;"><a class="citation ml-xs inline" href="https://www.healthit.gov/topic/laws-regulation-and-policy/health-data-technology-and-interoperability-certification-program" rel="noopener noreferrer" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: inline; margin-left: 4px; text-decoration-line: none;" target="_blank"><div class="inline-flex relative -top-[0.3rem] light font-sans text-base text-textOff dark:text-textOffDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(100 100 95/var(--tw-text-opacity)); display: inline-flex; font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 1rem; line-height: 1.5rem; position: relative; top: -0.3rem;"><span class="text-[0.60rem]" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; font-size: 0.6rem;"><div class="inline-flex h-[1rem] min-w-[1rem] px-[0.2em] rounded-full items-center justify-center text-center font-mono md:hover:text-white tabular-nums border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark transition duration-300 bg-offsetPlus dark:bg-offsetPlusDark md:hover:bg-super" style="--tw-bg-opacity: 1; --tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-numeric-spacing: tabular-nums; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; animation-duration: 0.3s; background-color: rgb(232 232 227/var(--tw-bg-opacity)); border-radius: 9999px; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; display: inline-flex; font-family: var(--font-berkeley-mono),ui-monospace,SFMono-Regular,monospace; font-variant-numeric: var(--tw-ordinal) var(--tw-slashed-zero) var(--tw-numeric-figure) var(--tw-numeric-spacing) var(--tw-numeric-fraction); height: 1rem; justify-content: center; min-width: 1rem; padding-left: 0.2em; padding-right: 0.2em; text-align: center; transition-duration: 0.3s; transition-property: color, background-color, border-color, text-decoration-color, fill, stroke, opacity, box-shadow, transform, filter, backdrop-filter, -webkit-backdrop-filter; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1);">2</div></span></div></a>.</span></span><span style="border-image: initial; margin-bottom: 1.25em;"><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; margin-bottom: 1.25em;"></span></span></li></ul><h4 style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; background-color: transparent; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: var(--tw-prose-headings); font-size: inherit; font-weight: 550; line-height: 1.5; margin: 1.5em 0px 0.5em;">Predictive Decision Support Interventions (DSI)</h4><ul class="list-outside list-disc pl-8" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; list-style-image: initial; list-style-position: outside; margin: 0px; padding: 0px 0px 0px 2rem;"><li style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; margin-bottom: 0.5em; margin-top: 0.5em; padding-left: 0.375em;"><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; background-color: transparent; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; margin-top: 1.25em;"><span color="var(--tw-prose-bold)" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;">New Definitions and Requirements</span></span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;">: <span style="background-color: #ffe599;">The rule adopts a new definition for predictive decision-support intervention (DSI) and mandates that certified health IT modules enable a limited set of identified users. It also requires health IT developers to subject predictive DSIs to risk analysis and risk mitigation related to various factors including validity, reliability, robustness, fairness, intelligibility, safety, security, and privacy</span></span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"><span class="whitespace-nowrap" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; text-wrap: nowrap;"><a class="citation ml-xs inline" href="https://www.healthcareitnews.com/news/onc-inks-final-health-it-certification-rule" rel="noopener noreferrer" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: inline; margin-left: 4px; text-decoration-line: none;" target="_blank"><div class="inline-flex relative -top-[0.3rem] light font-sans text-base text-textOff dark:text-textOffDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(100 100 95/var(--tw-text-opacity)); display: inline-flex; font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 1rem; line-height: 1.5rem; position: relative; top: -0.3rem;"><span class="text-[0.60rem]" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; font-size: 0.6rem;"><div class="inline-flex h-[1rem] min-w-[1rem] px-[0.2em] rounded-full items-center justify-center text-center font-mono md:hover:text-white tabular-nums border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark transition duration-300 bg-offsetPlus dark:bg-offsetPlusDark md:hover:bg-super" style="--tw-bg-opacity: 1; --tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-numeric-spacing: tabular-nums; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; animation-duration: 0.3s; background-color: rgb(232 232 227/var(--tw-bg-opacity)); border-radius: 9999px; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; display: inline-flex; font-family: var(--font-berkeley-mono),ui-monospace,SFMono-Regular,monospace; font-variant-numeric: var(--tw-ordinal) var(--tw-slashed-zero) var(--tw-numeric-figure) var(--tw-numeric-spacing) var(--tw-numeric-fraction); height: 1rem; justify-content: center; min-width: 1rem; padding-left: 0.2em; padding-right: 0.2em; text-align: center; transition-duration: 0.3s; transition-property: color, background-color, border-color, text-decoration-color, fill, stroke, opacity, box-shadow, transform, filter, backdrop-filter, -webkit-backdrop-filter; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1);">3</div></span></div></a>.</span></span><span style="border-image: initial; margin-bottom: 1.25em;"><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; margin-bottom: 1.25em;"></span></span></li><li style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; background-color: transparent; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; margin-bottom: 0.5em; margin-top: 0.5em; padding-left: 0.375em;"><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; margin-top: 1.25em;"><span color="var(--tw-prose-bold)" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;">Governance Requirements</span></span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;">: There are specific governance requirements on how data are acquired, managed, and used, which must be consistent with Intervention Risk Management (IRM) practices</span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"><span class="whitespace-nowrap" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; text-wrap: nowrap;"><a class="citation ml-xs inline" href="https://www.healthcareitnews.com/news/onc-inks-final-health-it-certification-rule" rel="noopener noreferrer" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: inline; margin-left: 4px; text-decoration-line: none;" target="_blank"><div class="inline-flex relative -top-[0.3rem] light font-sans text-base text-textOff dark:text-textOffDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(100 100 95/var(--tw-text-opacity)); display: inline-flex; font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 1rem; line-height: 1.5rem; position: relative; top: -0.3rem;"><span class="text-[0.60rem]" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; font-size: 0.6rem;"><div class="inline-flex h-[1rem] min-w-[1rem] px-[0.2em] rounded-full items-center justify-center text-center font-mono md:hover:text-white tabular-nums border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark transition duration-300 bg-offsetPlus dark:bg-offsetPlusDark md:hover:bg-super" style="--tw-bg-opacity: 1; --tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-numeric-spacing: tabular-nums; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; animation-duration: 0.3s; background-color: rgb(232 232 227/var(--tw-bg-opacity)); border-radius: 9999px; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; display: inline-flex; font-family: var(--font-berkeley-mono),ui-monospace,SFMono-Regular,monospace; font-variant-numeric: var(--tw-ordinal) var(--tw-slashed-zero) var(--tw-numeric-figure) var(--tw-numeric-spacing) var(--tw-numeric-fraction); height: 1rem; justify-content: center; min-width: 1rem; padding-left: 0.2em; padding-right: 0.2em; text-align: center; transition-duration: 0.3s; transition-property: color, background-color, border-color, text-decoration-color, fill, stroke, opacity, box-shadow, transform, filter, backdrop-filter, -webkit-backdrop-filter; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1);">3</div></span></div></a>.</span></span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; margin-bottom: 1.25em;"></span></li></ul><h4 style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; background-color: transparent; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: var(--tw-prose-headings); font-size: inherit; font-weight: 550; line-height: 1.5; margin: 1.5em 0px 0.5em;">Compliance Deadlines</h4><ul class="list-outside list-disc pl-8" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; list-style-image: initial; list-style-position: outside; margin: 0px; padding: 0px 0px 0px 2rem;"><li style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; margin-bottom: 0.5em; margin-top: 0.5em; padding-left: 0.375em;"><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; background-color: transparent; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; margin-top: 1.25em;"><span color="var(--tw-prose-bold)" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;">Deadline for AI Transparency Requirements</span></span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;">: Developers seeking certification for health IT that employs AI and algorithms <b style="background-color: #ffe599;">must meet the new requirements by December 31, 2024</b>. This deadline is set to ensure that tools used to aid decision-making that use AI and algorithms share information about how they operate</span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; background-color: transparent; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"><span class="whitespace-nowrap" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; text-wrap: nowrap;"><a class="citation ml-xs inline" href="https://fedscoop.com/hhs-maintains-ai-transparency-requirement-deadline/" rel="noopener noreferrer" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: inline; margin-left: 4px; text-decoration-line: none;" target="_blank"><div class="inline-flex relative -top-[0.3rem] light font-sans text-base text-textOff dark:text-textOffDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(100 100 95/var(--tw-text-opacity)); display: inline-flex; font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 1rem; line-height: 1.5rem; position: relative; top: -0.3rem;"><span class="text-[0.60rem]" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; font-size: 0.6rem;"><div class="inline-flex h-[1rem] min-w-[1rem] px-[0.2em] rounded-full items-center justify-center text-center font-mono md:hover:text-white tabular-nums border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark transition duration-300 bg-offsetPlus dark:bg-offsetPlusDark md:hover:bg-super" style="--tw-bg-opacity: 1; --tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-numeric-spacing: tabular-nums; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; animation-duration: 0.3s; background-color: rgb(232 232 227/var(--tw-bg-opacity)); border-radius: 9999px; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; display: inline-flex; font-family: var(--font-berkeley-mono),ui-monospace,SFMono-Regular,monospace; font-variant-numeric: var(--tw-ordinal) var(--tw-slashed-zero) var(--tw-numeric-figure) var(--tw-numeric-spacing) var(--tw-numeric-fraction); height: 1rem; justify-content: center; min-width: 1rem; padding-left: 0.2em; padding-right: 0.2em; text-align: center; transition-duration: 0.3s; transition-property: color, background-color, border-color, text-decoration-color, fill, stroke, opacity, box-shadow, transform, filter, backdrop-filter, -webkit-backdrop-filter; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1);">4</div></span></div></a>.</span></span><span style="border-image: initial; margin-bottom: 1.25em;"><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; margin-bottom: 1.25em;"></span></span></li></ul><h4 style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; background-color: transparent; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: var(--tw-prose-headings); font-size: inherit; font-weight: 550; line-height: 1.5; margin: 1.5em 0px 0.5em;">Ongoing Maintenance and Risk Management</h4><ul class="list-outside list-disc pl-8" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; background-color: transparent; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; list-style-image: initial; list-style-position: outside; margin: 0px; padding: 0px 0px 0px 2rem;"><li style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; margin-bottom: 0.5em; margin-top: 0.5em; padding-left: 0.375em;"><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; margin-top: 1.25em;"><span color="var(--tw-prose-bold)" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;">Maintenance Certification</span></span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;">: Starting January 2025, health IT will be required to comply with ongoing maintenance and risk management requirements to ensure the continued efficacy and safety of the AI and algorithmic tools</span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"><span class="whitespace-nowrap" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; text-wrap: nowrap;"><a class="citation ml-xs inline" href="https://fedscoop.com/hhs-maintains-ai-transparency-requirement-deadline/" rel="noopener noreferrer" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: inline; margin-left: 4px; text-decoration-line: none;" target="_blank"><div class="inline-flex relative -top-[0.3rem] light font-sans text-base text-textOff dark:text-textOffDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(100 100 95/var(--tw-text-opacity)); display: inline-flex; font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 1rem; line-height: 1.5rem; position: relative; top: -0.3rem;"><span class="text-[0.60rem]" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; font-size: 0.6rem;"><div class="inline-flex h-[1rem] min-w-[1rem] px-[0.2em] rounded-full items-center justify-center text-center font-mono md:hover:text-white tabular-nums border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark transition duration-300 bg-offsetPlus dark:bg-offsetPlusDark md:hover:bg-super" style="--tw-bg-opacity: 1; --tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-numeric-spacing: tabular-nums; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; animation-duration: 0.3s; background-color: rgb(232 232 227/var(--tw-bg-opacity)); border-radius: 9999px; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; display: inline-flex; font-family: var(--font-berkeley-mono),ui-monospace,SFMono-Regular,monospace; font-variant-numeric: var(--tw-ordinal) var(--tw-slashed-zero) var(--tw-numeric-figure) var(--tw-numeric-spacing) var(--tw-numeric-fraction); height: 1rem; justify-content: center; min-width: 1rem; padding-left: 0.2em; padding-right: 0.2em; text-align: center; transition-duration: 0.3s; transition-property: color, background-color, border-color, text-decoration-color, fill, stroke, opacity, box-shadow, transform, filter, backdrop-filter, -webkit-backdrop-filter; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1);">4</div></span></div></a>.</span></span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; margin-bottom: 1.25em;"></span></li></ul><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; background-color: transparent; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;">These specific requirements for AI and algorithms in the HTI-1 final rule represent a significant step towards ensuring that the use of these technologies in healthcare is transparent, fair, and safe. By mandating the disclosure of detailed information about AI and algorithmic tools and subjecting them to rigorous risk analysis and mitigation, the rule aims to foster a healthcare environment where technology serves to enhance patient care and outcomes responsibly</span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; background-color: transparent; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"><a class="citation ml-xs inline" href="https://www.healthit.gov/topic/laws-regulation-and-policy/health-data-technology-and-interoperability-certification-program" rel="noopener noreferrer" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: inline; margin-left: 4px; text-decoration-line: none;" target="_blank"><div class="inline-flex relative -top-[0.3rem] light font-sans text-base text-textOff dark:text-textOffDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(100 100 95/var(--tw-text-opacity)); display: inline-flex; font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 1rem; line-height: 1.5rem; position: relative; top: -0.3rem;"><span class="text-[0.60rem]" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; font-size: 0.6rem;"><div class="inline-flex h-[1rem] min-w-[1rem] px-[0.2em] rounded-full items-center justify-center text-center font-mono md:hover:text-white tabular-nums border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark transition duration-300 bg-offsetPlus dark:bg-offsetPlusDark md:hover:bg-super" style="--tw-bg-opacity: 1; --tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-numeric-spacing: tabular-nums; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; animation-duration: 0.3s; background-color: rgb(232 232 227/var(--tw-bg-opacity)); border-radius: 9999px; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; display: inline-flex; font-family: var(--font-berkeley-mono),ui-monospace,SFMono-Regular,monospace; font-variant-numeric: var(--tw-ordinal) var(--tw-slashed-zero) var(--tw-numeric-figure) var(--tw-numeric-spacing) var(--tw-numeric-fraction); height: 1rem; justify-content: center; min-width: 1rem; padding-left: 0.2em; padding-right: 0.2em; text-align: center; transition-duration: 0.3s; transition-property: color, background-color, border-color, text-decoration-color, fill, stroke, opacity, box-shadow, transform, filter, backdrop-filter, -webkit-backdrop-filter; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1);">2</div></span></div></a></span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; background-color: transparent; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"><a class="citation ml-xs inline" href="https://www.healthcareitnews.com/news/onc-inks-final-health-it-certification-rule" rel="noopener noreferrer" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: inline; margin-left: 4px; text-decoration-line: none;" target="_blank"><div class="inline-flex relative -top-[0.3rem] light font-sans text-base text-textOff dark:text-textOffDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(100 100 95/var(--tw-text-opacity)); display: inline-flex; font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 1rem; line-height: 1.5rem; position: relative; top: -0.3rem;"><span class="text-[0.60rem]" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; font-size: 0.6rem;"><div class="inline-flex h-[1rem] min-w-[1rem] px-[0.2em] rounded-full items-center justify-center text-center font-mono md:hover:text-white tabular-nums border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark transition duration-300 bg-offsetPlus dark:bg-offsetPlusDark md:hover:bg-super" style="--tw-bg-opacity: 1; --tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-numeric-spacing: tabular-nums; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; animation-duration: 0.3s; background-color: rgb(232 232 227/var(--tw-bg-opacity)); border-radius: 9999px; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; display: inline-flex; font-family: var(--font-berkeley-mono),ui-monospace,SFMono-Regular,monospace; font-variant-numeric: var(--tw-ordinal) var(--tw-slashed-zero) var(--tw-numeric-figure) var(--tw-numeric-spacing) var(--tw-numeric-fraction); height: 1rem; justify-content: center; min-width: 1rem; padding-left: 0.2em; padding-right: 0.2em; text-align: center; transition-duration: 0.3s; transition-property: color, background-color, border-color, text-decoration-color, fill, stroke, opacity, box-shadow, transform, filter, backdrop-filter, -webkit-backdrop-filter; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1);">3</div></span></div></a></span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; background-color: transparent; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"><span class="whitespace-nowrap" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; text-wrap: nowrap;"><a class="citation ml-xs inline" href="https://fedscoop.com/hhs-maintains-ai-transparency-requirement-deadline/" rel="noopener noreferrer" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: inline; margin-left: 4px; text-decoration-line: none;" target="_blank"><div class="inline-flex relative -top-[0.3rem] light font-sans text-base text-textOff dark:text-textOffDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(100 100 95/var(--tw-text-opacity)); display: inline-flex; font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 1rem; line-height: 1.5rem; position: relative; top: -0.3rem;"><span class="text-[0.60rem]" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; font-size: 0.6rem;"><div class="inline-flex h-[1rem] min-w-[1rem] px-[0.2em] rounded-full items-center justify-center text-center font-mono md:hover:text-white tabular-nums border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark transition duration-300 bg-offsetPlus dark:bg-offsetPlusDark md:hover:bg-super" style="--tw-bg-opacity: 1; --tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-numeric-spacing: tabular-nums; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; animation-duration: 0.3s; background-color: rgb(232 232 227/var(--tw-bg-opacity)); border-radius: 9999px; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; display: inline-flex; font-family: var(--font-berkeley-mono),ui-monospace,SFMono-Regular,monospace; font-variant-numeric: var(--tw-ordinal) var(--tw-slashed-zero) var(--tw-numeric-figure) var(--tw-numeric-spacing) var(--tw-numeric-fraction); height: 1rem; justify-content: center; min-width: 1rem; padding-left: 0.2em; padding-right: 0.2em; text-align: center; transition-duration: 0.3s; transition-property: color, background-color, border-color, text-decoration-color, fill, stroke, opacity, box-shadow, transform, filter, backdrop-filter, -webkit-backdrop-filter; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1);">4</div></span></div></a>.</span></span><span style="border-image: initial;"><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; margin-bottom: 0px;"></span></span></div></div></div></div><div class="flex items-center justify-between mt-sm" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; background-color: transparent; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; display: flex; justify-content: space-between; margin-top: 8px;"><div class="flex items-center gap-xs -ml-sm" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: flex; gap: 4px; margin-left: -8px;"><button class="md:hover:bg-offsetPlus text-textOff dark:text-textOffDark md:hover:text-textMain dark:md:hover:bg-offsetPlusDark dark:md:hover:text-textMainDark font-sans focus:outline-none outline-none outline-transparent transition duration-300 ease-in-out font-sans select-none items-center relative group justify-center text-center items-center rounded-full cursor-point active:scale-95 origin-center whitespace-nowrap inline-flex text-sm px-sm font-medium h-8" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; animation-duration: 0.3s; animation-timing-function: cubic-bezier(0.4, 0, 0.2, 1); appearance: button; background-image: none; border-color: rgb(229, 231, 235); border-radius: 9999px; border-style: solid; border-width: 0px; cursor: pointer; display: inline-flex; font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-feature-settings: inherit; font-size: 0.875rem; font-variation-settings: inherit; font-weight: 500; height: 2rem; justify-content: center; line-height: 1.25rem; margin: 0px; outline-offset: 2px; outline: transparent solid 2px; padding: 0px 8px; position: relative; text-wrap: nowrap; transform-origin: center center; transition-duration: 0.3s; transition-property: color, background-color, border-color, text-decoration-color, fill, stroke, opacity, box-shadow, transform, filter, backdrop-filter, -webkit-backdrop-filter; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1); user-select: none;" type="button"><div class="pointer-events-none absolute z-30 opacity-0 shadow-sm transition-all delay-200 duration-200 group-hover:translate-y-0 group-hover:translate-x-0 group-hover:opacity-100 bottom-[120%] translate-y-1" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 1px 2px 0 var(--tw-shadow-color); --tw-shadow: 0 1px 2px 0 rgba(0,0,0,.05); --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0.25rem; animation-delay: 0.2s; animation-duration: 0.2s; border: 0px solid rgb(229, 231, 235); bottom: 38.3906px; box-shadow: var(--tw-ring-offset-shadow,0 0 #0000),var(--tw-ring-shadow,0 0 #0000),var(--tw-shadow); box-sizing: border-box; opacity: 0; pointer-events: none; position: absolute; transform: translate(var(--tw-translate-x),var(--tw-translate-y)) rotate(var(--tw-rotate)) skewX(var(--tw-skew-x)) skewY(var(--tw-skew-y)) scaleX(var(--tw-scale-x)) scaleY(var(--tw-scale-y)); transition-delay: 0.2s; transition-duration: 0.2s; transition-property: all; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1); z-index: 30;"><div class="py-xs px-sm rounded flex items-center gap-x-sm border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark bg-offsetPlusDark" style="--tw-bg-opacity: 1; --tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; background-color: rgb(51 51 49/var(--tw-bg-opacity)); border-radius: 0.25rem; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; column-gap: 8px; display: flex; padding: 4px 8px;"><div class="default font-sans text-xs font-medium text-textMain dark:text-textMainDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(19 52 59/var(--tw-text-opacity)); font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 0.75rem; line-height: 1rem;"><span class="text-textMainDark" color="rgb(232 232 230/var(--tw-text-opacity))" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;">Copy Link</span></div></div></div><div class="flex items-center leading-none justify-center gap-xs" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: flex; gap: 4px; justify-content: center; line-height: 1;"><svg aria-hidden="true" class="svg-inline--fa fa-share fa-fw fa-1x" data-icon="share" data-prefix="far" focusable="false" role="img" viewbox="0 0 512 512" xmlns="http://www.w3.org/2000/svg"><path d="M288 240H192c-66.2 0-122 44.7-138.8 105.5C49.9 333.1 48 319.3 48 304c0-70.7 57.3-128 128-128H288h24c13.3 0 24-10.7 24-24V128 99.9L456.1 208 336 316.1V288 264c0-13.3-10.7-24-24-24H288zm0 48v48 16c0 12.6 7.4 24.1 19 29.2s25 3 34.4-5.4l160-144c6.7-6.1 10.6-14.7 10.6-23.8s-3.8-17.7-10.6-23.8l-160-144c-9.4-8.5-22.9-10.6-34.4-5.4s-19 16.6-19 29.2V80v48H240 176C78.8 128 0 206.8 0 304c0 78 38.6 126.2 68.7 152.1c4.1 3.5 8.1 6.6 11.7 9.3c3.2 2.4 6.2 4.4 8.9 6.2c4.5 3 8.3 5.1 10.8 6.5c2.5 1.4 5.3 1.9 8.1 1.9c10.9 0 19.7-8.9 19.7-19.7c0-6.8-3.6-13.2-8.3-18.1c-.5-.5-.9-.9-1.4-1.4c-2.4-2.3-5.1-5.1-7.7-8.6c-1.7-2.3-3.4-5-5-7.9c-5.3-9.7-9.5-22.9-9.5-40.2c0-53 43-96 96-96h48 48z" fill="currentColor"></path></svg><div class="text-align-center relative" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; position: relative;">Share</div></div></button><div style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"><button class="md:hover:bg-offsetPlus text-textOff dark:text-textOffDark md:hover:text-textMain dark:md:hover:bg-offsetPlusDark dark:md:hover:text-textMainDark font-sans focus:outline-none outline-none outline-transparent transition duration-300 ease-in-out font-sans select-none items-center relative group justify-center text-center items-center rounded-full cursor-point active:scale-95 origin-center whitespace-nowrap inline-flex text-sm px-sm font-medium h-8" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; animation-duration: 0.3s; animation-timing-function: cubic-bezier(0.4, 0, 0.2, 1); appearance: button; background-image: none; border-color: rgb(229, 231, 235); border-radius: 9999px; border-style: solid; border-width: 0px; cursor: pointer; display: inline-flex; font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-feature-settings: inherit; font-size: 0.875rem; font-variation-settings: inherit; font-weight: 500; height: 2rem; justify-content: center; line-height: 1.25rem; margin: 0px; outline-offset: 2px; outline: transparent solid 2px; padding: 0px 8px; position: relative; text-wrap: nowrap; transform-origin: center center; transition-duration: 0.3s; transition-property: color, background-color, border-color, text-decoration-color, fill, stroke, opacity, box-shadow, transform, filter, backdrop-filter, -webkit-backdrop-filter; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1); user-select: none;" type="button"><div class="pointer-events-none absolute z-30 opacity-0 shadow-sm transition-all delay-200 duration-200 group-hover:translate-y-0 group-hover:translate-x-0 group-hover:opacity-100 bottom-[120%] translate-y-1" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 1px 2px 0 var(--tw-shadow-color); --tw-shadow: 0 1px 2px 0 rgba(0,0,0,.05); --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0.25rem; animation-delay: 0.2s; animation-duration: 0.2s; border: 0px solid rgb(229, 231, 235); bottom: 38.3906px; box-shadow: var(--tw-ring-offset-shadow,0 0 #0000),var(--tw-ring-shadow,0 0 #0000),var(--tw-shadow); box-sizing: border-box; opacity: 0; pointer-events: none; position: absolute; transform: translate(var(--tw-translate-x),var(--tw-translate-y)) rotate(var(--tw-rotate)) skewX(var(--tw-skew-x)) skewY(var(--tw-skew-y)) scaleX(var(--tw-scale-x)) scaleY(var(--tw-scale-y)); transition-delay: 0.2s; transition-duration: 0.2s; transition-property: all; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1); z-index: 30;"><div class="py-xs px-sm rounded flex items-center gap-x-sm border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark bg-offsetPlusDark" style="--tw-bg-opacity: 1; --tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; background-color: rgb(51 51 49/var(--tw-bg-opacity)); border-radius: 0.25rem; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; column-gap: 8px; display: flex; padding: 4px 8px;"><div class="default font-sans text-xs font-medium text-textMain dark:text-textMainDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(19 52 59/var(--tw-text-opacity)); font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 0.75rem; line-height: 1rem;"><span class="text-textMainDark" color="rgb(232 232 230/var(--tw-text-opacity))" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;">Rewrite this answer</span></div></div></div><div class="flex items-center leading-none justify-center gap-xs" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: flex; gap: 4px; justify-content: center; line-height: 1;"><svg aria-hidden="true" class="svg-inline--fa fa-repeat fa-fw fa-1x" data-icon="repeat" data-prefix="far" focusable="false" role="img" viewbox="0 0 512 512" xmlns="http://www.w3.org/2000/svg"><path d="M22.8 280C9.6 279.3-.6 268 0 254.8l.4-8C5.3 148.9 86.2 72 184.2 72H304l0-36.4C304 15.9 319.9 0 339.6 0c8.8 0 17.3 3.3 23.8 9.1l76.7 69c5.1 4.6 7.9 11 7.9 17.8s-2.9 13.3-7.9 17.8l-76.7 69c-6.5 5.9-15 9.1-23.8 9.1c-19.6 0-35.6-15.9-35.6-35.6V120H184.2C111.7 120 52 176.8 48.4 249.2l-.4 8C47.3 270.4 36 280.6 22.8 280zM352 128.5L388.1 96 352 63.5l0 65zM489.2 232c13.2 .7 23.4 11.9 22.8 25.2l-.4 8C506.7 363.1 425.8 440 327.8 440L208 440v36.4c0 19.6-15.9 35.6-35.6 35.6c-8.8 0-17.3-3.3-23.8-9.1l-76.7-69c-5.1-4.6-7.9-11-7.9-17.8s2.9-13.3 7.9-17.8l76.7-69c6.5-5.9 15-9.1 23.8-9.1c19.6 0 35.6 15.9 35.6 35.6V392l119.8 0c72.5 0 132.2-56.8 135.8-129.2l.4-8c.7-13.2 11.9-23.4 25.2-22.8zM160 383.5L123.9 416 160 448.5v-65z" fill="currentColor"></path></svg><div class="text-align-center relative" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; position: relative;">Rewrite</div></div></button></div></div><div class="flex items-center gap-x-xs" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; column-gap: 4px; display: flex;"><button class="text-textOff dark:text-textOffDark md:hover:bg-offsetPlus dark:md:hover:bg-offsetPlusDark md:hover:text-superAlt font-sans focus:outline-none outline-none outline-transparent transition duration-300 ease-in-out font-sans select-none items-center relative group justify-center text-center items-center rounded-full cursor-point active:scale-95 origin-center whitespace-nowrap inline-flex text-sm aspect-square h-8" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; animation-duration: 0.3s; animation-timing-function: cubic-bezier(0.4, 0, 0.2, 1); appearance: button; aspect-ratio: 1 / 1; background-image: none; border-color: rgb(229, 231, 235); border-radius: 9999px; border-style: solid; border-width: 0px; cursor: pointer; display: inline-flex; font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-feature-settings: inherit; font-size: 0.875rem; font-variation-settings: inherit; font-weight: inherit; height: 2rem; justify-content: center; line-height: 1.25rem; margin: 0px; outline-offset: 2px; outline: transparent solid 2px; padding: 0px; position: relative; text-wrap: nowrap; transform-origin: center center; transition-duration: 0.3s; transition-property: color, background-color, border-color, text-decoration-color, fill, stroke, opacity, box-shadow, transform, filter, backdrop-filter, -webkit-backdrop-filter; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1); user-select: none;" type="button"><div class="pointer-events-none absolute z-30 opacity-0 shadow-sm transition-all delay-200 duration-200 group-hover:translate-y-0 group-hover:translate-x-0 group-hover:opacity-100 bottom-[120%] translate-y-1" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 1px 2px 0 var(--tw-shadow-color); --tw-shadow: 0 1px 2px 0 rgba(0,0,0,.05); --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0.25rem; animation-delay: 0.2s; animation-duration: 0.2s; border: 0px solid rgb(229, 231, 235); bottom: 38.3906px; box-shadow: var(--tw-ring-offset-shadow,0 0 #0000),var(--tw-ring-shadow,0 0 #0000),var(--tw-shadow); box-sizing: border-box; opacity: 0; pointer-events: none; position: absolute; transform: translate(var(--tw-translate-x),var(--tw-translate-y)) rotate(var(--tw-rotate)) skewX(var(--tw-skew-x)) skewY(var(--tw-skew-y)) scaleX(var(--tw-scale-x)) scaleY(var(--tw-scale-y)); transition-delay: 0.2s; transition-duration: 0.2s; transition-property: all; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1); z-index: 30;"><div class="py-xs px-sm rounded flex items-center gap-x-sm border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark bg-offsetPlusDark" style="--tw-bg-opacity: 1; --tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; background-color: rgb(51 51 49/var(--tw-bg-opacity)); border-radius: 0.25rem; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; column-gap: 8px; display: flex; padding: 4px 8px;"><div class="default font-sans text-xs font-medium text-textMain dark:text-textMainDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(19 52 59/var(--tw-text-opacity)); font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 0.75rem; line-height: 1rem;"><span class="text-textMainDark" color="rgb(232 232 230/var(--tw-text-opacity))" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;">Inaccurate or unhelpful</span></div></div></div><div class="flex items-center leading-none justify-center gap-xs" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: flex; gap: 4px; justify-content: center; line-height: 1;"><svg aria-hidden="true" class="svg-inline--fa fa-thumbs-down fa-fw fa-1x" data-icon="thumbs-down" data-prefix="far" focusable="false" role="img" viewbox="0 0 512 512" xmlns="http://www.w3.org/2000/svg"><path d="M323.8 477.2c-38.2 10.9-78.1-11.2-89-49.4l-5.7-20c-3.7-13-10.4-25-19.5-35l-51.3-56.4c-8.9-9.8-8.2-25 1.6-33.9s25-8.2 33.9 1.6l51.3 56.4c14.1 15.5 24.4 34 30.1 54.1l5.7 20c3.6 12.7 16.9 20.1 29.7 16.5s20.1-16.9 16.5-29.7l-5.7-20c-5.7-19.9-14.7-38.7-26.6-55.5c-5.2-7.3-5.8-16.9-1.7-24.9s12.3-13 21.3-13L448 288c8.8 0 16-7.2 16-16c0-6.8-4.3-12.7-10.4-15c-7.4-2.8-13-9-14.9-16.7s.1-15.8 5.3-21.7c2.5-2.8 4-6.5 4-10.6c0-7.8-5.6-14.3-13-15.7c-8.2-1.6-15.1-7.3-18-15.2s-1.6-16.7 3.6-23.3c2.1-2.7 3.4-6.1 3.4-9.9c0-6.7-4.2-12.6-10.2-14.9c-11.5-4.5-17.7-16.9-14.4-28.8c.4-1.3 .6-2.8 .6-4.3c0-8.8-7.2-16-16-16H286.5c-12.6 0-25 3.7-35.5 10.7l-61.7 41.1c-11 7.4-25.9 4.4-33.3-6.7s-4.4-25.9 6.7-33.3l61.7-41.1c18.4-12.3 40-18.8 62.1-18.8H384c34.7 0 62.9 27.6 64 62c14.6 11.7 24 29.7 24 50c0 4.5-.5 8.8-1.3 13c15.4 11.7 25.3 30.2 25.3 51c0 6.5-1 12.8-2.8 18.7C504.8 238.3 512 254.3 512 272c0 35.3-28.6 64-64 64l-92.3 0c4.7 10.4 8.7 21.2 11.8 32.2l5.7 20c10.9 38.2-11.2 78.1-49.4 89zM32 384c-17.7 0-32-14.3-32-32V128c0-17.7 14.3-32 32-32H96c17.7 0 32 14.3 32 32V352c0 17.7-14.3 32-32 32H32z" fill="currentColor"></path></svg></div></button><button class="md:hover:bg-offsetPlus text-textOff dark:text-textOffDark md:hover:text-textMain dark:md:hover:bg-offsetPlusDark dark:md:hover:text-textMainDark font-sans focus:outline-none outline-none outline-transparent transition duration-300 ease-in-out font-sans select-none items-center relative group justify-center text-center items-center rounded-full cursor-point active:scale-95 origin-center whitespace-nowrap inline-flex text-sm aspect-square h-8" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; animation-duration: 0.3s; animation-timing-function: cubic-bezier(0.4, 0, 0.2, 1); appearance: button; aspect-ratio: 1 / 1; background-image: none; border-color: rgb(229, 231, 235); border-radius: 9999px; border-style: solid; border-width: 0px; cursor: pointer; display: inline-flex; font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-feature-settings: inherit; font-size: 0.875rem; font-variation-settings: inherit; font-weight: inherit; height: 2rem; justify-content: center; line-height: 1.25rem; margin: 0px; outline-offset: 2px; outline: transparent solid 2px; padding: 0px; position: relative; text-wrap: nowrap; transform-origin: center center; transition-duration: 0.3s; transition-property: color, background-color, border-color, text-decoration-color, fill, stroke, opacity, box-shadow, transform, filter, backdrop-filter, -webkit-backdrop-filter; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1); user-select: none;" type="button"><div class="pointer-events-none absolute z-30 opacity-0 shadow-sm transition-all delay-200 duration-200 group-hover:translate-y-0 group-hover:translate-x-0 group-hover:opacity-100 bottom-[120%] translate-y-1" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 1px 2px 0 var(--tw-shadow-color); --tw-shadow: 0 1px 2px 0 rgba(0,0,0,.05); --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0.25rem; animation-delay: 0.2s; animation-duration: 0.2s; border: 0px solid rgb(229, 231, 235); bottom: 38.3906px; box-shadow: var(--tw-ring-offset-shadow,0 0 #0000),var(--tw-ring-shadow,0 0 #0000),var(--tw-shadow); box-sizing: border-box; opacity: 0; pointer-events: none; position: absolute; transform: translate(var(--tw-translate-x),var(--tw-translate-y)) rotate(var(--tw-rotate)) skewX(var(--tw-skew-x)) skewY(var(--tw-skew-y)) scaleX(var(--tw-scale-x)) scaleY(var(--tw-scale-y)); transition-delay: 0.2s; transition-duration: 0.2s; transition-property: all; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1); z-index: 30;"><div class="py-xs px-sm rounded flex items-center gap-x-sm border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark bg-offsetPlusDark" style="--tw-bg-opacity: 1; --tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; background-color: rgb(51 51 49/var(--tw-bg-opacity)); border-radius: 0.25rem; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; column-gap: 8px; display: flex; padding: 4px 8px;"><div class="default font-sans text-xs font-medium text-textMain dark:text-textMainDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(19 52 59/var(--tw-text-opacity)); font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 0.75rem; line-height: 1rem;"><span class="text-textMainDark" color="rgb(232 232 230/var(--tw-text-opacity))" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;">Copy</span></div></div></div><div class="flex items-center leading-none justify-center gap-xs" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: flex; gap: 4px; justify-content: center; line-height: 1;"><svg aria-hidden="true" class="svg-inline--fa fa-clipboard fa-fw fa-1x" data-icon="clipboard" data-prefix="far" focusable="false" role="img" viewbox="0 0 384 512" xmlns="http://www.w3.org/2000/svg"><path d="M280 64h40c35.3 0 64 28.7 64 64V448c0 35.3-28.7 64-64 64H64c-35.3 0-64-28.7-64-64V128C0 92.7 28.7 64 64 64h40 9.6C121 27.5 153.3 0 192 0s71 27.5 78.4 64H280zM64 112c-8.8 0-16 7.2-16 16V448c0 8.8 7.2 16 16 16H320c8.8 0 16-7.2 16-16V128c0-8.8-7.2-16-16-16H304v24c0 13.3-10.7 24-24 24H192 104c-13.3 0-24-10.7-24-24V112H64zm128-8a24 24 0 1 0 0-48 24 24 0 1 0 0 48z" fill="currentColor"></path></svg></div></button><button class="md:hover:bg-offsetPlus text-textOff dark:text-textOffDark md:hover:text-textMain dark:md:hover:bg-offsetPlusDark dark:md:hover:text-textMainDark font-sans focus:outline-none outline-none outline-transparent transition duration-300 ease-in-out font-sans select-none items-center relative group justify-center text-center items-center rounded-full cursor-point active:scale-95 origin-center whitespace-nowrap inline-flex text-sm aspect-square h-8" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; animation-duration: 0.3s; animation-timing-function: cubic-bezier(0.4, 0, 0.2, 1); appearance: button; aspect-ratio: 1 / 1; background-image: none; border-color: rgb(229, 231, 235); border-radius: 9999px; border-style: solid; border-width: 0px; cursor: pointer; display: inline-flex; font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-feature-settings: inherit; font-size: 0.875rem; font-variation-settings: inherit; font-weight: inherit; height: 2rem; justify-content: center; line-height: 1.25rem; margin: 0px; outline-offset: 2px; outline: transparent solid 2px; padding: 0px; position: relative; text-wrap: nowrap; transform-origin: center center; transition-duration: 0.3s; transition-property: color, background-color, border-color, text-decoration-color, fill, stroke, opacity, box-shadow, transform, filter, backdrop-filter, -webkit-backdrop-filter; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1); user-select: none;" type="button"><div class="pointer-events-none absolute z-30 opacity-0 shadow-sm transition-all delay-200 duration-200 group-hover:translate-y-0 group-hover:translate-x-0 group-hover:opacity-100 bottom-[120%] translate-y-1" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 1px 2px 0 var(--tw-shadow-color); --tw-shadow: 0 1px 2px 0 rgba(0,0,0,.05); --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0.25rem; animation-delay: 0.2s; animation-duration: 0.2s; border: 0px solid rgb(229, 231, 235); bottom: 38.3906px; box-shadow: var(--tw-ring-offset-shadow,0 0 #0000),var(--tw-ring-shadow,0 0 #0000),var(--tw-shadow); box-sizing: border-box; opacity: 0; pointer-events: none; position: absolute; transform: translate(var(--tw-translate-x),var(--tw-translate-y)) rotate(var(--tw-rotate)) skewX(var(--tw-skew-x)) skewY(var(--tw-skew-y)) scaleX(var(--tw-scale-x)) scaleY(var(--tw-scale-y)); transition-delay: 0.2s; transition-duration: 0.2s; transition-property: all; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1); z-index: 30;"><div class="py-xs px-sm rounded flex items-center gap-x-sm border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark bg-offsetPlusDark" style="--tw-bg-opacity: 1; --tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; background-color: rgb(51 51 49/var(--tw-bg-opacity)); border-radius: 0.25rem; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; column-gap: 8px; display: flex; padding: 4px 8px;"><div class="default font-sans text-xs font-medium text-textMain dark:text-textMainDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(19 52 59/var(--tw-text-opacity)); font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 0.75rem; line-height: 1rem;"><span class="text-textMainDark" color="rgb(232 232 230/var(--tw-text-opacity))" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;">Edit Query</span></div></div></div><div class="flex items-center leading-none justify-center gap-xs" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: flex; gap: 4px; justify-content: center; line-height: 1;"><svg aria-hidden="true" class="svg-inline--fa fa-pen-to-square fa-fw fa-1x" data-icon="pen-to-square" data-prefix="far" focusable="false" role="img" viewbox="0 0 512 512" xmlns="http://www.w3.org/2000/svg"><path d="M441 58.9L453.1 71c9.4 9.4 9.4 24.6 0 33.9L424 134.1 377.9 88 407 58.9c9.4-9.4 24.6-9.4 33.9 0zM209.8 256.2L344 121.9 390.1 168 255.8 302.2c-2.9 2.9-6.5 5-10.4 6.1l-58.5 16.7 16.7-58.5c1.1-3.9 3.2-7.5 6.1-10.4zM373.1 25L175.8 222.2c-8.7 8.7-15 19.4-18.3 31.1l-28.6 100c-2.4 8.4-.1 17.4 6.1 23.6s15.2 8.5 23.6 6.1l100-28.6c11.8-3.4 22.5-9.7 31.1-18.3L487 138.9c28.1-28.1 28.1-73.7 0-101.8L474.9 25C446.8-3.1 401.2-3.1 373.1 25zM88 64C39.4 64 0 103.4 0 152V424c0 48.6 39.4 88 88 88H360c48.6 0 88-39.4 88-88V312c0-13.3-10.7-24-24-24s-24 10.7-24 24V424c0 22.1-17.9 40-40 40H88c-22.1 0-40-17.9-40-40V152c0-22.1 17.9-40 40-40H200c13.3 0 24-10.7 24-24s-10.7-24-24-24H88z" fill="currentColor"></path></svg></div></button></div></div></div><div style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; background-color: transparent; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"></div></div><div class="col-span-4" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; background-color: transparent; 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--tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; background-color: #fcfcf9; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"><div class="pb-lg border-b border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark bg-transparent" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; background-color: transparent; border-color: rgba(216, 216, 207, 0.6); border-image: initial; border-style: solid; border-width: 0px 0px 1px; box-sizing: border-box; padding-bottom: 32px;"><div class="md:grid grid-cols-12 gap-xl" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: grid; gap: 48px; grid-template-columns: repeat(12, minmax(0px, 1fr));"><div class="col-span-8" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; grid-column: span 8 / span 8;"><div class="my-md md:my-lg" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; margin-bottom: 32px; margin-top: 32px;"><div class="break-words [word-break:break-word] whitespace-pre-line default font-display text-3xl font-regular text-textMain dark:text-textMainDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; font-family: var(--font-fk-grotesk),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 1.875rem; line-height: 2.25rem; overflow-wrap: break-word; white-space-collapse: preserve-breaks; word-break: break-word;"><span style="color: #990000;"><span style="font-family: __fkGrotesk_716da7, __fkGrotesk_Fallback_716da7, ui-sans-serif, system-ui, -apple-system, BlinkMacSystemFont, "Segoe UI", Roboto, "Helvetica Neue", Arial, "Noto Sans", sans-serif, "Apple Color Emoji", "Segoe UI Emoji", "Segoe UI Symbol", "Noto Color Emoji";">Can you be more specific about what predictive or AI developers must actually do? Like ten things they must document in how much detail</span><span style="color: #13343b; font-family: __fkGrotesk_716da7, __fkGrotesk_Fallback_716da7, ui-sans-serif, system-ui, -apple-system, BlinkMacSystemFont, "Segoe UI", Roboto, "Helvetica Neue", Arial, "Noto Sans", sans-serif, "Apple Color Emoji", "Segoe UI Emoji", "Segoe UI Symbol", "Noto Color Emoji";">.</span></span></div><div class="break-words [word-break:break-word] whitespace-pre-line default font-display text-3xl font-regular text-textMain dark:text-textMainDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; font-family: var(--font-fk-grotesk),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 1.875rem; line-height: 2.25rem; overflow-wrap: break-word; white-space-collapse: preserve-breaks; word-break: break-word;"><span style="color: #990000;"><span style="color: #13343b; font-family: __fkGrotesk_716da7, __fkGrotesk_Fallback_716da7, ui-sans-serif, system-ui, -apple-system, BlinkMacSystemFont, "Segoe UI", Roboto, "Helvetica Neue", Arial, "Noto Sans", sans-serif, "Apple Color Emoji", "Segoe UI Emoji", "Segoe UI Symbol", "Noto Color Emoji";"><br /></span></span></div><div class="break-words [word-break:break-word] whitespace-pre-line default font-display text-3xl font-regular text-textMain dark:text-textMainDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; font-family: var(--font-fk-grotesk),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; line-height: 2.25rem; overflow-wrap: break-word; word-break: break-word;"><span style="color: #13343b; font-family: inherit; white-space-collapse: preserve-breaks;"><b>Specific Requirements for AI Developers in the HTI-1 Final Rul</b>e
Health IT developers must adhere to several specific requirements under the HTI-1 Final Rule regarding the transparency and risk management of predictive decision support interventions (DSIs) integrated into certified health IT systems. Here are ten key things that developers must document:
External Testing and Validations: Developers must disclose whether their AI systems have undergone external testing and validations, which could include third-party audits
3
.
<b>Risk Analysis:</b> Predictive DSIs must be subject to analysis of potential risks and adverse impacts associated with validity, reliability, robustness, fairness, intelligibility, safety, security, and privacy
1
.
<b>Risk Mitigation: </b>Developers must implement practices to mitigate the risks identified in the risk analysis
1
.
<b>Governance:</b> There must be governance control policies in place, including how data are acquired, managed, and used
1
.
<b>FAVES Criterion</b>: Developers must ensure that their predictive DSIs meet the ONC-developed 'FAVES' criterion, which stands for<b> fair, appropriate, valid, effective, and safe
3</b>
.
<b>Data Governance Procedures</b>: Developers must describe their data governance procedures, including how data is managed and used
3
.
<b>Source Attribute Information:</b> Starting January 1, 2025, developers are required to review and update, as necessary, source attribute information
2
.
<b>Intervention Risk Management Practices</b>: Developers must apply intervention risk management (IRM) practices for all predictive DSIs and make summary information regarding these practices publicly available
2
.
<b>Model and Process Outputs:</b> Developers must ensure that model and process outputs are well-matched to produce results appropriate for specific contexts and populations
1
.
<b>Maintenance of Certification:</b> Developers with health IT products certified to the DSI certification criterion must comply with ongoing maintenance and risk management requirements to ensure the continued efficacy and safety of the AI and algorithmic tools
2
.
These requirements are designed to increase the transparency and trustworthiness of predictive algorithms, enabling healthcare providers to better assess these tools for fairness, appropriateness, validity, effectiveness, and safety. The documentation and practices must be detailed enough to allow healthcare providers to make informed decisions about the use of these AI tools in clinical settings</span><span style="color: #13343b; font-family: __fkGrotesk_716da7, __fkGrotesk_Fallback_716da7, ui-sans-serif, system-ui, -apple-system, BlinkMacSystemFont, Segoe UI, Roboto, Helvetica Neue, Arial, Noto Sans, sans-serif, Apple Color Emoji, Segoe UI Emoji, Segoe UI Symbol, Noto Color Emoji; font-size: 30px; white-space-collapse: preserve-breaks;">.</span></div><div class="break-words [word-break:break-word] whitespace-pre-line default font-display text-3xl font-regular text-textMain dark:text-textMainDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; font-family: var(--font-fk-grotesk),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; line-height: 2.25rem; overflow-wrap: break-word; word-break: break-word;"><span style="color: #13343b; font-family: __fkGrotesk_716da7, __fkGrotesk_Fallback_716da7, ui-sans-serif, system-ui, -apple-system, BlinkMacSystemFont, Segoe UI, Roboto, Helvetica Neue, Arial, Noto Sans, sans-serif, Apple Color Emoji, Segoe UI Emoji, Segoe UI Symbol, Noto Color Emoji; font-size: 30px; white-space-collapse: preserve-breaks;"><br /></span></div><div class="break-words [word-break:break-word] whitespace-pre-line default font-display text-3xl font-regular text-textMain dark:text-textMainDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; font-family: var(--font-fk-grotesk),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; line-height: 2.25rem; overflow-wrap: break-word; word-break: break-word;"><span style="color: #13343b; font-family: __fkGrotesk_716da7, __fkGrotesk_Fallback_716da7, ui-sans-serif, system-ui, -apple-system, BlinkMacSystemFont, Segoe UI, Roboto, Helvetica Neue, Arial, Noto Sans, sans-serif, Apple Color Emoji, Segoe UI Emoji, Segoe UI Symbol, Noto Color Emoji; white-space-collapse: preserve-breaks;"><span style="font-size: 30px;">#1 </span><a href="https://www.mintz.com/insights-center/viewpoints/2146/2024-01-08-hhs-onc-hti-1-final-rule-introduces-new-transparency">https://www.mintz.com/insights-center/viewpoints/2146/2024-01-08-hhs-onc-hti-1-final-rule-introduces-new-transparency</a></span></div><div class="break-words [word-break:break-word] whitespace-pre-line default font-display text-3xl font-regular text-textMain dark:text-textMainDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; font-family: var(--font-fk-grotesk),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; line-height: 2.25rem; overflow-wrap: break-word; word-break: break-word;"><span style="color: #13343b; font-family: __fkGrotesk_716da7, __fkGrotesk_Fallback_716da7, ui-sans-serif, system-ui, -apple-system, BlinkMacSystemFont, Segoe UI, Roboto, Helvetica Neue, Arial, Noto Sans, sans-serif, Apple Color Emoji, Segoe UI Emoji, Segoe UI Symbol, Noto Color Emoji; font-size: 30px; white-space-collapse: preserve-breaks;"><br /></span></div><div class="break-words [word-break:break-word] whitespace-pre-line default font-display text-3xl font-regular text-textMain dark:text-textMainDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; font-family: var(--font-fk-grotesk),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; line-height: 2.25rem; overflow-wrap: break-word; word-break: break-word;"><span style="color: #13343b; font-family: __fkGrotesk_716da7, __fkGrotesk_Fallback_716da7, ui-sans-serif, system-ui, -apple-system, BlinkMacSystemFont, Segoe UI, Roboto, Helvetica Neue, Arial, Noto Sans, sans-serif, Apple Color Emoji, Segoe UI Emoji, Segoe UI Symbol, Noto Color Emoji; font-size: 30px; white-space-collapse: preserve-breaks;"><br /></span></div><div class="break-words [word-break:break-word] whitespace-pre-line default font-display text-3xl font-regular text-textMain dark:text-textMainDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; font-family: var(--font-fk-grotesk),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 1.875rem; line-height: 2.25rem; overflow-wrap: break-word; white-space-collapse: preserve-breaks; word-break: break-word;"><span style="color: #990000;"><br /></span></div><div class="break-words [word-break:break-word] whitespace-pre-line default font-display text-3xl font-regular text-textMain dark:text-textMainDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; font-family: var(--font-fk-grotesk),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 1.875rem; line-height: 2.25rem; overflow-wrap: break-word; white-space-collapse: preserve-breaks; word-break: break-word;"><span style="color: #990000;">What are the penalties for non-compliance with the new hhs rule?</span></div></div><div class="mb-lg" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; font-size: 16px; margin-bottom: 32px;"><div style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"><div class="border rounded-lg cursor-pointer border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark transition duration-300 bg-transparent md:hover:bg-offset md:dark:hover:bg-offsetDark" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; animation-duration: 0.3s; background-color: transparent; border-radius: 0.5rem; border: 1px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; cursor: pointer; transition-duration: 0.3s; transition-property: color, background-color, border-color, text-decoration-color, fill, stroke, opacity, box-shadow, transform, filter, backdrop-filter, -webkit-backdrop-filter; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1);"><div style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; height: 48px;"><div class="py-sm px-md" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; padding: 8px 16px;"><div class="flex items-center justify-between select-none" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: flex; justify-content: space-between; user-select: none;"><h2 class="flex items-center gap-x-sm default font-display text-lg font-medium text-textMain dark:text-textMainDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(19 52 59/var(--tw-text-opacity)); column-gap: 8px; display: flex; font-family: var(--font-fk-grotesk),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 1.125rem; font-weight: 500; line-height: 1.75rem; margin: 0px;"><svg aria-hidden="true" class="svg-inline--fa fa-star-christmas" data-icon="star-christmas" data-prefix="far" focusable="false" role="img" viewbox="0 0 512 512" xmlns="http://www.w3.org/2000/svg"><path d="M279.2 17.9C276.5 7.4 266.9 0 256 0s-20.5 7.4-23.2 17.9L188.3 188.3 17.9 232.8C7.4 235.5 0 245.1 0 256s7.4 20.5 17.9 23.2l170.4 44.4 44.4 170.4c2.8 10.6 12.3 17.9 23.2 17.9s20.5-7.4 23.2-17.9l44.4-170.4 170.4-44.4c10.6-2.8 17.9-12.3 17.9-23.2s-7.4-20.5-17.9-23.2L323.7 188.3 279.2 17.9zm-48 196.1l24.8-95 24.8 95c2.2 8.4 8.8 15 17.2 17.2l95 24.8-95 24.8c-8.4 2.2-15 8.8-17.2 17.2l-24.8 95-24.8-95c-2.2-8.4-8.8-15-17.2-17.2l-95-24.8 95-24.8c8.4-2.2 15-8.8 17.2-17.2zM71 71c-9.4 9.4-9.4 24.6 0 33.9l48 48c9.4 9.4 24.6 9.4 33.9 0s9.4-24.6 0-33.9L105 71c-9.4-9.4-24.6-9.4-33.9 0zM441 71c-9.4-9.4-24.6-9.4-33.9 0l-48 48c-9.4 9.4-9.4 24.6 0 33.9s24.6 9.4 33.9 0l48-48c9.4-9.4 9.4-24.6 0-33.9zm0 336l-48-48c-9.4-9.4-24.6-9.4-33.9 0s-9.4 24.6 0 33.9l48 48c9.4 9.4 24.6 9.4 33.9 0s9.4-24.6 0-33.9zM71 441c9.4 9.4 24.6 9.4 33.9 0l48-48c9.4-9.4 9.4-24.6 0-33.9s-24.6-9.4-33.9 0L71 407c-9.4 9.4-9.4 24.6 0 33.9z" fill="currentColor"></path></svg><p style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; margin: 0px;">Copilot</p></h2><div class="flex items-center gap-sm" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: flex; gap: 8px;"><div style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; opacity: 1;"><div class="light font-sans text-xs font-medium text-textOff dark:text-textOffDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(100 100 95/var(--tw-text-opacity)); font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 0.75rem; line-height: 1rem;">5 steps completed</div></div><button class="md:hover:bg-offsetPlus text-textOff dark:text-textOffDark md:hover:text-textMain dark:md:hover:bg-offsetPlusDark dark:md:hover:text-textMainDark font-sans focus:outline-none outline-none outline-transparent transition duration-300 ease-in-out font-sans select-none items-center relative group justify-center text-center items-center rounded-full cursor-point active:scale-95 origin-center whitespace-nowrap inline-flex text-sm aspect-square h-8" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; animation-duration: 0.3s; animation-timing-function: cubic-bezier(0.4, 0, 0.2, 1); appearance: button; aspect-ratio: 1 / 1; background-image: none; border-color: rgb(229, 231, 235); border-radius: 9999px; border-style: solid; border-width: 0px; cursor: pointer; display: inline-flex; font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-feature-settings: inherit; font-size: 0.875rem; font-variation-settings: inherit; font-weight: inherit; height: 2rem; justify-content: center; line-height: 1.25rem; margin: 0px; outline-offset: 2px; outline: transparent solid 2px; padding: 0px; position: relative; text-wrap: nowrap; transform-origin: center center; transition-duration: 0.3s; transition-property: color, background-color, border-color, text-decoration-color, fill, stroke, opacity, box-shadow, transform, filter, backdrop-filter, -webkit-backdrop-filter; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1); user-select: none;" type="button"><div class="flex items-center leading-none justify-center gap-xs" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: flex; gap: 4px; justify-content: center; line-height: 1;"><svg aria-hidden="true" class="svg-inline--fa fa-chevron-down fa-fw fa-1x" data-icon="chevron-down" data-prefix="far" focusable="false" role="img" viewbox="0 0 512 512" xmlns="http://www.w3.org/2000/svg"><path d="M239 401c9.4 9.4 24.6 9.4 33.9 0L465 209c9.4-9.4 9.4-24.6 0-33.9s-24.6-9.4-33.9 0l-175 175L81 175c-9.4-9.4-24.6-9.4-33.9 0s-9.4 24.6 0 33.9L239 401z" fill="currentColor"></path></svg></div></button></div></div><div style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"></div></div></div></div></div></div><div class="mb-lg border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark bg-transparent" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; background-color: transparent; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; font-size: 16px; margin-bottom: 32px;"><div class="mt-md" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; margin-top: 16px;"><div class="border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark bg-transparent" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; background-color: transparent; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box;"><div class="flex items-center justify-between border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark bg-background dark:bg-backgroundDark" style="--tw-bg-opacity: 1; --tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; background-color: rgb(252 252 249/var(--tw-bg-opacity)); border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; display: flex; justify-content: space-between;"><div class="flex items-center justify-between w-full mb-sm" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: flex; justify-content: space-between; margin-bottom: 8px; width: 674.656px;"><div style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"><div class="space-x-sm flex items-center" color="super" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: flex;"><h2 class="default font-display text-lg font-medium text-textMain dark:text-textMainDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(19 52 59/var(--tw-text-opacity)); font-family: var(--font-fk-grotesk),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 1.125rem; font-weight: 500; line-height: 1.75rem; margin: 0px;"><svg aria-hidden="true" class="svg-inline--fa fa-list-timeline fa-fw" data-icon="list-timeline" data-prefix="far" focusable="false" role="img" viewbox="0 0 512 512" xmlns="http://www.w3.org/2000/svg"><path d="M219.9 112H400V80H219.9l-16 16 16 16zm-72.6-4.7c-6.2-6.2-6.2-16.4 0-22.6l43.3-43.3c6-6 14.1-9.4 22.6-9.4H416c17.7 0 32 14.3 32 32v64c0 17.7-14.3 32-32 32H213.3c-8.5 0-16.6-3.4-22.6-9.4l-43.3-43.3zM64 128a32 32 0 1 1 0-64 32 32 0 1 1 0 64zm0 160a32 32 0 1 1 0-64 32 32 0 1 1 0 64zM32 416a32 32 0 1 1 64 0 32 32 0 1 1 -64 0zm187.9 16H400V400H219.9l-16 16 16 16zm-72.6-4.7c-6.2-6.2-6.2-16.4 0-22.6l43.3-43.3c6-6 14.1-9.4 22.6-9.4H416c17.7 0 32 14.3 32 32v64c0 17.7-14.3 32-32 32H213.3c-8.5 0-16.6-3.4-22.6-9.4l-43.3-43.3zM203.9 256l16 16H464V240H219.9l-16 16zm-13.3 54.6l-43.3-43.3c-6.2-6.2-6.2-16.4 0-22.6l43.3-43.3c6-6 14.1-9.4 22.6-9.4H480c17.7 0 32 14.3 32 32v64c0 17.7-14.3 32-32 32H213.3c-8.5 0-16.6-3.4-22.6-9.4z" fill="currentColor"></path></svg></h2><h2 class="default font-display text-lg font-medium text-textMain dark:text-textMainDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-space-x-reverse: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(19 52 59/var(--tw-text-opacity)); font-family: var(--font-fk-grotesk),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 1.125rem; font-weight: 500; line-height: 1.75rem; margin-bottom: 0px; margin-left: calc(8px * calc(1 - var(--tw-space-x-reverse))); margin-right: calc(8px * var(--tw-space-x-reverse)); margin-top: 0px;">Sources</h2></div></div></div></div><div class="grid grid-cols-2 gap-sm md:grid-cols-4" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; display: grid; gap: 8px; grid-template-columns: repeat(4, minmax(0px, 1fr));"><a class="flex group items-stretch cursor-pointer" href="https://oig.hhs.gov/reports-and-publications/featured-topics/information-blocking/" rel="noopener" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: stretch; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; cursor: pointer; display: flex; text-decoration: inherit;" target="_blank"><div class="w-full" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; width: 162.656px;"><div class="flex group items-stretch w-full relative h-[74px]" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: stretch; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: flex; height: 74px; position: relative; width: 162.656px;"><div class="rounded-md flex w-full border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark transition duration-300 bg-offset dark:bg-offsetDark md:hover:bg-offsetPlus md:dark:hover:bg-offsetPlusDark" style="--tw-bg-opacity: 1; --tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; animation-duration: 0.3s; background-color: rgb(243 243 238/var(--tw-bg-opacity)); border-radius: 0.375rem; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; display: flex; transition-duration: 0.3s; transition-property: color, background-color, border-color, text-decoration-color, fill, stroke, opacity, box-shadow, transform, filter, backdrop-filter, -webkit-backdrop-filter; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1); width: 162.656px;"><div class="relative z-10 flex items max-w-full flex-col justify-between h-full pointer-events-none select-none px-sm pt-sm pb-xs" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: flex; flex-direction: column; height: 74px; justify-content: space-between; max-width: 100%; padding: 8px 8px 4px; pointer-events: none; position: relative; user-select: none; z-index: 10;"><div style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"><div class="line-clamp-2 grow default font-sans text-xs font-medium text-textMain dark:text-textMainDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; -webkit-box-orient: vertical; -webkit-line-clamp: 2; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(19 52 59/var(--tw-text-opacity)); display: -webkit-box; flex-grow: 1; font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 0.75rem; line-height: 1rem; overflow: hidden;">Information Blocking</div></div><div class="flex items-center space-x-xs" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: flex;"><div class="flex items-center gap-x-xs border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark bg-transparent" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; background-color: transparent; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; column-gap: 4px; display: flex;"><div class="relative flex-none" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; flex: 0 0 auto; position: relative;"><div class="rounded-full overflow-hidden" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border-radius: 9999px; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; overflow: hidden;"><img alt="hhs.gov favicon" class="block" height="16" src="https://www.google.com/s2/favicons?sz=128&domain=hhs.gov" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: block; height: auto; max-width: 100%; vertical-align: middle;" width="16" /></div></div><div class="duration-300 transition-all line-clamp-1 break-all light font-sans text-xs font-medium text-textOff dark:text-textOffDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; -webkit-box-orient: vertical; -webkit-line-clamp: 1; animation-duration: 0.3s; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; color: rgb(100 100 95/var(--tw-text-opacity)); display: -webkit-box; font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 0.75rem; line-height: 1rem; overflow: hidden; transition-duration: 0.3s; transition-property: all; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1); word-break: break-all;">hhs</div></div><h2 class="light font-display text-lg font-medium text-textOff dark:text-textOffDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-space-x-reverse: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(100 100 95/var(--tw-text-opacity)); font-family: var(--font-fk-grotesk),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 1.125rem; font-weight: 500; line-height: 1.75rem; margin-bottom: 0px; margin-left: calc(4px * calc(1 - var(--tw-space-x-reverse))); margin-right: calc(4px * var(--tw-space-x-reverse)); margin-top: 0px;">·</h2><div class="light font-sans text-xs font-medium text-textOff dark:text-textOffDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; 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font-size: 0.75rem; line-height: 1rem; overflow: hidden;">HHS Finalizes Rule to Advance Health IT Interoperability and Algorithm Transparency</div></div><div class="flex items-center space-x-xs" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: flex;"><div class="flex items-center gap-x-xs border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark bg-transparent" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); 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font-size: 0.75rem; line-height: 1rem; overflow: hidden;">HRx: OIG Issues Information Blocking Penalties Final Rule: Health IT Developers and Health Information Exchanges/Networks Have a Million Reasons to Care</div></div><div class="flex items-center space-x-xs" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: flex;"><div class="flex items-center gap-x-xs border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark bg-transparent" style="--tw-border-spacing-x: 0; 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vertical-align: middle;" width="16" /></div><div class="rounded-full overflow-hidden" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border-radius: 9999px; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; overflow: hidden;"><img alt="https://www.federalregister.gov/documents/2024/01/09/2023-28857/health-data-technology-and-interoperability-certification-program-updates-algorithm-transparency-and favicon" class="block" height="16" src="https://www.google.com/s2/favicons?sz=128&domain=https://www.federalregister.gov/documents/2024/01/09/2023-28857/health-data-technology-and-interoperability-certification-program-updates-algorithm-transparency-and" style="--tw-border-spacing-x: 0; 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--tw-translate-x: 0; --tw-translate-y: 0; border-radius: 9999px; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; overflow: hidden;"><img alt="https://www.mwe.com/insights/new-onc-final-rule-expands-information-blocking-regulatory-exceptions/ favicon" class="block" height="16" src="https://www.google.com/s2/favicons?sz=128&domain=https://www.mwe.com/insights/new-onc-final-rule-expands-information-blocking-regulatory-exceptions/" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: block; height: auto; max-width: 100%; vertical-align: middle;" width="16" /></div></div><div class="light font-sans text-xs font-medium text-textOff dark:text-textOffDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; 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box-sizing: border-box; display: flex; justify-content: space-between; margin-bottom: 8px; width: 674.656px;"><div style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"><div class="space-x-sm flex items-center" color="super" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: flex;"><h2 class="default font-display text-lg font-medium text-textMain dark:text-textMainDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(19 52 59/var(--tw-text-opacity)); font-family: var(--font-fk-grotesk),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 1.125rem; font-weight: 500; line-height: 1.75rem; margin: 0px;"><svg aria-hidden="true" class="svg-inline--fa fa-align-left fa-fw" data-icon="align-left" data-prefix="far" focusable="false" role="img" viewbox="0 0 448 512" xmlns="http://www.w3.org/2000/svg"><path d="M24 40C10.7 40 0 50.7 0 64S10.7 88 24 88H264c13.3 0 24-10.7 24-24s-10.7-24-24-24H24zm0 128c-13.3 0-24 10.7-24 24s10.7 24 24 24H424c13.3 0 24-10.7 24-24s-10.7-24-24-24H24zM0 320c0 13.3 10.7 24 24 24H264c13.3 0 24-10.7 24-24s-10.7-24-24-24H24c-13.3 0-24 10.7-24 24zM24 424c-13.3 0-24 10.7-24 24s10.7 24 24 24H424c13.3 0 24-10.7 24-24s-10.7-24-24-24H24z" fill="currentColor"></path></svg></h2><h2 class="default font-display text-lg font-medium text-textMain dark:text-textMainDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-space-x-reverse: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(19 52 59/var(--tw-text-opacity)); font-family: var(--font-fk-grotesk),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 1.125rem; font-weight: 500; line-height: 1.75rem; margin-bottom: 0px; margin-left: calc(8px * calc(1 - var(--tw-space-x-reverse))); margin-right: calc(8px * var(--tw-space-x-reverse)); margin-top: 0px;">Answer</h2></div></div></div></div><div class="relative default font-sans text-base text-textMain dark:text-textMainDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; color: rgb(19 52 59/var(--tw-text-opacity)); font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 1rem; line-height: 1.5rem; position: relative;"><div class="break-words min-w-0 [word-break:break-word]" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; 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--tw-border-spacing-y: 0; --tw-prose-body: #13343b; --tw-prose-bold: #13343b; --tw-prose-bullets: #64645f; --tw-prose-captions: #64645f; --tw-prose-code: #13343b; --tw-prose-counters: #64645f; --tw-prose-headings: #13343b; --tw-prose-hr: #d7d7ce; --tw-prose-invert-body: #e8e8e6; --tw-prose-invert-bold: #e8e8e6; --tw-prose-invert-bullets: #8f8f8f; --tw-prose-invert-captions: #e8e8e6; --tw-prose-invert-code: #e8e8e6; --tw-prose-invert-counters: #8f8f8f; --tw-prose-invert-headings: #e8e8e6; --tw-prose-invert-hr: #3b3b3b; --tw-prose-invert-kbd-shadows: 255 255 255; --tw-prose-invert-kbd: #fff; --tw-prose-invert-lead: #e8e8e6; --tw-prose-invert-links: #e8e8e6; --tw-prose-invert-pre-bg: #292927; --tw-prose-invert-pre-code: #e8e8e6; --tw-prose-invert-quote-borders: #3b3b3b; --tw-prose-invert-quotes: #e8e8e6; --tw-prose-invert-td-borders: #3b3b3b; --tw-prose-invert-th-borders: #3b3b3b; --tw-prose-kbd-shadows: 17 24 39; --tw-prose-kbd: #111827; --tw-prose-lead: #13343b; --tw-prose-links: #13343b; --tw-prose-pre-bg: #f3f3ee; --tw-prose-pre-code: #13343b; --tw-prose-quote-borders: #d7d7ce; --tw-prose-quotes: #13343b; --tw-prose-td-borders: #d7d7ce; --tw-prose-th-borders: #d7d7ce; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: var(--tw-prose-body); display: inline; font-size: 1rem; line-height: 1.5; max-width: 65ch; min-width: 0px; overflow-wrap: break-word; word-break: break-word;"><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; margin-top: 0px;">The penalties for non-compliance with the new Health and Human Services (HHS) rule, specifically regarding information blocking, can be substantial. According to the final rule implemented by the HHS Office of Inspector General (OIG), if an individual or entity is determined to have <b>committed information blocking, they may be subject to a penalty of up to $1 million per violation</b></span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"><span class="whitespace-nowrap" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; text-wrap: nowrap;"><b><a class="citation ml-xs inline" href="https://oig.hhs.gov/reports-and-publications/featured-topics/information-blocking/" rel="noopener noreferrer" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: inline; margin-left: 4px; text-decoration-line: none;" target="_blank"><div class="inline-flex relative -top-[0.3rem] light font-sans text-base text-textOff dark:text-textOffDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(100 100 95/var(--tw-text-opacity)); display: inline-flex; font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 1rem; line-height: 1.5rem; position: relative; top: -0.3rem;"><span class="text-[0.60rem]" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; font-size: 0.6rem;"><div class="inline-flex h-[1rem] min-w-[1rem] px-[0.2em] rounded-full items-center justify-center text-center font-mono md:hover:text-white tabular-nums border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark transition duration-300 bg-offsetPlus dark:bg-offsetPlusDark md:hover:bg-super" style="--tw-bg-opacity: 1; --tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-numeric-spacing: tabular-nums; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; animation-duration: 0.3s; background-color: rgb(232 232 227/var(--tw-bg-opacity)); border-radius: 9999px; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; display: inline-flex; font-family: var(--font-berkeley-mono),ui-monospace,SFMono-Regular,monospace; font-variant-numeric: var(--tw-ordinal) var(--tw-slashed-zero) var(--tw-numeric-figure) var(--tw-numeric-spacing) var(--tw-numeric-fraction); height: 1rem; justify-content: center; min-width: 1rem; padding-left: 0.2em; padding-right: 0.2em; text-align: center; transition-duration: 0.3s; transition-property: color, background-color, border-color, text-decoration-color, fill, stroke, opacity, box-shadow, transform, filter, backdrop-filter, -webkit-backdrop-filter; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1);">1</div></span></div></a>.</b></span></span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"></span><span class="block mt-md" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: block; margin-top: 16px;"></span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;">The rule applies to health IT developers of certified health IT, entities offering certified health IT, health information exchanges, and health information networks. It's important to note that the OIG's rule does not establish new information blocking requirements but enforces penalties based on regulations published by the Office of the National Coordinator for Health Information Technology (ONC)</span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"><span class="whitespace-nowrap" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; text-wrap: nowrap;"><a class="citation ml-xs inline" href="https://oig.hhs.gov/reports-and-publications/featured-topics/information-blocking/" rel="noopener noreferrer" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: inline; margin-left: 4px; text-decoration-line: none;" target="_blank"><div class="inline-flex relative -top-[0.3rem] light font-sans text-base text-textOff dark:text-textOffDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(100 100 95/var(--tw-text-opacity)); display: inline-flex; font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 1rem; line-height: 1.5rem; position: relative; top: -0.3rem;"><span class="text-[0.60rem]" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; font-size: 0.6rem;"><div class="inline-flex h-[1rem] min-w-[1rem] px-[0.2em] rounded-full items-center justify-center text-center font-mono md:hover:text-white tabular-nums border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark transition duration-300 bg-offsetPlus dark:bg-offsetPlusDark md:hover:bg-super" style="--tw-bg-opacity: 1; --tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-numeric-spacing: tabular-nums; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; animation-duration: 0.3s; background-color: rgb(232 232 227/var(--tw-bg-opacity)); border-radius: 9999px; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; display: inline-flex; font-family: var(--font-berkeley-mono),ui-monospace,SFMono-Regular,monospace; font-variant-numeric: var(--tw-ordinal) var(--tw-slashed-zero) var(--tw-numeric-figure) var(--tw-numeric-spacing) var(--tw-numeric-fraction); height: 1rem; justify-content: center; min-width: 1rem; padding-left: 0.2em; padding-right: 0.2em; text-align: center; transition-duration: 0.3s; transition-property: color, background-color, border-color, text-decoration-color, fill, stroke, opacity, box-shadow, transform, filter, backdrop-filter, -webkit-backdrop-filter; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1);">1</div></span></div></a>.</span></span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"></span><span class="block mt-md" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: block; margin-top: 16px;"></span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;">Enforcement of these penalties began on September 1, 2023, and the OIG will not impose a penalty for information blocking conduct that occurred before this date</span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"><span class="whitespace-nowrap" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; text-wrap: nowrap;"><a class="citation ml-xs inline" href="https://oig.hhs.gov/reports-and-publications/featured-topics/information-blocking/" rel="noopener noreferrer" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: inline; margin-left: 4px; text-decoration-line: none;" target="_blank"><div class="inline-flex relative -top-[0.3rem] light font-sans text-base text-textOff dark:text-textOffDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(100 100 95/var(--tw-text-opacity)); display: inline-flex; font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 1rem; line-height: 1.5rem; position: relative; top: -0.3rem;"><span class="text-[0.60rem]" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; font-size: 0.6rem;"><div class="inline-flex h-[1rem] min-w-[1rem] px-[0.2em] rounded-full items-center justify-center text-center font-mono md:hover:text-white tabular-nums border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark transition duration-300 bg-offsetPlus dark:bg-offsetPlusDark md:hover:bg-super" style="--tw-bg-opacity: 1; --tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-numeric-spacing: tabular-nums; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; animation-duration: 0.3s; background-color: rgb(232 232 227/var(--tw-bg-opacity)); border-radius: 9999px; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; display: inline-flex; font-family: var(--font-berkeley-mono),ui-monospace,SFMono-Regular,monospace; font-variant-numeric: var(--tw-ordinal) var(--tw-slashed-zero) var(--tw-numeric-figure) var(--tw-numeric-spacing) var(--tw-numeric-fraction); height: 1rem; justify-content: center; min-width: 1rem; padding-left: 0.2em; padding-right: 0.2em; text-align: center; transition-duration: 0.3s; transition-property: color, background-color, border-color, text-decoration-color, fill, stroke, opacity, box-shadow, transform, filter, backdrop-filter, -webkit-backdrop-filter; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1);">1</div></span></div></a>.</span></span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"> The OIG uses a fact-specific approach to assessing penalties, taking into consideration factors such as the degree of culpability, history of prior offenses, and financial harm caused</span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"><span class="whitespace-nowrap" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; text-wrap: nowrap;"><a class="citation ml-xs inline" href="https://www.akerman.com/en/perspectives/hrx-oig-issues-information-blocking-penalties-final-rule-health-it-developers-and-health-information-exchangesnetworks-have-a-million-reasons-to-care.html" rel="noopener noreferrer" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: inline; margin-left: 4px; text-decoration-line: none;" target="_blank"><div class="inline-flex relative -top-[0.3rem] light font-sans text-base text-textOff dark:text-textOffDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(100 100 95/var(--tw-text-opacity)); display: inline-flex; font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 1rem; line-height: 1.5rem; position: relative; top: -0.3rem;"><span class="text-[0.60rem]" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; font-size: 0.6rem;"><div class="inline-flex h-[1rem] min-w-[1rem] px-[0.2em] rounded-full items-center justify-center text-center font-mono md:hover:text-white tabular-nums border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark transition duration-300 bg-offsetPlus dark:bg-offsetPlusDark md:hover:bg-super" style="--tw-bg-opacity: 1; --tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-numeric-spacing: tabular-nums; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; animation-duration: 0.3s; background-color: rgb(232 232 227/var(--tw-bg-opacity)); border-radius: 9999px; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; display: inline-flex; font-family: var(--font-berkeley-mono),ui-monospace,SFMono-Regular,monospace; font-variant-numeric: var(--tw-ordinal) var(--tw-slashed-zero) var(--tw-numeric-figure) var(--tw-numeric-spacing) var(--tw-numeric-fraction); height: 1rem; justify-content: center; min-width: 1rem; padding-left: 0.2em; padding-right: 0.2em; text-align: center; transition-duration: 0.3s; transition-property: color, background-color, border-color, text-decoration-color, fill, stroke, opacity, box-shadow, transform, filter, backdrop-filter, -webkit-backdrop-filter; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1);">3</div></span></div></a>.</span></span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"></span><span class="block mt-md" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: block; margin-top: 16px;"></span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;">Healthcare providers should be aware that a separate rule is being developed to establish disincentives for providers who engage in information blocking, which is expected to be proposed in the fall of 2023</span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"><span class="whitespace-nowrap" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; text-wrap: nowrap;"><a class="citation ml-xs inline" href="https://www.akerman.com/en/perspectives/hrx-oig-issues-information-blocking-penalties-final-rule-health-it-developers-and-health-information-exchangesnetworks-have-a-million-reasons-to-care.html" rel="noopener noreferrer" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: inline; margin-left: 4px; text-decoration-line: none;" target="_blank"><div class="inline-flex relative -top-[0.3rem] light font-sans text-base text-textOff dark:text-textOffDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(100 100 95/var(--tw-text-opacity)); display: inline-flex; font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 1rem; line-height: 1.5rem; position: relative; top: -0.3rem;"><span class="text-[0.60rem]" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; font-size: 0.6rem;"><div class="inline-flex h-[1rem] min-w-[1rem] px-[0.2em] rounded-full items-center justify-center text-center font-mono md:hover:text-white tabular-nums border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark transition duration-300 bg-offsetPlus dark:bg-offsetPlusDark md:hover:bg-super" style="--tw-bg-opacity: 1; --tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-numeric-spacing: tabular-nums; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; animation-duration: 0.3s; background-color: rgb(232 232 227/var(--tw-bg-opacity)); border-radius: 9999px; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; display: inline-flex; font-family: var(--font-berkeley-mono),ui-monospace,SFMono-Regular,monospace; font-variant-numeric: var(--tw-ordinal) var(--tw-slashed-zero) var(--tw-numeric-figure) var(--tw-numeric-spacing) var(--tw-numeric-fraction); height: 1rem; justify-content: center; min-width: 1rem; padding-left: 0.2em; padding-right: 0.2em; text-align: center; transition-duration: 0.3s; transition-property: color, background-color, border-color, text-decoration-color, fill, stroke, opacity, box-shadow, transform, filter, backdrop-filter, -webkit-backdrop-filter; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1);">3</div></span></div></a>.</span></span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"></span><span class="block mt-md" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: block; margin-top: 16px;"></span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; margin-bottom: 0px;">In summary, non-compliance with the new HHS rule on information blocking can lead to severe financial penalties, emphasizing the importance for relevant entities to prioritize compliance efforts and ensure they adhere to the established regulations.</span></div></div></div></div><div class="flex items-center justify-between mt-sm" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; display: flex; justify-content: space-between; margin-top: 8px;"><div class="flex items-center gap-xs -ml-sm" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: flex; gap: 4px; margin-left: -8px;"><button class="md:hover:bg-offsetPlus text-textOff dark:text-textOffDark md:hover:text-textMain dark:md:hover:bg-offsetPlusDark dark:md:hover:text-textMainDark font-sans focus:outline-none outline-none outline-transparent transition duration-300 ease-in-out font-sans select-none items-center relative group justify-center text-center items-center rounded-full cursor-point active:scale-95 origin-center whitespace-nowrap inline-flex text-sm px-sm font-medium h-8" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; animation-duration: 0.3s; animation-timing-function: cubic-bezier(0.4, 0, 0.2, 1); appearance: button; background-image: none; border-color: rgb(229, 231, 235); border-radius: 9999px; border-style: solid; border-width: 0px; cursor: pointer; display: inline-flex; font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-feature-settings: inherit; font-size: 0.875rem; font-variation-settings: inherit; font-weight: 500; height: 2rem; justify-content: center; line-height: 1.25rem; margin: 0px; outline-offset: 2px; outline: transparent solid 2px; padding: 0px 8px; position: relative; text-wrap: nowrap; transform-origin: center center; transition-duration: 0.3s; transition-property: color, background-color, border-color, text-decoration-color, fill, stroke, opacity, box-shadow, transform, filter, backdrop-filter, -webkit-backdrop-filter; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1); user-select: none;" type="button"><div class="pointer-events-none absolute z-30 opacity-0 shadow-sm transition-all delay-200 duration-200 group-hover:translate-y-0 group-hover:translate-x-0 group-hover:opacity-100 bottom-[120%] translate-y-1" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 1px 2px 0 var(--tw-shadow-color); --tw-shadow: 0 1px 2px 0 rgba(0,0,0,.05); --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0.25rem; animation-delay: 0.2s; animation-duration: 0.2s; border: 0px solid rgb(229, 231, 235); bottom: 38.3906px; box-shadow: var(--tw-ring-offset-shadow,0 0 #0000),var(--tw-ring-shadow,0 0 #0000),var(--tw-shadow); box-sizing: border-box; opacity: 0; pointer-events: none; position: absolute; transform: translate(var(--tw-translate-x),var(--tw-translate-y)) rotate(var(--tw-rotate)) skewX(var(--tw-skew-x)) skewY(var(--tw-skew-y)) scaleX(var(--tw-scale-x)) scaleY(var(--tw-scale-y)); transition-delay: 0.2s; transition-duration: 0.2s; transition-property: all; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1); z-index: 30;"><div class="py-xs px-sm rounded flex items-center gap-x-sm border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark bg-offsetPlusDark" style="--tw-bg-opacity: 1; --tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; background-color: rgb(51 51 49/var(--tw-bg-opacity)); border-radius: 0.25rem; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; column-gap: 8px; display: flex; padding: 4px 8px;"><div class="default font-sans text-xs font-medium text-textMain dark:text-textMainDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(19 52 59/var(--tw-text-opacity)); font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 0.75rem; line-height: 1rem;"><span class="text-textMainDark" color="rgb(232 232 230/var(--tw-text-opacity))" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;">Copy Link</span></div></div></div><div class="flex items-center leading-none justify-center gap-xs" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: flex; gap: 4px; justify-content: center; line-height: 1;"><svg aria-hidden="true" class="svg-inline--fa fa-share fa-fw fa-1x" data-icon="share" data-prefix="far" focusable="false" role="img" viewbox="0 0 512 512" xmlns="http://www.w3.org/2000/svg"><path d="M288 240H192c-66.2 0-122 44.7-138.8 105.5C49.9 333.1 48 319.3 48 304c0-70.7 57.3-128 128-128H288h24c13.3 0 24-10.7 24-24V128 99.9L456.1 208 336 316.1V288 264c0-13.3-10.7-24-24-24H288zm0 48v48 16c0 12.6 7.4 24.1 19 29.2s25 3 34.4-5.4l160-144c6.7-6.1 10.6-14.7 10.6-23.8s-3.8-17.7-10.6-23.8l-160-144c-9.4-8.5-22.9-10.6-34.4-5.4s-19 16.6-19 29.2V80v48H240 176C78.8 128 0 206.8 0 304c0 78 38.6 126.2 68.7 152.1c4.1 3.5 8.1 6.6 11.7 9.3c3.2 2.4 6.2 4.4 8.9 6.2c4.5 3 8.3 5.1 10.8 6.5c2.5 1.4 5.3 1.9 8.1 1.9c10.9 0 19.7-8.9 19.7-19.7c0-6.8-3.6-13.2-8.3-18.1c-.5-.5-.9-.9-1.4-1.4c-2.4-2.3-5.1-5.1-7.7-8.6c-1.7-2.3-3.4-5-5-7.9c-5.3-9.7-9.5-22.9-9.5-40.2c0-53 43-96 96-96h48 48z" fill="currentColor"></path></svg><div class="text-align-center relative" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; position: relative;">Share</div></div></button><div style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"><button class="md:hover:bg-offsetPlus text-textOff dark:text-textOffDark md:hover:text-textMain dark:md:hover:bg-offsetPlusDark dark:md:hover:text-textMainDark font-sans focus:outline-none outline-none outline-transparent transition duration-300 ease-in-out font-sans select-none items-center relative group justify-center text-center items-center rounded-full cursor-point active:scale-95 origin-center whitespace-nowrap inline-flex text-sm px-sm font-medium h-8" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; animation-duration: 0.3s; animation-timing-function: cubic-bezier(0.4, 0, 0.2, 1); appearance: button; background-image: none; border-color: rgb(229, 231, 235); border-radius: 9999px; border-style: solid; border-width: 0px; cursor: pointer; display: inline-flex; font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-feature-settings: inherit; font-size: 0.875rem; font-variation-settings: inherit; font-weight: 500; height: 2rem; justify-content: center; line-height: 1.25rem; margin: 0px; outline-offset: 2px; outline: transparent solid 2px; padding: 0px 8px; position: relative; text-wrap: nowrap; transform-origin: center center; transition-duration: 0.3s; transition-property: color, background-color, border-color, text-decoration-color, fill, stroke, opacity, box-shadow, transform, filter, backdrop-filter, -webkit-backdrop-filter; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1); user-select: none;" type="button"><div class="pointer-events-none absolute z-30 opacity-0 shadow-sm transition-all delay-200 duration-200 group-hover:translate-y-0 group-hover:translate-x-0 group-hover:opacity-100 bottom-[120%] translate-y-1" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 1px 2px 0 var(--tw-shadow-color); --tw-shadow: 0 1px 2px 0 rgba(0,0,0,.05); --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0.25rem; animation-delay: 0.2s; animation-duration: 0.2s; border: 0px solid rgb(229, 231, 235); bottom: 38.3906px; box-shadow: var(--tw-ring-offset-shadow,0 0 #0000),var(--tw-ring-shadow,0 0 #0000),var(--tw-shadow); box-sizing: border-box; opacity: 0; pointer-events: none; position: absolute; transform: translate(var(--tw-translate-x),var(--tw-translate-y)) rotate(var(--tw-rotate)) skewX(var(--tw-skew-x)) skewY(var(--tw-skew-y)) scaleX(var(--tw-scale-x)) scaleY(var(--tw-scale-y)); transition-delay: 0.2s; transition-duration: 0.2s; transition-property: all; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1); z-index: 30;"><div class="py-xs px-sm rounded flex items-center gap-x-sm border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark bg-offsetPlusDark" style="--tw-bg-opacity: 1; --tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; background-color: rgb(51 51 49/var(--tw-bg-opacity)); border-radius: 0.25rem; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; column-gap: 8px; display: flex; padding: 4px 8px;"><div class="default font-sans text-xs font-medium text-textMain dark:text-textMainDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(19 52 59/var(--tw-text-opacity)); font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 0.75rem; line-height: 1rem;"><span class="text-textMainDark" color="rgb(232 232 230/var(--tw-text-opacity))" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;">Rewrite this answer</span></div></div></div><div class="flex items-center leading-none justify-center gap-xs" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: flex; gap: 4px; justify-content: center; line-height: 1;"><svg aria-hidden="true" class="svg-inline--fa fa-repeat fa-fw fa-1x" data-icon="repeat" data-prefix="far" focusable="false" role="img" viewbox="0 0 512 512" xmlns="http://www.w3.org/2000/svg"><path d="M22.8 280C9.6 279.3-.6 268 0 254.8l.4-8C5.3 148.9 86.2 72 184.2 72H304l0-36.4C304 15.9 319.9 0 339.6 0c8.8 0 17.3 3.3 23.8 9.1l76.7 69c5.1 4.6 7.9 11 7.9 17.8s-2.9 13.3-7.9 17.8l-76.7 69c-6.5 5.9-15 9.1-23.8 9.1c-19.6 0-35.6-15.9-35.6-35.6V120H184.2C111.7 120 52 176.8 48.4 249.2l-.4 8C47.3 270.4 36 280.6 22.8 280zM352 128.5L388.1 96 352 63.5l0 65zM489.2 232c13.2 .7 23.4 11.9 22.8 25.2l-.4 8C506.7 363.1 425.8 440 327.8 440L208 440v36.4c0 19.6-15.9 35.6-35.6 35.6c-8.8 0-17.3-3.3-23.8-9.1l-76.7-69c-5.1-4.6-7.9-11-7.9-17.8s2.9-13.3 7.9-17.8l76.7-69c6.5-5.9 15-9.1 23.8-9.1c19.6 0 35.6 15.9 35.6 35.6V392l119.8 0c72.5 0 132.2-56.8 135.8-129.2l.4-8c.7-13.2 11.9-23.4 25.2-22.8zM160 383.5L123.9 416 160 448.5v-65z" fill="currentColor"></path></svg><div class="text-align-center relative" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; position: relative;">Rewrite</div></div></button></div></div><div class="flex items-center gap-x-xs" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; column-gap: 4px; display: flex;"><button class="text-textOff dark:text-textOffDark md:hover:bg-offsetPlus dark:md:hover:bg-offsetPlusDark md:hover:text-superAlt font-sans focus:outline-none outline-none outline-transparent transition duration-300 ease-in-out font-sans select-none items-center relative group justify-center text-center items-center rounded-full cursor-point active:scale-95 origin-center whitespace-nowrap inline-flex text-sm aspect-square h-8" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; animation-duration: 0.3s; animation-timing-function: cubic-bezier(0.4, 0, 0.2, 1); appearance: button; aspect-ratio: 1 / 1; background-image: none; border-color: rgb(229, 231, 235); border-radius: 9999px; border-style: solid; border-width: 0px; cursor: pointer; display: inline-flex; font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-feature-settings: inherit; font-size: 0.875rem; font-variation-settings: inherit; font-weight: inherit; height: 2rem; justify-content: center; line-height: 1.25rem; margin: 0px; outline-offset: 2px; outline: transparent solid 2px; padding: 0px; position: relative; text-wrap: nowrap; transform-origin: center center; transition-duration: 0.3s; transition-property: color, background-color, border-color, text-decoration-color, fill, stroke, opacity, box-shadow, transform, filter, backdrop-filter, -webkit-backdrop-filter; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1); user-select: none;" type="button"><div class="pointer-events-none absolute z-30 opacity-0 shadow-sm transition-all delay-200 duration-200 group-hover:translate-y-0 group-hover:translate-x-0 group-hover:opacity-100 bottom-[120%] translate-y-1" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 1px 2px 0 var(--tw-shadow-color); --tw-shadow: 0 1px 2px 0 rgba(0,0,0,.05); --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0.25rem; animation-delay: 0.2s; animation-duration: 0.2s; border: 0px solid rgb(229, 231, 235); bottom: 38.3906px; box-shadow: var(--tw-ring-offset-shadow,0 0 #0000),var(--tw-ring-shadow,0 0 #0000),var(--tw-shadow); box-sizing: border-box; opacity: 0; pointer-events: none; position: absolute; transform: translate(var(--tw-translate-x),var(--tw-translate-y)) rotate(var(--tw-rotate)) skewX(var(--tw-skew-x)) skewY(var(--tw-skew-y)) scaleX(var(--tw-scale-x)) scaleY(var(--tw-scale-y)); transition-delay: 0.2s; transition-duration: 0.2s; transition-property: all; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1); z-index: 30;"><div class="py-xs px-sm rounded flex items-center gap-x-sm border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark bg-offsetPlusDark" style="--tw-bg-opacity: 1; --tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; background-color: rgb(51 51 49/var(--tw-bg-opacity)); border-radius: 0.25rem; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; column-gap: 8px; display: flex; padding: 4px 8px;"><div class="default font-sans text-xs font-medium text-textMain dark:text-textMainDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(19 52 59/var(--tw-text-opacity)); font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 0.75rem; line-height: 1rem;"><span class="text-textMainDark" color="rgb(232 232 230/var(--tw-text-opacity))" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;">Inaccurate or unhelpful</span></div></div></div><div class="flex items-center leading-none justify-center gap-xs" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: flex; gap: 4px; justify-content: center; line-height: 1;"><svg aria-hidden="true" class="svg-inline--fa fa-thumbs-down fa-fw fa-1x" data-icon="thumbs-down" data-prefix="far" focusable="false" role="img" viewbox="0 0 512 512" xmlns="http://www.w3.org/2000/svg"><path d="M323.8 477.2c-38.2 10.9-78.1-11.2-89-49.4l-5.7-20c-3.7-13-10.4-25-19.5-35l-51.3-56.4c-8.9-9.8-8.2-25 1.6-33.9s25-8.2 33.9 1.6l51.3 56.4c14.1 15.5 24.4 34 30.1 54.1l5.7 20c3.6 12.7 16.9 20.1 29.7 16.5s20.1-16.9 16.5-29.7l-5.7-20c-5.7-19.9-14.7-38.7-26.6-55.5c-5.2-7.3-5.8-16.9-1.7-24.9s12.3-13 21.3-13L448 288c8.8 0 16-7.2 16-16c0-6.8-4.3-12.7-10.4-15c-7.4-2.8-13-9-14.9-16.7s.1-15.8 5.3-21.7c2.5-2.8 4-6.5 4-10.6c0-7.8-5.6-14.3-13-15.7c-8.2-1.6-15.1-7.3-18-15.2s-1.6-16.7 3.6-23.3c2.1-2.7 3.4-6.1 3.4-9.9c0-6.7-4.2-12.6-10.2-14.9c-11.5-4.5-17.7-16.9-14.4-28.8c.4-1.3 .6-2.8 .6-4.3c0-8.8-7.2-16-16-16H286.5c-12.6 0-25 3.7-35.5 10.7l-61.7 41.1c-11 7.4-25.9 4.4-33.3-6.7s-4.4-25.9 6.7-33.3l61.7-41.1c18.4-12.3 40-18.8 62.1-18.8H384c34.7 0 62.9 27.6 64 62c14.6 11.7 24 29.7 24 50c0 4.5-.5 8.8-1.3 13c15.4 11.7 25.3 30.2 25.3 51c0 6.5-1 12.8-2.8 18.7C504.8 238.3 512 254.3 512 272c0 35.3-28.6 64-64 64l-92.3 0c4.7 10.4 8.7 21.2 11.8 32.2l5.7 20c10.9 38.2-11.2 78.1-49.4 89zM32 384c-17.7 0-32-14.3-32-32V128c0-17.7 14.3-32 32-32H96c17.7 0 32 14.3 32 32V352c0 17.7-14.3 32-32 32H32z" fill="currentColor"></path></svg></div></button><button class="md:hover:bg-offsetPlus text-textOff dark:text-textOffDark md:hover:text-textMain dark:md:hover:bg-offsetPlusDark dark:md:hover:text-textMainDark font-sans focus:outline-none outline-none outline-transparent transition duration-300 ease-in-out font-sans select-none items-center relative group justify-center text-center items-center rounded-full cursor-point active:scale-95 origin-center whitespace-nowrap inline-flex text-sm aspect-square h-8" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; animation-duration: 0.3s; animation-timing-function: cubic-bezier(0.4, 0, 0.2, 1); appearance: button; aspect-ratio: 1 / 1; background-image: none; border-color: rgb(229, 231, 235); border-radius: 9999px; border-style: solid; border-width: 0px; cursor: pointer; display: inline-flex; font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-feature-settings: inherit; font-size: 0.875rem; font-variation-settings: inherit; font-weight: inherit; height: 2rem; justify-content: center; line-height: 1.25rem; margin: 0px; outline-offset: 2px; outline: transparent solid 2px; padding: 0px; position: relative; text-wrap: nowrap; transform-origin: center center; transition-duration: 0.3s; transition-property: color, background-color, border-color, text-decoration-color, fill, stroke, opacity, box-shadow, transform, filter, backdrop-filter, -webkit-backdrop-filter; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1); user-select: none;" type="button"><div class="pointer-events-none absolute z-30 opacity-0 shadow-sm transition-all delay-200 duration-200 group-hover:translate-y-0 group-hover:translate-x-0 group-hover:opacity-100 bottom-[120%] translate-y-1" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 1px 2px 0 var(--tw-shadow-color); --tw-shadow: 0 1px 2px 0 rgba(0,0,0,.05); --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0.25rem; animation-delay: 0.2s; animation-duration: 0.2s; border: 0px solid rgb(229, 231, 235); bottom: 38.3906px; box-shadow: var(--tw-ring-offset-shadow,0 0 #0000),var(--tw-ring-shadow,0 0 #0000),var(--tw-shadow); box-sizing: border-box; opacity: 0; pointer-events: none; position: absolute; transform: translate(var(--tw-translate-x),var(--tw-translate-y)) rotate(var(--tw-rotate)) skewX(var(--tw-skew-x)) skewY(var(--tw-skew-y)) scaleX(var(--tw-scale-x)) scaleY(var(--tw-scale-y)); transition-delay: 0.2s; transition-duration: 0.2s; transition-property: all; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1); z-index: 30;"><div class="py-xs px-sm rounded flex items-center gap-x-sm border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark bg-offsetPlusDark" style="--tw-bg-opacity: 1; --tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; background-color: rgb(51 51 49/var(--tw-bg-opacity)); border-radius: 0.25rem; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; column-gap: 8px; display: flex; padding: 4px 8px;"><div class="default font-sans text-xs font-medium text-textMain dark:text-textMainDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(19 52 59/var(--tw-text-opacity)); font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 0.75rem; line-height: 1rem;"><span class="text-textMainDark" color="rgb(232 232 230/var(--tw-text-opacity))" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;">Copy</span></div></div></div><div class="flex items-center leading-none justify-center gap-xs" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: flex; gap: 4px; justify-content: center; line-height: 1;"><svg aria-hidden="true" class="svg-inline--fa fa-clipboard fa-fw fa-1x" data-icon="clipboard" data-prefix="far" focusable="false" role="img" viewbox="0 0 384 512" xmlns="http://www.w3.org/2000/svg"><path d="M280 64h40c35.3 0 64 28.7 64 64V448c0 35.3-28.7 64-64 64H64c-35.3 0-64-28.7-64-64V128C0 92.7 28.7 64 64 64h40 9.6C121 27.5 153.3 0 192 0s71 27.5 78.4 64H280zM64 112c-8.8 0-16 7.2-16 16V448c0 8.8 7.2 16 16 16H320c8.8 0 16-7.2 16-16V128c0-8.8-7.2-16-16-16H304v24c0 13.3-10.7 24-24 24H192 104c-13.3 0-24-10.7-24-24V112H64zm128-8a24 24 0 1 0 0-48 24 24 0 1 0 0 48z" fill="currentColor"></path></svg></div></button><button class="md:hover:bg-offsetPlus text-textOff dark:text-textOffDark md:hover:text-textMain dark:md:hover:bg-offsetPlusDark dark:md:hover:text-textMainDark font-sans focus:outline-none outline-none outline-transparent transition duration-300 ease-in-out font-sans select-none items-center relative group justify-center text-center items-center rounded-full cursor-point active:scale-95 origin-center whitespace-nowrap inline-flex text-sm aspect-square h-8" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; animation-duration: 0.3s; animation-timing-function: cubic-bezier(0.4, 0, 0.2, 1); appearance: button; aspect-ratio: 1 / 1; background-image: none; border-color: rgb(229, 231, 235); border-radius: 9999px; border-style: solid; border-width: 0px; cursor: pointer; display: inline-flex; font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-feature-settings: inherit; font-size: 0.875rem; font-variation-settings: inherit; font-weight: inherit; height: 2rem; justify-content: center; line-height: 1.25rem; margin: 0px; outline-offset: 2px; outline: transparent solid 2px; padding: 0px; position: relative; text-wrap: nowrap; transform-origin: center center; transition-duration: 0.3s; transition-property: color, background-color, border-color, text-decoration-color, fill, stroke, opacity, box-shadow, transform, filter, backdrop-filter, -webkit-backdrop-filter; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1); user-select: none;" type="button"><div class="pointer-events-none absolute z-30 opacity-0 shadow-sm transition-all delay-200 duration-200 group-hover:translate-y-0 group-hover:translate-x-0 group-hover:opacity-100 bottom-[120%] translate-y-1" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 1px 2px 0 var(--tw-shadow-color); --tw-shadow: 0 1px 2px 0 rgba(0,0,0,.05); --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0.25rem; animation-delay: 0.2s; animation-duration: 0.2s; border: 0px solid rgb(229, 231, 235); bottom: 38.3906px; box-shadow: var(--tw-ring-offset-shadow,0 0 #0000),var(--tw-ring-shadow,0 0 #0000),var(--tw-shadow); box-sizing: border-box; opacity: 0; pointer-events: none; position: absolute; transform: translate(var(--tw-translate-x),var(--tw-translate-y)) rotate(var(--tw-rotate)) skewX(var(--tw-skew-x)) skewY(var(--tw-skew-y)) scaleX(var(--tw-scale-x)) scaleY(var(--tw-scale-y)); transition-delay: 0.2s; transition-duration: 0.2s; transition-property: all; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1); z-index: 30;"><div class="py-xs px-sm rounded flex items-center gap-x-sm border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark bg-offsetPlusDark" style="--tw-bg-opacity: 1; --tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; background-color: rgb(51 51 49/var(--tw-bg-opacity)); border-radius: 0.25rem; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; column-gap: 8px; display: flex; padding: 4px 8px;"><div class="default font-sans text-xs font-medium text-textMain dark:text-textMainDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(19 52 59/var(--tw-text-opacity)); font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 0.75rem; line-height: 1rem;"><span class="text-textMainDark" color="rgb(232 232 230/var(--tw-text-opacity))" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;">Edit Query</span></div></div></div><div class="flex items-center leading-none justify-center gap-xs" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: flex; gap: 4px; justify-content: center; line-height: 1;"><svg aria-hidden="true" class="svg-inline--fa fa-pen-to-square fa-fw fa-1x" data-icon="pen-to-square" data-prefix="far" focusable="false" role="img" viewbox="0 0 512 512" xmlns="http://www.w3.org/2000/svg"><path d="M441 58.9L453.1 71c9.4 9.4 9.4 24.6 0 33.9L424 134.1 377.9 88 407 58.9c9.4-9.4 24.6-9.4 33.9 0zM209.8 256.2L344 121.9 390.1 168 255.8 302.2c-2.9 2.9-6.5 5-10.4 6.1l-58.5 16.7 16.7-58.5c1.1-3.9 3.2-7.5 6.1-10.4zM373.1 25L175.8 222.2c-8.7 8.7-15 19.4-18.3 31.1l-28.6 100c-2.4 8.4-.1 17.4 6.1 23.6s15.2 8.5 23.6 6.1l100-28.6c11.8-3.4 22.5-9.7 31.1-18.3L487 138.9c28.1-28.1 28.1-73.7 0-101.8L474.9 25C446.8-3.1 401.2-3.1 373.1 25zM88 64C39.4 64 0 103.4 0 152V424c0 48.6 39.4 88 88 88H360c48.6 0 88-39.4 88-88V312c0-13.3-10.7-24-24-24s-24 10.7-24 24V424c0 22.1-17.9 40-40 40H88c-22.1 0-40-17.9-40-40V152c0-22.1 17.9-40 40-40H200c13.3 0 24-10.7 24-24s-10.7-24-24-24H88z" fill="currentColor"></path></svg></div></button></div></div></div><div style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; font-size: 16px;"></div></div><div class="col-span-4" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; font-size: 16px; grid-column: span 4 / span 4;"><div class="mt-lg sticky top-[68px] max-h-[90vh] border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark bg-transparent" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; background-color: transparent; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; margin-top: 32px; max-height: 90vh; position: sticky; top: 68px;"><div class="grid grid-cols-1 lg:grid-cols-2 gap-sm mb-sm" style="--tw-border-spacing-x: 0; 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border: 0px solid rgb(229, 231, 235); box-sizing: border-box; grid-column: span 8 / span 8;"><div class="my-md md:my-lg" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; margin-bottom: 32px; margin-top: 32px;"><div class="break-words [word-break:break-word] whitespace-pre-line default font-display text-3xl font-regular text-textMain dark:text-textMainDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; font-family: var(--font-fk-grotesk),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 1.875rem; line-height: 2.25rem; overflow-wrap: break-word; white-space-collapse: preserve-breaks; word-break: break-word;"><span style="color: #990000;">What is the timeline for compliance with the artificial intelligence regulations and what is the penalty for noncompliance?</span></div></div><div class="mb-lg" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); 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--tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; height: 48px;"><div class="py-sm px-md" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; padding: 8px 16px;"><div class="flex items-center justify-between select-none" style="--tw-border-spacing-x: 0; 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--tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; margin: 0px;">Copilot</p></h2><div class="flex items-center gap-sm" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: flex; gap: 8px;"><div style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; opacity: 1;"><div class="light font-sans text-xs font-medium text-textOff dark:text-textOffDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(100 100 95/var(--tw-text-opacity)); font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 0.75rem; line-height: 1rem;">3 steps completed</div></div><button class="md:hover:bg-offsetPlus text-textOff dark:text-textOffDark md:hover:text-textMain dark:md:hover:bg-offsetPlusDark dark:md:hover:text-textMainDark font-sans focus:outline-none outline-none outline-transparent transition duration-300 ease-in-out font-sans select-none items-center relative group justify-center text-center items-center rounded-full cursor-point active:scale-95 origin-center whitespace-nowrap inline-flex text-sm aspect-square h-8" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; animation-duration: 0.3s; animation-timing-function: cubic-bezier(0.4, 0, 0.2, 1); appearance: button; aspect-ratio: 1 / 1; background-image: none; border-color: rgb(229, 231, 235); border-radius: 9999px; border-style: solid; border-width: 0px; cursor: pointer; display: inline-flex; font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-feature-settings: inherit; font-size: 0.875rem; font-variation-settings: inherit; font-weight: inherit; height: 2rem; justify-content: center; line-height: 1.25rem; margin: 0px; outline-offset: 2px; outline: transparent solid 2px; padding: 0px; position: relative; text-wrap: nowrap; transform-origin: center center; transition-duration: 0.3s; transition-property: color, background-color, border-color, text-decoration-color, fill, stroke, opacity, box-shadow, transform, filter, backdrop-filter, -webkit-backdrop-filter; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1); user-select: none;" type="button"><div class="flex items-center leading-none justify-center gap-xs" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: flex; gap: 4px; justify-content: center; line-height: 1;"><svg aria-hidden="true" class="svg-inline--fa fa-chevron-down fa-fw fa-1x" data-icon="chevron-down" data-prefix="far" focusable="false" role="img" viewbox="0 0 512 512" xmlns="http://www.w3.org/2000/svg"><path d="M239 401c9.4 9.4 24.6 9.4 33.9 0L465 209c9.4-9.4 9.4-24.6 0-33.9s-24.6-9.4-33.9 0l-175 175L81 175c-9.4-9.4-24.6-9.4-33.9 0s-9.4 24.6 0 33.9L239 401z" fill="currentColor"></path></svg></div></button></div></div><div style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"></div></div></div></div></div></div><div class="mb-lg border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark bg-transparent" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; background-color: transparent; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; margin-bottom: 32px;"><div class="mt-md" style="--tw-border-spacing-x: 0; 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--tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; background-color: transparent; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box;"><div class="flex items-center justify-between border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark bg-background dark:bg-backgroundDark" style="--tw-bg-opacity: 1; --tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; background-color: rgb(252 252 249/var(--tw-bg-opacity)); border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; display: flex; justify-content: space-between;"><div class="flex items-center justify-between w-full mb-sm" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: flex; justify-content: space-between; margin-bottom: 8px; width: 674.656px;"><div style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"><div class="space-x-sm flex items-center" color="super" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: flex;"><h2 class="default font-display text-lg font-medium text-textMain dark:text-textMainDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(19 52 59/var(--tw-text-opacity)); font-family: var(--font-fk-grotesk),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 1.125rem; font-weight: 500; line-height: 1.75rem; margin: 0px;"><svg aria-hidden="true" class="svg-inline--fa fa-list-timeline fa-fw" data-icon="list-timeline" data-prefix="far" focusable="false" role="img" viewbox="0 0 512 512" xmlns="http://www.w3.org/2000/svg"><path d="M219.9 112H400V80H219.9l-16 16 16 16zm-72.6-4.7c-6.2-6.2-6.2-16.4 0-22.6l43.3-43.3c6-6 14.1-9.4 22.6-9.4H416c17.7 0 32 14.3 32 32v64c0 17.7-14.3 32-32 32H213.3c-8.5 0-16.6-3.4-22.6-9.4l-43.3-43.3zM64 128a32 32 0 1 1 0-64 32 32 0 1 1 0 64zm0 160a32 32 0 1 1 0-64 32 32 0 1 1 0 64zM32 416a32 32 0 1 1 64 0 32 32 0 1 1 -64 0zm187.9 16H400V400H219.9l-16 16 16 16zm-72.6-4.7c-6.2-6.2-6.2-16.4 0-22.6l43.3-43.3c6-6 14.1-9.4 22.6-9.4H416c17.7 0 32 14.3 32 32v64c0 17.7-14.3 32-32 32H213.3c-8.5 0-16.6-3.4-22.6-9.4l-43.3-43.3zM203.9 256l16 16H464V240H219.9l-16 16zm-13.3 54.6l-43.3-43.3c-6.2-6.2-6.2-16.4 0-22.6l43.3-43.3c6-6 14.1-9.4 22.6-9.4H480c17.7 0 32 14.3 32 32v64c0 17.7-14.3 32-32 32H213.3c-8.5 0-16.6-3.4-22.6-9.4z" fill="currentColor"></path></svg></h2><h2 class="default font-display text-lg font-medium text-textMain dark:text-textMainDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-space-x-reverse: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(19 52 59/var(--tw-text-opacity)); font-family: var(--font-fk-grotesk),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 1.125rem; font-weight: 500; line-height: 1.75rem; margin-bottom: 0px; margin-left: calc(8px * calc(1 - var(--tw-space-x-reverse))); margin-right: calc(8px * var(--tw-space-x-reverse)); margin-top: 0px;">Sources</h2></div></div></div></div><div class="grid grid-cols-2 gap-sm md:grid-cols-4" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; display: grid; gap: 8px; grid-template-columns: repeat(4, minmax(0px, 1fr));"><a class="flex group items-stretch cursor-pointer" href="https://www.fiercehealthcare.com/regulatory/hhs-finalizes-rule-move-needle-interoperability-algorithm-transparency" rel="noopener" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: stretch; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; cursor: pointer; display: flex; text-decoration: inherit;" target="_blank"><div class="w-full" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; width: 162.656px;"><div class="flex group items-stretch w-full relative h-[74px]" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: stretch; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: flex; height: 74px; position: relative; width: 162.656px;"><div class="rounded-md flex w-full border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark transition duration-300 bg-offset dark:bg-offsetDark md:hover:bg-offsetPlus md:dark:hover:bg-offsetPlusDark" style="--tw-bg-opacity: 1; --tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; animation-duration: 0.3s; background-color: rgb(243 243 238/var(--tw-bg-opacity)); border-radius: 0.375rem; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; display: flex; transition-duration: 0.3s; transition-property: color, background-color, border-color, text-decoration-color, fill, stroke, opacity, box-shadow, transform, filter, backdrop-filter, -webkit-backdrop-filter; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1); width: 162.656px;"><div class="relative z-10 flex items max-w-full flex-col justify-between h-full pointer-events-none select-none px-sm pt-sm pb-xs" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; 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font-size: 0.75rem; line-height: 1rem; overflow: hidden;">HHS pushes forward with new requirements for AI transparency, interoperability</div></div><div class="flex items-center space-x-xs" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: flex;"><div class="flex items-center gap-x-xs border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark bg-transparent" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); 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font-size: 0.75rem; line-height: 1rem; overflow: hidden;">Department of Health and Human Services</div></div><div class="flex items-center space-x-xs" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: flex;"><div class="flex items-center gap-x-xs border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark bg-transparent" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); 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border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: block; height: auto; max-width: 100%; vertical-align: middle;" width="16" /></div><div class="rounded-full overflow-hidden" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border-radius: 9999px; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; overflow: hidden;"><img alt="https://www.whitehouse.gov/briefing-room/presidential-actions/2023/10/30/executive-order-on-the-safe-secure-and-trustworthy-development-and-use-of-artificial-intelligence/ favicon" class="block" height="16" src="https://www.google.com/s2/favicons?sz=128&domain=https://www.whitehouse.gov/briefing-room/presidential-actions/2023/10/30/executive-order-on-the-safe-secure-and-trustworthy-development-and-use-of-artificial-intelligence/" style="--tw-border-spacing-x: 0; 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--tw-translate-x: 0; --tw-translate-y: 0; border-radius: 9999px; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; overflow: hidden;"><img alt="https://www.afslaw.com/perspectives/health-care-counsel-blog/hhs-and-ftc-coordinate-enforcement-activities-emerging-health favicon" class="block" height="16" src="https://www.google.com/s2/favicons?sz=128&domain=https://www.afslaw.com/perspectives/health-care-counsel-blog/hhs-and-ftc-coordinate-enforcement-activities-emerging-health" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: block; height: auto; max-width: 100%; vertical-align: middle;" width="16" /></div><div class="rounded-full overflow-hidden" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border-radius: 9999px; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; overflow: hidden;"><img alt="https://www.ropesgray.com/en/insights/alerts/2023/12/hhs-onc-finalizes-rule-with-new-requirements-for-use-of-ai-in-certified-health-it favicon" class="block" height="16" src="https://www.google.com/s2/favicons?sz=128&domain=https://www.ropesgray.com/en/insights/alerts/2023/12/hhs-onc-finalizes-rule-with-new-requirements-for-use-of-ai-in-certified-health-it" style="--tw-border-spacing-x: 0; 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--tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-space-x-reverse: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(19 52 59/var(--tw-text-opacity)); font-family: var(--font-fk-grotesk),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 1.125rem; font-weight: 500; line-height: 1.75rem; margin-bottom: 0px; margin-left: calc(8px * calc(1 - var(--tw-space-x-reverse))); margin-right: calc(8px * var(--tw-space-x-reverse)); margin-top: 0px;">Answer</h2></div></div></div></div><div class="relative default font-sans text-base text-textMain dark:text-textMainDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; color: rgb(19 52 59/var(--tw-text-opacity)); font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 1rem; line-height: 1.5rem; position: relative;"><div class="break-words min-w-0 [word-break:break-word]" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; 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--tw-prose-pre-bg: #f3f3ee; --tw-prose-pre-code: #13343b; --tw-prose-quote-borders: #d7d7ce; --tw-prose-quotes: #13343b; --tw-prose-td-borders: #d7d7ce; --tw-prose-th-borders: #d7d7ce; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: var(--tw-prose-body); display: inline; font-size: 1rem; line-height: 1.5; max-width: 65ch; min-width: 0px; overflow-wrap: break-word; word-break: break-word;"><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; margin-top: 0px;">The timeline for compliance with the artificial intelligence (AI) regulations, as outlined in the Health and Human Services (HHS) HTI-1 final rule, requires health IT developers to update their certified health IT to meet new transparency and risk management expectations by the end of 2024. This includes provisions for clinical decision support (CDS) and decision support interventions (DSIs), aiming to increase the transparency and trustworthiness of predictive algorithms</span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"><span class="whitespace-nowrap" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; text-wrap: nowrap;"><a class="citation ml-xs inline" href="https://www.fiercehealthcare.com/regulatory/hhs-finalizes-rule-move-needle-interoperability-algorithm-transparency" rel="noopener noreferrer" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: inline; margin-left: 4px; text-decoration-line: none;" target="_blank"><div class="inline-flex relative -top-[0.3rem] light font-sans text-base text-textOff dark:text-textOffDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(100 100 95/var(--tw-text-opacity)); display: inline-flex; font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 1rem; line-height: 1.5rem; position: relative; top: -0.3rem;"><span class="text-[0.60rem]" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; font-size: 0.6rem;"><div class="inline-flex h-[1rem] min-w-[1rem] px-[0.2em] rounded-full items-center justify-center text-center font-mono md:hover:text-white tabular-nums border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark transition duration-300 bg-offsetPlus dark:bg-offsetPlusDark md:hover:bg-super" style="--tw-bg-opacity: 1; --tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-numeric-spacing: tabular-nums; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; animation-duration: 0.3s; background-color: rgb(232 232 227/var(--tw-bg-opacity)); border-radius: 9999px; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; display: inline-flex; font-family: var(--font-berkeley-mono),ui-monospace,SFMono-Regular,monospace; font-variant-numeric: var(--tw-ordinal) var(--tw-slashed-zero) var(--tw-numeric-figure) var(--tw-numeric-spacing) var(--tw-numeric-fraction); height: 1rem; justify-content: center; min-width: 1rem; padding-left: 0.2em; padding-right: 0.2em; text-align: center; transition-duration: 0.3s; transition-property: color, background-color, border-color, text-decoration-color, fill, stroke, opacity, box-shadow, transform, filter, backdrop-filter, -webkit-backdrop-filter; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1);">1</div></span></div></a>.</span></span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"></span><span class="block mt-md" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: block; margin-top: 16px;"></span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;">Regarding penalties for non-compliance, while the specific <b>penalties for failing to meet the AI transparency and risk management requirements are not detailed in the provided search results</b>, penalties for non-compliance with related health IT regulations can be substantial. For instance, violations of information blocking rules, which are part of the broader regulatory framework that includes AI regulations, can result in penalties of up to $1 million per violation as determined by the Office of Inspector General (OIG)</span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"><span class="whitespace-nowrap" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; text-wrap: nowrap;"><a class="citation ml-xs inline" href="https://www.healthcareitnews.com/news/new-information-blocking-rules-hhs-could-cost-noncompliant-providers-thousands" rel="noopener noreferrer" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: inline; margin-left: 4px; text-decoration-line: none;" target="_blank"><div class="inline-flex relative -top-[0.3rem] light font-sans text-base text-textOff dark:text-textOffDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(100 100 95/var(--tw-text-opacity)); display: inline-flex; font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 1rem; line-height: 1.5rem; position: relative; top: -0.3rem;"><span class="text-[0.60rem]" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; font-size: 0.6rem;"><div class="inline-flex h-[1rem] min-w-[1rem] px-[0.2em] rounded-full items-center justify-center text-center font-mono md:hover:text-white tabular-nums border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark transition duration-300 bg-offsetPlus dark:bg-offsetPlusDark md:hover:bg-super" style="--tw-bg-opacity: 1; --tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-numeric-spacing: tabular-nums; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; animation-duration: 0.3s; background-color: rgb(232 232 227/var(--tw-bg-opacity)); border-radius: 9999px; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; display: inline-flex; font-family: var(--font-berkeley-mono),ui-monospace,SFMono-Regular,monospace; font-variant-numeric: var(--tw-ordinal) var(--tw-slashed-zero) var(--tw-numeric-figure) var(--tw-numeric-spacing) var(--tw-numeric-fraction); height: 1rem; justify-content: center; min-width: 1rem; padding-left: 0.2em; padding-right: 0.2em; text-align: center; transition-duration: 0.3s; transition-property: color, background-color, border-color, text-decoration-color, fill, stroke, opacity, box-shadow, transform, filter, backdrop-filter, -webkit-backdrop-filter; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1);">2</div></span></div></a>.</span></span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"> Additionally, general non-compliance with HHS regulations can lead to civil monetary penalties ranging from $5,000 to $1 million per day of violation if an individual knowingly violated the law</span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"><span class="whitespace-nowrap" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; text-wrap: nowrap;"><a class="citation ml-xs inline" href="https://resourcehub.bakermckenzie.com/en/resources/global-data-privacy-and-cybersecurity-handbook/north-america/united-states/topics/penalties-for-non-compliance" rel="noopener noreferrer" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: inline; margin-left: 4px; text-decoration-line: none;" target="_blank"><div class="inline-flex relative -top-[0.3rem] light font-sans text-base text-textOff dark:text-textOffDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(100 100 95/var(--tw-text-opacity)); display: inline-flex; font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 1rem; line-height: 1.5rem; position: relative; top: -0.3rem;"><span class="text-[0.60rem]" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; font-size: 0.6rem;"><div class="inline-flex h-[1rem] min-w-[1rem] px-[0.2em] rounded-full items-center justify-center text-center font-mono md:hover:text-white tabular-nums border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark transition duration-300 bg-offsetPlus dark:bg-offsetPlusDark md:hover:bg-super" style="--tw-bg-opacity: 1; --tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-numeric-spacing: tabular-nums; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; animation-duration: 0.3s; background-color: rgb(232 232 227/var(--tw-bg-opacity)); border-radius: 9999px; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; display: inline-flex; font-family: var(--font-berkeley-mono),ui-monospace,SFMono-Regular,monospace; font-variant-numeric: var(--tw-ordinal) var(--tw-slashed-zero) var(--tw-numeric-figure) var(--tw-numeric-spacing) var(--tw-numeric-fraction); height: 1rem; justify-content: center; min-width: 1rem; padding-left: 0.2em; padding-right: 0.2em; text-align: center; transition-duration: 0.3s; transition-property: color, background-color, border-color, text-decoration-color, fill, stroke, opacity, box-shadow, transform, filter, backdrop-filter, -webkit-backdrop-filter; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1);">4</div></span></div></a>.</span></span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"></span><span class="block mt-md" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: block; margin-top: 16px;"></span><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; margin-bottom: 0px;">It's important to note that while these figures provide an indication of the potential financial consequences of non-compliance, the exact penalties for failing to comply with the specific AI and algorithm transparency requirements would depend on the nature of the violation and the regulatory context.</span></div></div></div></div><div class="flex items-center justify-between mt-sm" style="--tw-border-spacing-x: 0; 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font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 0.75rem; line-height: 1rem;"><span class="text-textMainDark" color="rgb(232 232 230/var(--tw-text-opacity))" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;">Rewrite this answer</span></div></div></div><div class="flex items-center leading-none justify-center gap-xs" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: flex; gap: 4px; justify-content: center; line-height: 1;"><svg aria-hidden="true" class="svg-inline--fa fa-repeat fa-fw fa-1x" data-icon="repeat" data-prefix="far" focusable="false" role="img" viewbox="0 0 512 512" xmlns="http://www.w3.org/2000/svg"><path d="M22.8 280C9.6 279.3-.6 268 0 254.8l.4-8C5.3 148.9 86.2 72 184.2 72H304l0-36.4C304 15.9 319.9 0 339.6 0c8.8 0 17.3 3.3 23.8 9.1l76.7 69c5.1 4.6 7.9 11 7.9 17.8s-2.9 13.3-7.9 17.8l-76.7 69c-6.5 5.9-15 9.1-23.8 9.1c-19.6 0-35.6-15.9-35.6-35.6V120H184.2C111.7 120 52 176.8 48.4 249.2l-.4 8C47.3 270.4 36 280.6 22.8 280zM352 128.5L388.1 96 352 63.5l0 65zM489.2 232c13.2 .7 23.4 11.9 22.8 25.2l-.4 8C506.7 363.1 425.8 440 327.8 440L208 440v36.4c0 19.6-15.9 35.6-35.6 35.6c-8.8 0-17.3-3.3-23.8-9.1l-76.7-69c-5.1-4.6-7.9-11-7.9-17.8s2.9-13.3 7.9-17.8l76.7-69c6.5-5.9 15-9.1 23.8-9.1c19.6 0 35.6 15.9 35.6 35.6V392l119.8 0c72.5 0 132.2-56.8 135.8-129.2l.4-8c.7-13.2 11.9-23.4 25.2-22.8zM160 383.5L123.9 416 160 448.5v-65z" fill="currentColor"></path></svg><div class="text-align-center relative" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; position: relative;">Rewrite</div></div></button></div></div><div class="flex items-center gap-x-xs" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; column-gap: 4px; display: flex;"><button class="text-textOff dark:text-textOffDark md:hover:bg-offsetPlus dark:md:hover:bg-offsetPlusDark md:hover:text-superAlt font-sans focus:outline-none outline-none outline-transparent transition duration-300 ease-in-out font-sans select-none items-center relative group justify-center text-center items-center rounded-full cursor-point active:scale-95 origin-center whitespace-nowrap inline-flex text-sm aspect-square h-8" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; animation-duration: 0.3s; animation-timing-function: cubic-bezier(0.4, 0, 0.2, 1); appearance: button; aspect-ratio: 1 / 1; background-image: none; border-color: rgb(229, 231, 235); border-radius: 9999px; border-style: solid; border-width: 0px; cursor: pointer; display: inline-flex; font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-feature-settings: inherit; font-size: 0.875rem; font-variation-settings: inherit; font-weight: inherit; height: 2rem; justify-content: center; line-height: 1.25rem; margin: 0px; outline-offset: 2px; outline: transparent solid 2px; padding: 0px; position: relative; text-wrap: nowrap; transform-origin: center center; transition-duration: 0.3s; transition-property: color, background-color, border-color, text-decoration-color, fill, stroke, opacity, box-shadow, transform, filter, backdrop-filter, -webkit-backdrop-filter; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1); user-select: none;" type="button"><div class="pointer-events-none absolute z-30 opacity-0 shadow-sm transition-all delay-200 duration-200 group-hover:translate-y-0 group-hover:translate-x-0 group-hover:opacity-100 bottom-[120%] translate-y-1" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 1px 2px 0 var(--tw-shadow-color); --tw-shadow: 0 1px 2px 0 rgba(0,0,0,.05); --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0.25rem; animation-delay: 0.2s; animation-duration: 0.2s; border: 0px solid rgb(229, 231, 235); bottom: 38.3906px; box-shadow: var(--tw-ring-offset-shadow,0 0 #0000),var(--tw-ring-shadow,0 0 #0000),var(--tw-shadow); box-sizing: border-box; opacity: 0; pointer-events: none; position: absolute; transform: translate(var(--tw-translate-x),var(--tw-translate-y)) rotate(var(--tw-rotate)) skewX(var(--tw-skew-x)) skewY(var(--tw-skew-y)) scaleX(var(--tw-scale-x)) scaleY(var(--tw-scale-y)); transition-delay: 0.2s; transition-duration: 0.2s; transition-property: all; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1); z-index: 30;"><div class="py-xs px-sm rounded flex items-center gap-x-sm border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark bg-offsetPlusDark" style="--tw-bg-opacity: 1; --tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; background-color: rgb(51 51 49/var(--tw-bg-opacity)); border-radius: 0.25rem; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; column-gap: 8px; display: flex; padding: 4px 8px;"><div class="default font-sans text-xs font-medium text-textMain dark:text-textMainDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(19 52 59/var(--tw-text-opacity)); font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 0.75rem; line-height: 1rem;"><span class="text-textMainDark" color="rgb(232 232 230/var(--tw-text-opacity))" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;">Inaccurate or unhelpful</span></div></div></div><div class="flex items-center leading-none justify-center gap-xs" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: flex; gap: 4px; justify-content: center; line-height: 1;"><svg aria-hidden="true" class="svg-inline--fa fa-thumbs-down fa-fw fa-1x" data-icon="thumbs-down" data-prefix="far" focusable="false" role="img" viewbox="0 0 512 512" xmlns="http://www.w3.org/2000/svg"><path d="M323.8 477.2c-38.2 10.9-78.1-11.2-89-49.4l-5.7-20c-3.7-13-10.4-25-19.5-35l-51.3-56.4c-8.9-9.8-8.2-25 1.6-33.9s25-8.2 33.9 1.6l51.3 56.4c14.1 15.5 24.4 34 30.1 54.1l5.7 20c3.6 12.7 16.9 20.1 29.7 16.5s20.1-16.9 16.5-29.7l-5.7-20c-5.7-19.9-14.7-38.7-26.6-55.5c-5.2-7.3-5.8-16.9-1.7-24.9s12.3-13 21.3-13L448 288c8.8 0 16-7.2 16-16c0-6.8-4.3-12.7-10.4-15c-7.4-2.8-13-9-14.9-16.7s.1-15.8 5.3-21.7c2.5-2.8 4-6.5 4-10.6c0-7.8-5.6-14.3-13-15.7c-8.2-1.6-15.1-7.3-18-15.2s-1.6-16.7 3.6-23.3c2.1-2.7 3.4-6.1 3.4-9.9c0-6.7-4.2-12.6-10.2-14.9c-11.5-4.5-17.7-16.9-14.4-28.8c.4-1.3 .6-2.8 .6-4.3c0-8.8-7.2-16-16-16H286.5c-12.6 0-25 3.7-35.5 10.7l-61.7 41.1c-11 7.4-25.9 4.4-33.3-6.7s-4.4-25.9 6.7-33.3l61.7-41.1c18.4-12.3 40-18.8 62.1-18.8H384c34.7 0 62.9 27.6 64 62c14.6 11.7 24 29.7 24 50c0 4.5-.5 8.8-1.3 13c15.4 11.7 25.3 30.2 25.3 51c0 6.5-1 12.8-2.8 18.7C504.8 238.3 512 254.3 512 272c0 35.3-28.6 64-64 64l-92.3 0c4.7 10.4 8.7 21.2 11.8 32.2l5.7 20c10.9 38.2-11.2 78.1-49.4 89zM32 384c-17.7 0-32-14.3-32-32V128c0-17.7 14.3-32 32-32H96c17.7 0 32 14.3 32 32V352c0 17.7-14.3 32-32 32H32z" fill="currentColor"></path></svg></div></button><button class="md:hover:bg-offsetPlus text-textOff dark:text-textOffDark md:hover:text-textMain dark:md:hover:bg-offsetPlusDark dark:md:hover:text-textMainDark font-sans focus:outline-none outline-none outline-transparent transition duration-300 ease-in-out font-sans select-none items-center relative group justify-center text-center items-center rounded-full cursor-point active:scale-95 origin-center whitespace-nowrap inline-flex text-sm aspect-square h-8" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; animation-duration: 0.3s; animation-timing-function: cubic-bezier(0.4, 0, 0.2, 1); appearance: button; aspect-ratio: 1 / 1; background-image: none; border-color: rgb(229, 231, 235); border-radius: 9999px; border-style: solid; border-width: 0px; cursor: pointer; display: inline-flex; font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-feature-settings: inherit; font-size: 0.875rem; font-variation-settings: inherit; font-weight: inherit; height: 2rem; justify-content: center; line-height: 1.25rem; margin: 0px; outline-offset: 2px; outline: transparent solid 2px; padding: 0px; position: relative; text-wrap: nowrap; transform-origin: center center; transition-duration: 0.3s; transition-property: color, background-color, border-color, text-decoration-color, fill, stroke, opacity, box-shadow, transform, filter, backdrop-filter, -webkit-backdrop-filter; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1); user-select: none;" type="button"><div class="pointer-events-none absolute z-30 opacity-0 shadow-sm transition-all delay-200 duration-200 group-hover:translate-y-0 group-hover:translate-x-0 group-hover:opacity-100 bottom-[120%] translate-y-1" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 1px 2px 0 var(--tw-shadow-color); --tw-shadow: 0 1px 2px 0 rgba(0,0,0,.05); --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0.25rem; animation-delay: 0.2s; animation-duration: 0.2s; border: 0px solid rgb(229, 231, 235); bottom: 38.3906px; box-shadow: var(--tw-ring-offset-shadow,0 0 #0000),var(--tw-ring-shadow,0 0 #0000),var(--tw-shadow); box-sizing: border-box; opacity: 0; pointer-events: none; position: absolute; transform: translate(var(--tw-translate-x),var(--tw-translate-y)) rotate(var(--tw-rotate)) skewX(var(--tw-skew-x)) skewY(var(--tw-skew-y)) scaleX(var(--tw-scale-x)) scaleY(var(--tw-scale-y)); transition-delay: 0.2s; transition-duration: 0.2s; transition-property: all; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1); z-index: 30;"><div class="py-xs px-sm rounded flex items-center gap-x-sm border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark bg-offsetPlusDark" style="--tw-bg-opacity: 1; --tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; background-color: rgb(51 51 49/var(--tw-bg-opacity)); border-radius: 0.25rem; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; column-gap: 8px; display: flex; padding: 4px 8px;"><div class="default font-sans text-xs font-medium text-textMain dark:text-textMainDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(19 52 59/var(--tw-text-opacity)); font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 0.75rem; line-height: 1rem;"><span class="text-textMainDark" color="rgb(232 232 230/var(--tw-text-opacity))" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;">Copy</span></div></div></div><div class="flex items-center leading-none justify-center gap-xs" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: flex; gap: 4px; justify-content: center; line-height: 1;"><svg aria-hidden="true" class="svg-inline--fa fa-clipboard fa-fw fa-1x" data-icon="clipboard" data-prefix="far" focusable="false" role="img" viewbox="0 0 384 512" xmlns="http://www.w3.org/2000/svg"><path d="M280 64h40c35.3 0 64 28.7 64 64V448c0 35.3-28.7 64-64 64H64c-35.3 0-64-28.7-64-64V128C0 92.7 28.7 64 64 64h40 9.6C121 27.5 153.3 0 192 0s71 27.5 78.4 64H280zM64 112c-8.8 0-16 7.2-16 16V448c0 8.8 7.2 16 16 16H320c8.8 0 16-7.2 16-16V128c0-8.8-7.2-16-16-16H304v24c0 13.3-10.7 24-24 24H192 104c-13.3 0-24-10.7-24-24V112H64zm128-8a24 24 0 1 0 0-48 24 24 0 1 0 0 48z" fill="currentColor"></path></svg></div></button><button class="md:hover:bg-offsetPlus text-textOff dark:text-textOffDark md:hover:text-textMain dark:md:hover:bg-offsetPlusDark dark:md:hover:text-textMainDark font-sans focus:outline-none outline-none outline-transparent transition duration-300 ease-in-out font-sans select-none items-center relative group justify-center text-center items-center rounded-full cursor-point active:scale-95 origin-center whitespace-nowrap inline-flex text-sm aspect-square h-8" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; animation-duration: 0.3s; animation-timing-function: cubic-bezier(0.4, 0, 0.2, 1); appearance: button; aspect-ratio: 1 / 1; background-image: none; border-color: rgb(229, 231, 235); border-radius: 9999px; border-style: solid; border-width: 0px; cursor: pointer; display: inline-flex; font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-feature-settings: inherit; font-size: 0.875rem; font-variation-settings: inherit; font-weight: inherit; height: 2rem; justify-content: center; line-height: 1.25rem; margin: 0px; outline-offset: 2px; outline: transparent solid 2px; padding: 0px; position: relative; text-wrap: nowrap; transform-origin: center center; transition-duration: 0.3s; transition-property: color, background-color, border-color, text-decoration-color, fill, stroke, opacity, box-shadow, transform, filter, backdrop-filter, -webkit-backdrop-filter; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1); user-select: none;" type="button"><div class="pointer-events-none absolute z-30 opacity-0 shadow-sm transition-all delay-200 duration-200 group-hover:translate-y-0 group-hover:translate-x-0 group-hover:opacity-100 bottom-[120%] translate-y-1" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 1px 2px 0 var(--tw-shadow-color); --tw-shadow: 0 1px 2px 0 rgba(0,0,0,.05); --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0.25rem; animation-delay: 0.2s; animation-duration: 0.2s; border: 0px solid rgb(229, 231, 235); bottom: 38.3906px; box-shadow: var(--tw-ring-offset-shadow,0 0 #0000),var(--tw-ring-shadow,0 0 #0000),var(--tw-shadow); box-sizing: border-box; opacity: 0; pointer-events: none; position: absolute; transform: translate(var(--tw-translate-x),var(--tw-translate-y)) rotate(var(--tw-rotate)) skewX(var(--tw-skew-x)) skewY(var(--tw-skew-y)) scaleX(var(--tw-scale-x)) scaleY(var(--tw-scale-y)); transition-delay: 0.2s; transition-duration: 0.2s; transition-property: all; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1); z-index: 30;"><div class="py-xs px-sm rounded flex items-center gap-x-sm border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark bg-offsetPlusDark" style="--tw-bg-opacity: 1; --tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; background-color: rgb(51 51 49/var(--tw-bg-opacity)); border-radius: 0.25rem; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; column-gap: 8px; display: flex; padding: 4px 8px;"><div class="default font-sans text-xs font-medium text-textMain dark:text-textMainDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(19 52 59/var(--tw-text-opacity)); font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 0.75rem; line-height: 1rem;"><span class="text-textMainDark" color="rgb(232 232 230/var(--tw-text-opacity))" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;">Edit Query</span></div></div></div><div class="flex items-center leading-none justify-center gap-xs" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: flex; gap: 4px; justify-content: center; line-height: 1;"><svg aria-hidden="true" class="svg-inline--fa fa-pen-to-square fa-fw fa-1x" data-icon="pen-to-square" data-prefix="far" focusable="false" role="img" viewbox="0 0 512 512" xmlns="http://www.w3.org/2000/svg"><path d="M441 58.9L453.1 71c9.4 9.4 9.4 24.6 0 33.9L424 134.1 377.9 88 407 58.9c9.4-9.4 24.6-9.4 33.9 0zM209.8 256.2L344 121.9 390.1 168 255.8 302.2c-2.9 2.9-6.5 5-10.4 6.1l-58.5 16.7 16.7-58.5c1.1-3.9 3.2-7.5 6.1-10.4zM373.1 25L175.8 222.2c-8.7 8.7-15 19.4-18.3 31.1l-28.6 100c-2.4 8.4-.1 17.4 6.1 23.6s15.2 8.5 23.6 6.1l100-28.6c11.8-3.4 22.5-9.7 31.1-18.3L487 138.9c28.1-28.1 28.1-73.7 0-101.8L474.9 25C446.8-3.1 401.2-3.1 373.1 25zM88 64C39.4 64 0 103.4 0 152V424c0 48.6 39.4 88 88 88H360c48.6 0 88-39.4 88-88V312c0-13.3-10.7-24-24-24s-24 10.7-24 24V424c0 22.1-17.9 40-40 40H88c-22.1 0-40-17.9-40-40V152c0-22.1 17.9-40 40-40H200c13.3 0 24-10.7 24-24s-10.7-24-24-24H88z" fill="currentColor"></path></svg></div></button><div style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"><div style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"><button class="md:hover:bg-offsetPlus text-textOff dark:text-textOffDark md:hover:text-textMain dark:md:hover:bg-offsetPlusDark dark:md:hover:text-textMainDark font-sans focus:outline-none outline-none outline-transparent transition duration-300 ease-in-out font-sans select-none items-center relative group justify-center text-center items-center rounded cursor-point active:scale-95 origin-center whitespace-nowrap inline-flex text-sm aspect-square h-8" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; animation-duration: 0.3s; animation-timing-function: cubic-bezier(0.4, 0, 0.2, 1); appearance: button; aspect-ratio: 1 / 1; background-image: none; border-color: rgb(229, 231, 235); border-radius: 0.25rem; border-style: solid; border-width: 0px; cursor: pointer; display: inline-flex; font-family: var(--font-fk-grotesk-neue),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-feature-settings: inherit; font-size: 0.875rem; font-variation-settings: inherit; font-weight: inherit; height: 2rem; justify-content: center; line-height: 1.25rem; margin: 0px; outline-offset: 2px; outline: transparent solid 2px; padding: 0px; position: relative; text-wrap: nowrap; transform-origin: center center; transition-duration: 0.3s; transition-property: color, background-color, border-color, text-decoration-color, fill, stroke, opacity, box-shadow, transform, filter, backdrop-filter, -webkit-backdrop-filter; transition-timing-function: cubic-bezier(0.4, 0, 0.2, 1); user-select: none;" type="button"><div class="flex items-center leading-none justify-center gap-xs" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: flex; gap: 4px; justify-content: center; line-height: 1;"><svg aria-hidden="true" class="svg-inline--fa fa-ellipsis fa-fw fa-1x" data-icon="ellipsis" data-prefix="far" focusable="false" role="img" viewbox="0 0 448 512" xmlns="http://www.w3.org/2000/svg"><path d="M432 256a48 48 0 1 1 -96 0 48 48 0 1 1 96 0zm-160 0a48 48 0 1 1 -96 0 48 48 0 1 1 96 0zM64 304a48 48 0 1 1 0-96 48 48 0 1 1 0 96z" fill="currentColor"></path></svg></div></button></div></div></div></div></div><div style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"><div class="mt-lg border-t pt-lg animate-in fade-in ease-out duration-1000 border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark bg-transparent" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-enter-opacity: 0; --tw-enter-rotate: initial; --tw-enter-scale: initial; --tw-enter-translate-x: initial; --tw-enter-translate-y: initial; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; animation-duration: 1s; animation-name: enter; animation-timing-function: cubic-bezier(0, 0, 0.2, 1); background-color: transparent; border-color: rgba(216, 216, 207, 0.6); border-image: initial; border-style: solid; border-width: 1px 0px 0px; box-sizing: border-box; margin-top: 32px; padding-top: 32px; transition-duration: 1s; transition-timing-function: cubic-bezier(0, 0, 0.2, 1);"><div class="border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark bg-transparent" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; background-color: transparent; border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box;"><div class="flex items-center justify-between border-borderMain/60 dark:border-borderMainDark/80 divide-borderMain/60 dark:divide-borderMainDark/80 ring-borderMain dark:ring-borderMainDark bg-background dark:bg-backgroundDark" style="--tw-bg-opacity: 1; --tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgb(215 215 206/var(--tw-ring-opacity)); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-opacity: 1; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; background-color: rgb(252 252 249/var(--tw-bg-opacity)); border: 0px solid rgba(216, 216, 207, 0.6); box-sizing: border-box; display: flex; justify-content: space-between;"><div class="flex items-center justify-between w-full mb-sm" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: flex; justify-content: space-between; margin-bottom: 8px; width: 674.656px;"><div style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box;"><div class="space-x-sm flex items-center" color="super" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; align-items: center; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; display: flex;"><h2 class="default font-display text-lg font-medium text-textMain dark:text-textMainDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(19 52 59/var(--tw-text-opacity)); font-family: var(--font-fk-grotesk),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 1.125rem; font-weight: 500; line-height: 1.75rem; margin: 0px;"><svg aria-hidden="true" class="svg-inline--fa fa-layer-plus fa-fw" data-icon="layer-plus" data-prefix="far" focusable="false" role="img" viewbox="0 0 576 512" xmlns="http://www.w3.org/2000/svg"><path d="M464 4c-11 0-20 9-20 20V60H408c-11 0-20 9-20 20s9 20 20 20h36v36c0 11 9 20 20 20s20-9 20-20V100h36c11 0 20-9 20-20s-9-20-20-20H484V24c0-11-9-20-20-20zM288 128c-8.5 0-17 1.7-24.8 5.1L53.9 222.8C40.6 228.5 32 241.5 32 256s8.6 27.5 21.9 33.2l209.3 89.7c7.8 3.4 16.3 5.1 24.8 5.1s17-1.7 24.8-5.1l209.3-89.7c13.3-5.7 21.9-18.8 21.9-33.2s-8.6-27.5-21.9-33.2L312.8 133.1c-7.8-3.4-16.3-5.1-24.8-5.1zm-5.9 49.2c1.9-.8 3.9-1.2 5.9-1.2s4 .4 5.9 1.2L477.7 256 293.9 334.8c-1.9 .8-3.9 1.2-5.9 1.2s-4-.4-5.9-1.2L98.3 256l183.8-78.8zM85.1 337.4L53.9 350.8C40.6 356.5 32 369.5 32 384s8.6 27.5 21.9 33.2l209.3 89.7c7.8 3.4 16.3 5.1 24.8 5.1s17-1.7 24.8-5.1l209.3-89.7c13.3-5.7 21.9-18.8 21.9-33.2s-8.6-27.5-21.9-33.2l-31.2-13.4L430 363.5 477.7 384 293.9 462.8c-1.9 .8-3.9 1.2-5.9 1.2s-4-.4-5.9-1.2L98.3 384 146 363.5 85.1 337.4z" fill="currentColor"></path></svg></h2><h2 class="default font-display text-lg font-medium text-textMain dark:text-textMainDark selection:bg-superDuper selection:text-textMain" style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 #0000; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-skew-x: 0; --tw-skew-y: 0; --tw-space-x-reverse: 0; --tw-text-opacity: 1; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(229, 231, 235); box-sizing: border-box; color: rgb(19 52 59/var(--tw-text-opacity)); font-family: var(--font-fk-grotesk),ui-sans-serif,system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",Roboto,Helvetica Neue,Arial,"Noto Sans",sans-serif,"Apple Color Emoji","Segoe UI Emoji","Segoe UI Symbol","Noto Color Emoji"; font-size: 1.125rem; font-weight: 500; line-height: 1.75rem; margin-bottom: 0px; margin-left: calc(8px * calc(1 - var(--tw-space-x-reverse))); margin-right: calc(8px * var(--tw-space-x-reverse)); margin-top: 0px;">Related</h2></div></div></div></div></div></div></div></div></div></div></div>Brucehttp://www.blogger.com/profile/05149672650241065616noreply@blogger.com0tag:blogger.com,1999:blog-1284112950008922665.post-88904032021062559162024-02-15T13:29:00.000-08:002024-02-15T14:33:35.608-08:00Chat GPT Reads Invitae Financials, Writes Text<p> <span face=""Helvetica Neue", Helvetica, Arial, sans-serif" style="background-color: white; color: #26282a; font-size: 13px;">Chat visits Invitae. I gave it a number of secular clues as background, in the prompt (e.g. biotech bubble). It does the writing, though.</span></p><div class="jb_0 X_6MGW N_6Fd5" style="background-color: white; color: #1d2228; font-family: "Helvetica Neue", Helvetica, Arial, sans-serif; font-size: 13px; outline: none; padding-bottom: 0px; padding-left: 24px; padding-right: 16px;"><div style="outline: none;"><div style="outline: none;"><div class="qtd-body" style="border-left: 1px solid rgb(204, 204, 204); margin: 0px; outline: none; padding: 8px;"><div class="yiv8000093155yqt6558189122" id="yiv8000093155yqtfd73946" style="outline: none;"><div dir="ltr" style="outline: none;">##</div><div dir="ltr" style="outline: none;"><br clear="none" style="outline: none;" /></div></div></div><div class="qtd-body" style="border-left: 1px solid rgb(204, 204, 204); margin: 0px; outline: none; padding: 8px;"><div class="yiv8000093155yqt6558189122" id="yiv8000093155yqtfd09470" style="outline: none;"><div class="yiv8000093155ydp5c0e790byiv6487300815yqt3456813060" id="yiv8000093155ydp5c0e790byiv6487300815yqt95339" style="outline: none;"><div class="yiv8000093155ydp5c0e790byiv6487300815ydp79346a58yahoo_quoted" id="yiv8000093155ydp5c0e790byiv6487300815ydp79346a58yahoo_quoted_8283795157" style="outline: none;"><div style="color: #26282a; outline: none;"><div style="outline: none;"><div id="yiv8000093155ydp5c0e790byiv6487300815ydp79346a58yiv3010880311" style="outline: none;"><div style="outline: none;"><div class="yiv8000093155ydp5c0e790byiv6487300815ydp79346a58yiv3010880311ydp884ef995yahoo-style-wrap" style="outline: none;"><div style="outline: none;"></div></div><div class="yiv8000093155ydp5c0e790byiv6487300815ydp79346a58yiv3010880311ydp91a27ab9yahoo_quoted" id="yiv8000093155ydp5c0e790byiv6487300815ydp79346a58yiv3010880311ydp91a27ab9yahoo_quoted_8043094340" style="outline: none;"><div style="outline: none;"><div style="outline: none;"><div id="yiv8000093155ydp5c0e790byiv6487300815ydp79346a58yiv3010880311ydp91a27ab9yiv3810211497" style="outline: none;"><div class="yiv8000093155ydp5c0e790byiv6487300815ydp79346a58yiv3010880311ydp91a27ab9yiv3810211497yqt2716573250" id="yiv8000093155ydp5c0e790byiv6487300815ydp79346a58yiv3010880311ydp91a27ab9yiv3810211497yqt09848" style="outline: none;"><div class="yiv8000093155ydp5c0e790byiv6487300815ydp79346a58yiv3010880311ydp91a27ab9yiv3810211497gmail_quote" style="outline: none;"><blockquote class="yiv8000093155ydp5c0e790byiv6487300815ydp79346a58yiv3010880311ydp91a27ab9yiv3810211497gmail_quote" style="border-left: 1px solid rgb(204, 204, 204); margin: 0px 0px 0px 0.8ex; outline: none; padding: 8px 8px 8px 1ex;"><div dir="ltr" style="outline: none;"><div class="yiv8000093155ydp5c0e790byiv6487300815ydp79346a58yiv3010880311ydpb5d07ad2pasted-link" style="outline: none;"><div class="yiv8000093155ydp5c0e790byiv6487300815ydp79346a58yiv3010880311ydpb5d07ad2text-message yiv8000093155ydp5c0e790byiv6487300815ydp79346a58yiv3010880311ydpb5d07ad2flex yiv8000093155ydp5c0e790byiv6487300815ydp79346a58yiv3010880311ydpb5d07ad2flex-col yiv8000093155ydp5c0e790byiv6487300815ydp79346a58yiv3010880311ydpb5d07ad2items-start yiv8000093155ydp5c0e790byiv6487300815ydp79346a58yiv3010880311ydpb5d07ad2gap-3 yiv8000093155ydp5c0e790byiv6487300815ydp79346a58yiv3010880311ydpb5d07ad2whitespace-pre-wrap yiv8000093155ydp5c0e790byiv6487300815ydp79346a58yiv3010880311ydpb5d07ad2break-words yiv8000093155ydp5c0e790byiv6487300815ydp79346a58yiv3010880311ydpb5d07ad2overflow-x-auto" style="border: 0px solid rgb(227, 227, 227); color: #0d0d0d; font-family: ui-sans-serif, system-ui, -apple-system, "Segoe UI", Roboto, Ubuntu, Cantarell, "Noto Sans", sans-serif, "Helvetica Neue", Arial, "Apple Color Emoji", "Segoe UI Emoji", "Segoe UI Symbol", "Noto Color Emoji"; font-size: 16px; min-height: 20px; outline: none;"><div class="yiv8000093155ydp5c0e790byiv6487300815ydp79346a58yiv3010880311ydpb5d07ad2markdown yiv8000093155ydp5c0e790byiv6487300815ydp79346a58yiv3010880311ydpb5d07ad2prose yiv8000093155ydp5c0e790byiv6487300815ydp79346a58yiv3010880311ydpb5d07ad2w-full yiv8000093155ydp5c0e790byiv6487300815ydp79346a58yiv3010880311ydpb5d07ad2break-words yiv8000093155ydp5c0e790byiv6487300815ydp79346a58yiv3010880311ydpb5d07ad2dark:prose-invert yiv8000093155ydp5c0e790byiv6487300815ydp79346a58yiv3010880311ydpb5d07ad2light" style="border: 0px solid rgb(227, 227, 227); line-height: 1.75; max-width: none; outline: none; width: 500.997px;"><div style="border: 0px solid rgb(227, 227, 227); margin: 0px 0px 1.25em; outline: none;"><i style="outline: none;"><u style="outline: none;">CHAT GTP DATA ANALYST MODE</u></i></div><div style="border: 0px solid rgb(227, 227, 227); margin: 0px 0px 1.25em; outline: none;">To analyze the financial health and management planning of Invitae, I'll first need to review the basic financials provided in the uploaded spreadsheet. I'll look for key indicators such as revenue trends, expense management, cash flow, debt levels, and any other financial metrics that could provide insight into the company's operational and financial strategies leading up to its bankruptcy filing.</div><p style="border: 0px solid rgb(227, 227, 227); margin: 1.25em 0px 0px; outline: none;">Let's start by examining the spreadsheet data to identify these key financial indicators and trends.</p></div></div><div class="yiv8000093155ydp5c0e790byiv6487300815ydp79346a58yiv3010880311ydpb5d07ad2text-message yiv8000093155ydp5c0e790byiv6487300815ydp79346a58yiv3010880311ydpb5d07ad2flex yiv8000093155ydp5c0e790byiv6487300815ydp79346a58yiv3010880311ydpb5d07ad2flex-col yiv8000093155ydp5c0e790byiv6487300815ydp79346a58yiv3010880311ydpb5d07ad2items-start yiv8000093155ydp5c0e790byiv6487300815ydp79346a58yiv3010880311ydpb5d07ad2gap-3 yiv8000093155ydp5c0e790byiv6487300815ydp79346a58yiv3010880311ydpb5d07ad2whitespace-pre-wrap yiv8000093155ydp5c0e790byiv6487300815ydp79346a58yiv3010880311ydpb5d07ad2break-words yiv8000093155ydp5c0e790byiv6487300815ydp79346a58yiv3010880311ydpb5d07ad2overflow-x-auto" style="border: 0px solid rgb(227, 227, 227); color: #0d0d0d; font-family: ui-sans-serif, system-ui, -apple-system, "Segoe UI", Roboto, Ubuntu, Cantarell, "Noto Sans", sans-serif, "Helvetica Neue", Arial, "Apple Color Emoji", "Segoe UI Emoji", "Segoe UI Symbol", "Noto Color Emoji"; font-size: 16px; min-height: 20px; outline: none;"><div class="yiv8000093155ydp5c0e790byiv6487300815ydp79346a58yiv3010880311ydpb5d07ad2markdown yiv8000093155ydp5c0e790byiv6487300815ydp79346a58yiv3010880311ydpb5d07ad2prose yiv8000093155ydp5c0e790byiv6487300815ydp79346a58yiv3010880311ydpb5d07ad2w-full yiv8000093155ydp5c0e790byiv6487300815ydp79346a58yiv3010880311ydpb5d07ad2break-words yiv8000093155ydp5c0e790byiv6487300815ydp79346a58yiv3010880311ydpb5d07ad2dark:prose-invert yiv8000093155ydp5c0e790byiv6487300815ydp79346a58yiv3010880311ydpb5d07ad2light" style="border: 0px solid rgb(227, 227, 227); line-height: 1.75; max-width: none; outline: none; width: 500.997px;"><p style="border: 0px solid rgb(227, 227, 227); margin: 0px 0px 1.25em; outline: none;">The spreadsheet contains financial data for Invitae from 2018 to 2022, including:</p><ul style="border: 0px solid rgb(227, 227, 227); list-style-image: initial; list-style-position: initial; margin: 1.25em 0px; outline: none; padding: 0px;"><li style="border: 0px solid rgb(227, 227, 227); display: block; margin: 0px; min-height: 28px; outline: none; padding-left: 0.375em;"><span style="border: 0px solid rgb(227, 227, 227); font-weight: 600; margin-bottom: 1.25em; margin-top: 1.25em; outline: none;">Revenue</span></li><li style="border: 0px solid rgb(227, 227, 227); display: block; margin: 0px; min-height: 28px; outline: none; padding-left: 0.375em;"><span style="border: 0px solid rgb(227, 227, 227); font-weight: 600; margin-bottom: 1.25em; margin-top: 1.25em; outline: none;">Cost of Goods Sold (COGS)</span></li><li style="border: 0px solid rgb(227, 227, 227); display: block; margin: 0px; min-height: 28px; outline: none; padding-left: 0.375em;"><span style="border: 0px solid rgb(227, 227, 227); font-weight: 600; margin-bottom: 1.25em; margin-top: 1.25em; outline: none;">Gross Income</span></li><li style="border: 0px solid rgb(227, 227, 227); display: block; margin: 0px; min-height: 28px; outline: none; padding-left: 0.375em;"><span style="border: 0px solid rgb(227, 227, 227); font-weight: 600; margin-bottom: 1.25em; margin-top: 1.25em; outline: none;">Selling, General and Administrative Expenses (SGA)</span></li></ul><p style="border: 0px solid rgb(227, 227, 227); margin: 1.25em 0px 0px; outline: none;">Let's analyze this data to identify trends in revenue growth, cost management, and operational efficiency. We'll also calculate key financial ratios such as gross margin and the ratio of SGA expenses to revenue, which can provide insights into the company's financial health and management effectiveness over these years. <span style="border: 0px solid rgb(227, 227, 227); outline: none;"><button style="background-image: none; border-color: rgb(227, 227, 227); border-style: solid; border-width: 0px; cursor: pointer; font-family: inherit; font-size: 16px; font-weight: inherit; line-height: inherit; margin: 0px; outline: none; padding: 0px;"></button></span></p></div></div><div class="yiv8000093155ydp5c0e790byiv6487300815ydp79346a58yiv3010880311ydpb5d07ad2text-message yiv8000093155ydp5c0e790byiv6487300815ydp79346a58yiv3010880311ydpb5d07ad2flex yiv8000093155ydp5c0e790byiv6487300815ydp79346a58yiv3010880311ydpb5d07ad2flex-col yiv8000093155ydp5c0e790byiv6487300815ydp79346a58yiv3010880311ydpb5d07ad2items-start yiv8000093155ydp5c0e790byiv6487300815ydp79346a58yiv3010880311ydpb5d07ad2gap-3 yiv8000093155ydp5c0e790byiv6487300815ydp79346a58yiv3010880311ydpb5d07ad2whitespace-pre-wrap yiv8000093155ydp5c0e790byiv6487300815ydp79346a58yiv3010880311ydpb5d07ad2break-words yiv8000093155ydp5c0e790byiv6487300815ydp79346a58yiv3010880311ydpb5d07ad2overflow-x-auto" style="border: 0px solid rgb(227, 227, 227); font-family: ui-sans-serif, system-ui, -apple-system, "Segoe UI", Roboto, Ubuntu, Cantarell, "Noto Sans", sans-serif, "Helvetica Neue", Arial, "Apple Color Emoji", "Segoe UI Emoji", "Segoe UI Symbol", "Noto Color Emoji"; min-height: 20px; outline: none;"><div class="yiv8000093155ydp5c0e790byiv6487300815ydp79346a58yiv3010880311ydpb5d07ad2markdown yiv8000093155ydp5c0e790byiv6487300815ydp79346a58yiv3010880311ydpb5d07ad2prose yiv8000093155ydp5c0e790byiv6487300815ydp79346a58yiv3010880311ydpb5d07ad2w-full yiv8000093155ydp5c0e790byiv6487300815ydp79346a58yiv3010880311ydpb5d07ad2break-words yiv8000093155ydp5c0e790byiv6487300815ydp79346a58yiv3010880311ydpb5d07ad2dark:prose-invert yiv8000093155ydp5c0e790byiv6487300815ydp79346a58yiv3010880311ydpb5d07ad2light" style="border: 0px solid rgb(227, 227, 227); line-height: 1.75; max-width: none; outline: none; width: 500.997px;"><p style="border: 0px solid rgb(227, 227, 227); color: #0d0d0d; font-size: 16px; margin: 0px 0px 1.25em; outline: none;">The financial data from 2018 to 2022 reveals several important trends and metrics for Invitae:</p><h3 style="border: 0px solid rgb(227, 227, 227); color: #0d0d0d; font-size: 1.25em; line-height: 1.6; margin-left: 0px; margin-right: 0px; outline: none;">Revenue Growth</h3><ul style="border: 0px solid rgb(227, 227, 227); color: #0d0d0d; font-size: 16px; list-style-image: initial; list-style-position: initial; margin: 0px 0px 1.25em; outline: none; padding: 0px;"><li style="border: 0px solid rgb(227, 227, 227); display: block; margin: 0px; min-height: 28px; outline: none; padding-left: 0.375em;">Revenue has grown steadily from $147.7M in 2018 to $516.3M in 2022, indicating a strong top-line growth trajectory.</li></ul><h3 style="border: 0px solid rgb(227, 227, 227); color: #0d0d0d; font-size: 1.25em; line-height: 1.6; margin-left: 0px; margin-right: 0px; outline: none;">Cost of Goods Sold (COGS)</h3><ul style="border: 0px solid rgb(227, 227, 227); color: #0d0d0d; font-size: 16px; list-style-image: initial; list-style-position: initial; margin: 0px 0px 1.25em; outline: none; padding: 0px;"><li style="border: 0px solid rgb(227, 227, 227); display: block; margin: 0px; min-height: 28px; outline: none; padding-left: 0.375em;">COGS has also increased in line with revenue, from $80.1M in 2018 to $417M in 2022.</li></ul><h3 style="border: 0px solid rgb(227, 227, 227); color: #0d0d0d; font-size: 1.25em; line-height: 1.6; margin-left: 0px; margin-right: 0px; outline: none;">Gross Margin</h3><ul style="border: 0px solid rgb(227, 227, 227); color: #0d0d0d; font-size: 16px; list-style-image: initial; list-style-position: initial; margin: 0px 0px 1.25em; outline: none; padding: 0px;"><li style="border: 0px solid rgb(227, 227, 227); display: block; margin: 0px; min-height: 28px; outline: none; padding-left: 0.375em;">Gross Margin has shown variability, with a notable decrease in 2022 to 19.23% from higher percentages in earlier years (45.76% in 2018 and 44.02% in 2019). This suggests a reduction in profitability per unit of revenue over time.</li></ul><h3 style="border: 0px solid rgb(227, 227, 227); color: #0d0d0d; font-size: 1.25em; line-height: 1.6; margin-left: 0px; margin-right: 0px; outline: none;">SGA Expenses</h3><ul style="border: 0px solid rgb(227, 227, 227); color: #0d0d0d; font-size: 16px; list-style-image: initial; list-style-position: initial; margin: 0px 0px 1.25em; outline: none; padding: 0px;"><li style="border: 0px solid rgb(227, 227, 227); display: block; margin: 0px; min-height: 28px; outline: none; padding-left: 0.375em;">Selling, General, and Administrative (SGA) expenses have increased significantly, particularly from $186M in 2018 to over $803.9M in 2022. The SGA as a percentage of revenue has also increased, peaking at 155.71% in 2022, indicating that these expenses have grown at a faster rate than revenue. This is a critical factor contributing to<b style="outline: none;"> financial strain</b>, as it suggests that the company's operational expenses are outpacing its revenue growth.</li></ul><h3 style="border: 0px solid rgb(227, 227, 227); color: #0d0d0d; font-size: 1.25em; line-height: 1.6; margin-left: 0px; margin-right: 0px; outline: none;">Other Financial Metrics</h3><ul style="border: 0px solid rgb(227, 227, 227); font-size: 16px; list-style-image: initial; list-style-position: initial; margin: 0px 0px 1.25em; outline: none; padding: 0px;"><li style="border: 0px solid rgb(227, 227, 227); color: #0d0d0d; display: block; margin: 0px; min-height: 28px; outline: none; padding-left: 0.375em;"><span style="border: 0px solid rgb(227, 227, 227); font-weight: 600; margin-top: 1.25em; outline: none;">EBIT</span> (Earnings Before Interest and Taxes) and <span style="border: 0px solid rgb(227, 227, 227); font-weight: 600; margin-bottom: 1.25em; outline: none;">Pretax Income</span> have been negative across the years, highlighting <b style="outline: none;">continuous operational losses</b>.</li><li style="border: 0px solid rgb(227, 227, 227); color: #0d0d0d; display: block; margin: 0px; min-height: 28px; outline: none; padding-left: 0.375em;"><span style="border: 0px solid rgb(227, 227, 227); font-weight: 600; margin-bottom: 1.25em; margin-top: 1.25em; outline: none;">Interest Expense</span> has increased, reflecting <b style="outline: none;">higher debt levels</b> and associated costs.</li><li style="border: 0px solid rgb(227, 227, 227); display: block; margin: 0px; min-height: 28px; outline: none; padding-left: 0.375em;"><span style="border: 0px solid rgb(227, 227, 227); font-weight: 600; margin-bottom: 1.25em; margin-top: 1.25em; outline: none;"><span style="background-color: inherit; color: #9c005c; outline: none;">Unusual Expense</span></span><span style="color: #0d0d0d; outline: none;"> in 2022 shows a significant outflow, which could be related to <b style="outline: none;">write-offs</b> or one-time charges that further impacted financial health.</span></li><li style="border: 0px solid rgb(227, 227, 227); color: #0d0d0d; display: block; margin: 0px; min-height: 28px; outline: none; padding-left: 0.375em;"><span style="border: 0px solid rgb(227, 227, 227); font-weight: 600; margin-bottom: 1.25em; margin-top: 1.25em; outline: none;">Cash & Short Term Investments</span> dropped significantly by 2022, indicating potential liquidity issues.</li><li style="border: 0px solid rgb(227, 227, 227); display: block; margin: 0px; min-height: 28px; outline: none; padding-left: 0.375em;"><span style="color: #9c005c; outline: none;"><span style="border: 0px solid rgb(227, 227, 227); font-weight: 600; margin-bottom: 1.25em; margin-top: 1.25em; outline: none;">Intangible Assets</span> <b style="outline: none;">decreased</b></span><span style="color: #0d0d0d; outline: none;">, which could be related to the write-off mentioned, affecting the company's book value and possibly </span><b style="color: #0d0d0d; outline: none;">investor confidence</b><span style="color: #0d0d0d; outline: none;">.</span></li><li style="border: 0px solid rgb(227, 227, 227); display: block; margin: 0px; min-height: 28px; outline: none; padding-left: 0.375em;"><span style="color: #9c005c; outline: none;"><span style="border: 0px solid rgb(227, 227, 227); font-weight: 600; margin-bottom: 1.25em; margin-top: 1.25em; outline: none;">Long Term Debt</span> increased <b style="outline: none;">dramatically</b> </span><span style="color: #0d0d0d; outline: none;">from 2020 to 2021, aligning with the observation of increased debt for acquisitions. This would have increased the financial burden on the company, especially in a retracting biotech valuation environment.</span></li></ul><h3 style="border: 0px solid rgb(227, 227, 227); color: #0d0d0d; font-size: 1.25em; line-height: 1.6; margin-left: 0px; margin-right: 0px; outline: none;">Analysis Summary</h3><p style="border: 0px solid rgb(227, 227, 227); color: #0d0d0d; font-size: 16px; margin: 0px 0px 1.25em; outline: none;">Invitae's financial trajectory from 2018 to 2022 shows a company that was aggressively growing its revenue but at the cost of significantly higher operational expenses (SGA) and increasing debt levels. The sharp rise in SGA expenses relative to revenue and the significant increase in long-term debt, especially from 2020 to 2021, are key indicators of financial mismanagement or overly aggressive expansion without corresponding revenue efficiency improvements.</p><p style="border: 0px solid rgb(227, 227, 227); color: #0d0d0d; font-size: 16px; margin: 1.25em 0px; outline: none;">The company's declining gross margin and increasing debt service obligations, against the backdrop of a contracting biotech valuation landscape and reduced investor appetite for high-burn companies, likely precipitated its financial distress. The write-off of intangible assets and a significant unusual expense in 2022 further exacerbated the situation, leading to a weakened balance sheet and reduced financial flexibility.</p><div style="border: 0px solid rgb(227, 227, 227); color: #0d0d0d; font-size: 16px; margin: 1.25em 0px 0px; outline: none;">In summary, the financials indicate that despite revenue growth, Invitae faced challenges with profitability, operational efficiency, and financial sustainability. The combination of high operational costs, increased debt levels, and adverse market conditions likely contributed to its eventual bankruptcy. </div><div style="border: 0px solid rgb(227, 227, 227); color: #0d0d0d; font-size: 16px; margin: 1.25em 0px 0px; outline: none;"><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/a/AVvXsEgnYeR9v20KkWCoGiYtJP_2aXaw2_5XMhW68JBkyOAAH2JtU7oP2u3PHHt-eJISqJNyV5xBVMzsCiNI5debMAszLgv9weXM9qgRjqelQv-0R53SZiZuiXDU-DYWBAgkxxF0JcSJX2MlCEbRji_FwnfORdg5EAIY5wewvRxi-ewGOxM_IBB3E0UWgJUlNI0" style="margin-left: 1em; margin-right: 1em;"><img alt="" data-original-height="683" data-original-width="941" height="341" src="https://blogger.googleusercontent.com/img/a/AVvXsEgnYeR9v20KkWCoGiYtJP_2aXaw2_5XMhW68JBkyOAAH2JtU7oP2u3PHHt-eJISqJNyV5xBVMzsCiNI5debMAszLgv9weXM9qgRjqelQv-0R53SZiZuiXDU-DYWBAgkxxF0JcSJX2MlCEbRji_FwnfORdg5EAIY5wewvRxi-ewGOxM_IBB3E0UWgJUlNI0=w471-h341" width="471" /></a></div><br /><br clear="none" style="outline: none;" /></div><div style="border: 0px solid rgb(227, 227, 227); color: #0d0d0d; font-size: 16px; margin: 1.25em 0px 0px; outline: none;">###</div><div dir="ltr" style="border: 0px solid rgb(227, 227, 227); color: #0d0d0d; font-size: 16px; margin: 1.25em 0px 0px; outline: none;"><b style="outline: none;">PROMPT</b></div><div dir="ltr" style="border: 0px solid rgb(227, 227, 227); color: #0d0d0d; font-size: 16px; margin: 1.25em 0px 0px; outline: none;"><br clear="none" style="outline: none;" /></div><div dir="ltr" style="border: 0px solid rgb(227, 227, 227); color: #0d0d0d; margin: 1.25em 0px 0px; outline: none;"><span style="outline: none;"><span style="background-color: inherit; font-size: x-small; outline: none;">Attached find basic financials for the life sciences firm INVITAE, a genetics laboratory based in San Francisco and serving patients nationally. Share price in 2019 was about $15, in 2021 about $50. This reflected no huge changes in financials (see 2019, 2020) but reflected a secular change in biotech and genomics valuations and also capital inflows to the field. Share price fell to $1 in late 2023 and the firm declared Chapter 11 bankruptcy in February 2024. Discuss signs of management planning and ill financial health in the available financials. </span></span></div><div dir="ltr" style="border: 0px solid rgb(227, 227, 227); color: #0d0d0d; margin: 1.25em 0px 0px; outline: none;"><span style="outline: none;"><span style="background-color: inherit; font-size: x-small; outline: none;"> Consider as background several trends. (1) There was a huge boom of biotech valuations in 2020/2021, accompanied by firms raising new capital by equity or loans. (2) There was a retraction in 2022 and accelerating retraction in 2023. This was caused by inflation, causing investors to demand higher returns or avoid investing. (3) This 2022/2023 trend in investing (less venture capital, less offerings for growth capital, less private equity inflows) was especially harsh on companies with long term high burn rates (annual losses). (4) Although we don't have data on it, we notice that Invitae had a write off of intangibles from 2021 to 2022 (a loss in intangible assets on the books and a corresponding loss in GAAP income). (5) Although we don't have data on it, we notice that Invitae incrased long term date by almost $1.3B from 2020 to 2021. A good part of this debt generated cash used for acuisitions which themselves may have had their own burn rates. ## Please discuss based on these fact patterns and especially your study of the spread sheet.</span></span></div></div></div></div></div></blockquote></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div>Brucehttp://www.blogger.com/profile/05149672650241065616noreply@blogger.com0tag:blogger.com,1999:blog-1284112950008922665.post-85289963870190870712024-02-14T12:46:00.000-08:002024-02-14T12:46:11.319-08:00PMC 2-14-2024: CEO of ICER (takeaways)<p>At the Personalized Medicine Coalition's recent policy conference, Sarah Emond, the CEO of the Institute for Clinical and Economic Review (ICER), presented an in-depth perspective on the organization's evolving role in health technology assessment. Her presentation delved into how ICER is intensifying its efforts to incorporate patient experiences and real-world evidence into their value assessment framework, emphasizing the significance of patient engagement and health equity. Emond detailed ICER's strategic updates aimed at making healthcare evaluations more inclusive and reflective of diverse patient needs, highlighting the integration of patient and family narratives into their methodologies.</p><p>Furthermore, Emond discussed the critical balance between cost-effectiveness and the personalized nature of modern medicine, stressing the importance of fair drug pricing and access in sustaining innovation and the healthcare ecosystem. She also introduced new tools and methodologies developed by ICER to adapt to the dynamic nature of healthcare data and to ensure that their assessments remain timely and relevant. These include the utilization of real-world evidence and the consideration of societal impacts in their evaluation processes.</p><p>Emond's address to the Personalized Medicine Coalition members underscored ICER's commitment to transparency, with a significant portion of its funding coming from non-profit foundations, aiming to maintain its independence and objectivity in health technology assessments. She also touched upon the challenges and opportunities in aligning population-level decision-making with the individualized approaches characteristic of personalized medicine.</p><p>The presentation was a comprehensive overview of ICER's strategic direction, highlighting its proactive stance on including diverse patient perspectives, enhancing health equity, and ensuring that value assessments reflect the complexities of personalized medicine. Through its ongoing initiatives, ICER aims to contribute to a healthcare system that balances affordability with access to innovative treatments, ensuring that all patients can benefit from advances in medical science.</p><p style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(69,89,164,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 transparent; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 transparent; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 transparent; --tw-shadow: 0 0 transparent; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; background-color: white; border: 0px solid rgb(227, 227, 227); box-sizing: border-box; color: #0d0d0d; font-family: Söhne, ui-sans-serif, system-ui, -apple-system, "Segoe UI", Roboto, Ubuntu, Cantarell, "Noto Sans", sans-serif, "Helvetica Neue", Arial, "Apple Color Emoji", "Segoe UI Emoji", "Segoe UI Symbol", "Noto Color Emoji"; font-size: 16px; margin: 1.25em 0px; white-space-collapse: preserve;"><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(69,89,164,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 transparent; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 transparent; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 transparent; --tw-shadow: 0 0 transparent; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(227, 227, 227); box-sizing: border-box; color: var(--tw-prose-bold);"><b>Sidebar: Top 10 Takeaways</b></span></p><ol style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(69,89,164,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 transparent; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 transparent; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 transparent; --tw-shadow: 0 0 transparent; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; background-color: white; border: 0px solid rgb(227, 227, 227); box-sizing: border-box; color: #0d0d0d; counter-reset: list-number 0; display: flex; flex-direction: column; font-size: 16px; list-style: none; margin: 1.25em 0px 0px; padding: 0px; white-space-collapse: preserve;"><li style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(69,89,164,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 transparent; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 transparent; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 transparent; --tw-shadow: 0 0 transparent; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(227, 227, 227); box-sizing: border-box; counter-increment: list-number 1; display: block; margin-bottom: 0px; margin-top: 0px; min-height: 28px; padding-left: 0.375em;"><p style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(69,89,164,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 transparent; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 transparent; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 transparent; --tw-shadow: 0 0 transparent; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(227, 227, 227); box-sizing: border-box; margin: 0px;"><span style="font-family: inherit;"><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(69,89,164,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 transparent; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 transparent; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 transparent; --tw-shadow: 0 0 transparent; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(227, 227, 227); box-sizing: border-box; color: var(--tw-prose-bold); font-weight: 600;">ICER's Mission Evolution</span>: ICER is expanding its approach to include more patient engagement and real-world evidence integration, reflecting its dedication to adapt and grow in response to new healthcare challenges.</span></p></li><li style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(69,89,164,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 transparent; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 transparent; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 transparent; --tw-shadow: 0 0 transparent; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(227, 227, 227); box-sizing: border-box; counter-increment: list-number 1; display: block; margin-bottom: 0px; margin-top: 0px; min-height: 28px; padding-left: 0.375em;"><p style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(69,89,164,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 transparent; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 transparent; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 transparent; --tw-shadow: 0 0 transparent; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(227, 227, 227); box-sizing: border-box; margin: 0px;"><span style="font-family: inherit;"><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(69,89,164,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 transparent; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 transparent; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 transparent; --tw-shadow: 0 0 transparent; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(227, 227, 227); box-sizing: border-box; color: var(--tw-prose-bold); font-weight: 600;">Patient Engagement Enhancements</span>: ICER has codified processes for incorporating patient and family stories into their assessments, ensuring diverse perspectives are considered.</span></p></li><li style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(69,89,164,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 transparent; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 transparent; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 transparent; --tw-shadow: 0 0 transparent; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(227, 227, 227); box-sizing: border-box; counter-increment: list-number 1; display: block; margin-bottom: 0px; margin-top: 0px; min-height: 28px; padding-left: 0.375em;"><p style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(69,89,164,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 transparent; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 transparent; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 transparent; --tw-shadow: 0 0 transparent; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(227, 227, 227); box-sizing: border-box; margin: 0px;"><span style="font-family: inherit;"><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(69,89,164,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 transparent; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 transparent; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 transparent; --tw-shadow: 0 0 transparent; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(227, 227, 227); box-sizing: border-box; color: var(--tw-prose-bold); font-weight: 600;">Focus on Health Equity</span>: Specific judgments on clinical trial diversity and subpopulation analyses are now standard, reflecting a commitment to inclusive healthcare evaluation.</span></p></li><li style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(69,89,164,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 transparent; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 transparent; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 transparent; --tw-shadow: 0 0 transparent; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(227, 227, 227); box-sizing: border-box; counter-increment: list-number 1; display: block; margin-bottom: 0px; margin-top: 0px; min-height: 28px; padding-left: 0.375em;"><p style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(69,89,164,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 transparent; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 transparent; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 transparent; --tw-shadow: 0 0 transparent; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(227, 227, 227); box-sizing: border-box; margin: 0px;"><span style="font-family: inherit;"><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(69,89,164,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 transparent; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 transparent; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 transparent; --tw-shadow: 0 0 transparent; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(227, 227, 227); box-sizing: border-box; color: var(--tw-prose-bold); font-weight: 600;">Cost-Effectiveness and Fair Pricing</span>: ICER emphasizes the importance of fair pricing for drugs and medical services, aiming for a healthcare system that balances affordability with innovation.</span></p></li><li style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(69,89,164,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 transparent; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 transparent; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 transparent; --tw-shadow: 0 0 transparent; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(227, 227, 227); box-sizing: border-box; counter-increment: list-number 1; display: block; margin-bottom: 0px; margin-top: 0px; min-height: 28px; padding-left: 0.375em;"><p style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(69,89,164,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 transparent; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 transparent; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 transparent; --tw-shadow: 0 0 transparent; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(227, 227, 227); box-sizing: border-box; margin: 0px;"><span style="font-family: inherit;"><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(69,89,164,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 transparent; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 transparent; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 transparent; --tw-shadow: 0 0 transparent; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(227, 227, 227); box-sizing: border-box; color: var(--tw-prose-bold); font-weight: 600;">Real-World Evidence Utilization</span>: The introduction of the ICER analytics tool illustrates a shift towards accommodating evolving data and ensuring assessments remain relevant over time.</span></p></li><li style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(69,89,164,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 transparent; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 transparent; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 transparent; --tw-shadow: 0 0 transparent; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(227, 227, 227); box-sizing: border-box; counter-increment: list-number 1; display: block; margin-bottom: 0px; margin-top: 0px; min-height: 28px; padding-left: 0.375em;"><p style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(69,89,164,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 transparent; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 transparent; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 transparent; --tw-shadow: 0 0 transparent; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(227, 227, 227); box-sizing: border-box; margin: 0px;"><span style="font-family: inherit;"><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(69,89,164,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 transparent; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 transparent; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 transparent; --tw-shadow: 0 0 transparent; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(227, 227, 227); box-sizing: border-box; color: var(--tw-prose-bold); font-weight: 600;">Innovations in Value Assessment</span>: Updates to ICER's value assessment framework include new methods for addressing non-health benefits and the societal impact of healthcare interventions.</span></p></li><li style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(69,89,164,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 transparent; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 transparent; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 transparent; --tw-shadow: 0 0 transparent; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(227, 227, 227); box-sizing: border-box; counter-increment: list-number 1; display: block; margin-bottom: 0px; margin-top: 0px; min-height: 28px; padding-left: 0.375em;"><p style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(69,89,164,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 transparent; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 transparent; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 transparent; --tw-shadow: 0 0 transparent; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(227, 227, 227); box-sizing: border-box; margin: 0px;"><span style="font-family: inherit;"><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(69,89,164,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 transparent; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 transparent; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 transparent; --tw-shadow: 0 0 transparent; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(227, 227, 227); box-sizing: border-box; color: var(--tw-prose-bold); font-weight: 600;">Strategic Funding Transparency</span>: ICER maintains independence and objectivity through funding primarily from nonprofit foundations, with clear boundaries for contributions from healthcare stakeholders.</span></p></li><li style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(69,89,164,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 transparent; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 transparent; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 transparent; --tw-shadow: 0 0 transparent; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(227, 227, 227); box-sizing: border-box; counter-increment: list-number 1; display: block; margin-bottom: 0px; margin-top: 0px; min-height: 28px; padding-left: 0.375em;"><p style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(69,89,164,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 transparent; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 transparent; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 transparent; --tw-shadow: 0 0 transparent; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(227, 227, 227); box-sizing: border-box; margin: 0px;"><span style="font-family: inherit;"><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(69,89,164,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 transparent; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 transparent; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 transparent; --tw-shadow: 0 0 transparent; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(227, 227, 227); box-sizing: border-box; color: var(--tw-prose-bold); font-weight: 600;">Subpopulation Analysis for Personalized Medicine</span>: Proactive searches for evidence of differential impacts by race, sex, or age in therapies underline the importance of personalized medicine in ICER's evaluations.</span></p></li><li style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(69,89,164,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 transparent; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 transparent; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 transparent; --tw-shadow: 0 0 transparent; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(227, 227, 227); box-sizing: border-box; counter-increment: list-number 1; display: block; margin-bottom: 0px; margin-top: 0px; min-height: 28px; padding-left: 0.375em;"><p style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(69,89,164,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 transparent; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 transparent; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 transparent; --tw-shadow: 0 0 transparent; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(227, 227, 227); box-sizing: border-box; margin: 0px;"><span style="font-family: inherit;"><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(69,89,164,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 transparent; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 transparent; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 transparent; --tw-shadow: 0 0 transparent; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(227, 227, 227); box-sizing: border-box; color: var(--tw-prose-bold); font-weight: 600;">Dynamic Pricing Considerations</span>: Exploration of how prices for therapies might adjust over time in response to market changes or Medicare negotiations.</span></p></li><li style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(69,89,164,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 transparent; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 transparent; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 transparent; --tw-shadow: 0 0 transparent; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(227, 227, 227); box-sizing: border-box; counter-increment: list-number 1; display: block; margin-bottom: 0px; margin-top: 0px; min-height: 28px; padding-left: 0.375em;"><p style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(69,89,164,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 transparent; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 transparent; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 transparent; --tw-shadow: 0 0 transparent; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(227, 227, 227); box-sizing: border-box; margin: 0px;"><span style="font-family: inherit;"><span style="--tw-border-spacing-x: 0; --tw-border-spacing-y: 0; --tw-ring-color: rgba(69,89,164,.5); --tw-ring-offset-color: #fff; --tw-ring-offset-shadow: 0 0 transparent; --tw-ring-offset-width: 0px; --tw-ring-shadow: 0 0 transparent; --tw-rotate: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-shadow-colored: 0 0 transparent; --tw-shadow: 0 0 transparent; --tw-skew-x: 0; --tw-skew-y: 0; --tw-translate-x: 0; --tw-translate-y: 0; border: 0px solid rgb(227, 227, 227); box-sizing: border-box; color: var(--tw-prose-bold); font-weight: 600;">Commitment to Fair Access Reports</span>: Annual reports scrutinize payer policies to ensure ethical access to treatments, reinforcing ICER's role in advocating for patient rights.</span></p></li></ol>Brucehttp://www.blogger.com/profile/05149672650241065616noreply@blogger.com0tag:blogger.com,1999:blog-1284112950008922665.post-84579935101485303062024-02-13T13:53:00.000-08:002024-02-13T13:53:12.529-08:00ABIDE: Alzheimer Biomarkers in Daily Practice<p><a href="https://www.amsterdamumc.org/en/research/institutes/amsterdam-neuroscience/highlights/abide-alzheimers-biomarkers-in-daily-practice.htm#:~:text=The%20ABIDE%20project%20focusses%20on%20the%20translation,a%20focus%20on%20mild%20cognitive%20impairment%20(MCI)." target="_blank"> https://www.amsterdamumc.org/en/research/institutes/amsterdam-neuroscience/highlights/abide-alzheimers-biomarkers-in-daily-practice.htm#:~:text=The%20ABIDE%20project%20focusses%20on%20the%20translation,a%20focus%20on%20mild%20cognitive%20impairment%20(MCI).</a></p><p><br /></p><p>The ABIDE project focusses on the translation of knowledge of diagnostic tests (magnetic resonance imaging (MRI), cerebrospinal fluid (CSF), and amyloid positron emission tomography (PET)) to daily clinical practice with a focus on mild cognitive impairment (MCI).</p><p>Diagnostic tests</p><p>It is important to bring therapy and support to individuals as timely and accurate as possible, so these diagnostic tests have a predictive value for progression to dementia. In daily practice, the use of these tests are often a challenge. When do you use which test? How do you share the results with patients? And how do you involve patients and their loved ones in choices regarding this diagnosis?</p><p><br /></p><p>Translation into the clinic</p><p>The researchers involved in the ABIDE project started working on these questions. ABIDE investigated the best applications of MRI scans, cerebrospinal fluid and PET scans and focused on involving patients and caregivers in diagnostic dilemmas. To support clinicians during this process the online ADappt tool (www.ADappt.health, in Dutch) has been developed that can be used by professionals to interpret and discuss AD diagnostics test results with their patients and caregivers. It functions as a conversation starter and decision-making tool.</p><p><br /></p><p>Followup</p><p>The followup project called the ABIDE-clinical utility aims to investigate clinical utility (health benefits in terms of quality of life, care trajectories, life style modification, cognitive status, institutionalisation) of amyloid-PET using a big-data approach, leveraging on existing data where possible and adding novel data on quality of life.</p><p><br /></p><p>In the European ADDITION followup the aim is to further develop and validate the individualised risk-prediction modelling. The researchers want to improve prognoses by developing individualised predictions of outcomes that matter to patients, such as quality of life, institutionalisation or remaining independent.</p><p><br /></p><p>Partners</p><p>UMC Utrecht, Vilans, Roche, Espria, B.V. Cyclotron, Piramal Imaging, and ten local memory clinics.</p><p><br /></p><p><a href="https://alzres.biomedcentral.com/articles/10.1186/s13195-019-0531-y">https://alzres.biomedcentral.com/articles/10.1186/s13195-019-0531-y</a> OPEN 2019</p><h1 class="c-article-title" data-article-title="" data-test="article-title" style="background-color: white; box-sizing: inherit; color: #1b3051; font-family: Europa, "Trebuchet MS"; font-size: 1.875rem; line-height: 1.2; margin: 0px 0px 16px;">ABIDE Delphi study: topics to discuss in diagnostic consultations in memory clinics</h1><ul class="c-article-author-list c-article-author-list--short js-no-scroll" data-component-authors-activator="authors-list" data-test="authors-list" style="background-color: white; box-sizing: inherit; color: #333333; display: inline; font-family: -apple-system, BlinkMacSystemFont, "Segoe UI", Roboto, Oxygen-Sans, Ubuntu, Cantarell, "Helvetica Neue", sans-serif; font-size: 1rem; list-style: none; margin: 0px 8px 0px 0px; padding: 0px; width: 100%;"><li class="c-article-author-list__item" style="box-sizing: inherit; display: inline; margin: 0px; padding-right: 0px;"><a data-author-popup="auth-Agnetha_D_-Fruijtier-Aff1-Aff2" data-author-search="Fruijtier, Agnetha D." data-corresp-id="c1" data-test="author-name" data-track-action="open author" data-track-label="link" data-track="click" href="https://alzres.biomedcentral.com/articles/10.1186/s13195-019-0531-y#auth-Agnetha_D_-Fruijtier-Aff1-Aff2" style="background-color: transparent; box-sizing: inherit; color: #004b83; margin: 0px; overflow-wrap: break-word; text-decoration-skip-ink: auto; text-decoration-thickness: 0.0625rem; text-underline-offset: 0.08em; word-break: break-word;">Agnetha D. Fruijtier<svg aria-hidden="true" class="u-icon" focusable="false" height="16" role="img" width="16"><use xlink:href="#icon-eds-i-mail-medium" xmlns:xlink="http://www.w3.org/1999/xlink"></use></svg></a>, </li><li class="c-article-author-list__item" style="box-sizing: inherit; display: inline; margin: 0px; padding-right: 0px;"><a data-author-popup="auth-Leonie_N__C_-Visser-Aff1-Aff2" data-author-search="Visser, Leonie N. C." data-test="author-name" data-track-action="open author" data-track-label="link" data-track="click" href="https://alzres.biomedcentral.com/articles/10.1186/s13195-019-0531-y#auth-Leonie_N__C_-Visser-Aff1-Aff2" style="background-color: transparent; box-sizing: inherit; color: #004b83; margin: 0px; overflow-wrap: break-word; text-decoration-skip-ink: auto; text-decoration-thickness: 0.0625rem; text-underline-offset: 0.08em; word-break: break-word;">Leonie N. C. Visser</a>, </li><li class="c-article-author-list__item c-article-author-list__item--hide-small-screen" style="box-sizing: inherit; display: inline; margin: 0px; padding-right: 0px;"><a data-author-popup="auth-Ingrid_S_-Maurik-Aff1-Aff3" data-author-search="van Maurik, Ingrid S." data-test="author-name" data-track-action="open author" data-track-label="link" data-track="click" href="https://alzres.biomedcentral.com/articles/10.1186/s13195-019-0531-y#auth-Ingrid_S_-Maurik-Aff1-Aff3" style="background-color: transparent; box-sizing: inherit; color: #004b83; margin: 0px; overflow-wrap: break-word; text-decoration-skip-ink: auto; text-decoration-thickness: 0.0625rem; text-underline-offset: 0.08em; word-break: break-word;">Ingrid S. van Maurik</a>, </li><li class="c-article-author-list__item c-article-author-list__item--hide-small-screen" style="box-sizing: inherit; display: inline; margin: 0px; padding-right: 0px;"><a data-author-popup="auth-Marissa_D_-Zwan-Aff1" data-author-search="Zwan, Marissa D." data-test="author-name" data-track-action="open author" data-track-label="link" data-track="click" href="https://alzres.biomedcentral.com/articles/10.1186/s13195-019-0531-y#auth-Marissa_D_-Zwan-Aff1" style="background-color: transparent; box-sizing: inherit; color: #004b83; margin: 0px; overflow-wrap: break-word; text-decoration-skip-ink: auto; text-decoration-thickness: 0.0625rem; text-underline-offset: 0.08em; word-break: break-word;">Marissa D. Zwan</a>, </li><li class="c-article-author-list__item c-article-author-list__item--hide-small-screen" style="box-sizing: inherit; display: inline; margin: 0px; padding-right: 0px;"><a data-author-popup="auth-Femke_H_-Bouwman-Aff1" data-author-search="Bouwman, Femke H." data-test="author-name" data-track-action="open author" data-track-label="link" data-track="click" href="https://alzres.biomedcentral.com/articles/10.1186/s13195-019-0531-y#auth-Femke_H_-Bouwman-Aff1" style="background-color: transparent; box-sizing: inherit; color: #004b83; margin: 0px; overflow-wrap: break-word; text-decoration-skip-ink: auto; text-decoration-thickness: 0.0625rem; text-underline-offset: 0.08em; word-break: break-word;">Femke H. Bouwman</a>, </li><li class="c-article-author-list__item c-article-author-list__item--hide-small-screen" style="box-sizing: inherit; display: inline; margin: 0px; padding-right: 0px;"><a data-author-popup="auth-Wiesje_M_-Flier-Aff1-Aff3" data-author-search="van der Flier, Wiesje M." data-test="author-name" data-track-action="open author" data-track-label="link" data-track="click" href="https://alzres.biomedcentral.com/articles/10.1186/s13195-019-0531-y#auth-Wiesje_M_-Flier-Aff1-Aff3" style="background-color: transparent; box-sizing: inherit; color: #004b83; margin: 0px; overflow-wrap: break-word; text-decoration-skip-ink: auto; text-decoration-thickness: 0.0625rem; text-underline-offset: 0.08em; word-break: break-word;">Wiesje M. van der Flier</a> & </li><li class="c-article-author-list__item" style="box-sizing: inherit; display: inline; margin: 0px; padding-right: 0px;"><a data-author-popup="auth-Ellen_M__A_-Smets-Aff2" data-author-search="Smets, Ellen M. A." data-test="author-name" data-track-action="open author" data-track-label="link" data-track="click" href="https://alzres.biomedcentral.com/articles/10.1186/s13195-019-0531-y#auth-Ellen_M__A_-Smets-Aff2" style="background-color: transparent; box-sizing: inherit; color: #004b83; margin: 0px; overflow-wrap: break-word; text-decoration-skip-ink: auto; text-decoration-thickness: 0.0625rem; text-underline-offset: 0.08em; word-break: break-word;">Ellen M. A. Smets</a> </li></ul><p><span style="background-color: white; color: #333333; font-family: -apple-system, BlinkMacSystemFont, "Segoe UI", Roboto, Oxygen-Sans, Ubuntu, Cantarell, "Helvetica Neue", sans-serif; font-size: 18px;"></span></p><p class="c-article-info-details" data-container-section="info" style="background-color: white; box-sizing: inherit; color: #333333; font-family: -apple-system, BlinkMacSystemFont, "Segoe UI", Roboto, Oxygen-Sans, Ubuntu, Cantarell, "Helvetica Neue", sans-serif; font-size: 1rem; margin: 16px 0px 8px; overflow-wrap: break-word; padding: 0px; word-break: break-word;"><a data-test="journal-link" data-track-action="journal homepage" data-track-category="article body" data-track-label="link" data-track="click" href="https://alzres.biomedcentral.com/" style="background-color: transparent; box-sizing: inherit; color: #004b83; margin: 0px; overflow-wrap: break-word; text-decoration-skip-ink: auto; text-decoration-thickness: 0.0625rem; text-underline-offset: 0.08em; word-break: break-word;"><i data-test="journal-title" style="box-sizing: inherit; margin: 0px;">Alzheimer's Research & Therapy</i></a> <span data-test="journal-volume" style="box-sizing: inherit; font-weight: bolder; margin: 0px;"><span class="u-visually-hidden" style="border: 0px; box-sizing: inherit; clip: rect(0px, 0px, 0px, 0px); height: 1px; margin: -1583px; overflow: hidden; padding: 0px; position: absolute !important; width: 1px;">volume</span> 11</span>, Article number: <span data-test="article-number" style="box-sizing: inherit; margin: 0px;">77</span> (<span data-test="article-publication-year" style="box-sizing: inherit; margin: 0px;">2019</span>) <a class="c-article-info-details__cite-as u-hide-print" data-track-action="cite this article" data-track-label="link" data-track="click" href="https://alzres.biomedcentral.com/articles/10.1186/s13195-019-0531-y#citeas" style="background-color: transparent; border-left: 1px solid rgb(111, 111, 111); box-sizing: inherit; color: #004b83; margin: 0px 0px 0px 8px; overflow-wrap: break-word; padding-left: 8px; text-decoration-skip-ink: auto; text-decoration-thickness: 0.0625rem; text-underline-offset: 0.08em; word-break: break-word;">Cite this article</a> </p><p class="c-article-info-details" data-container-section="info" style="background-color: white; box-sizing: inherit; color: #333333; font-family: -apple-system, BlinkMacSystemFont, "Segoe UI", Roboto, Oxygen-Sans, Ubuntu, Cantarell, "Helvetica Neue", sans-serif; font-size: 1rem; margin: 16px 0px 8px; overflow-wrap: break-word; padding: 0px; word-break: break-word;"><br /></p><p class="c-article-info-details" data-container-section="info" style="background-color: white; box-sizing: inherit; color: #333333; font-family: -apple-system, BlinkMacSystemFont, "Segoe UI", Roboto, Oxygen-Sans, Ubuntu, Cantarell, "Helvetica Neue", sans-serif; font-size: 1rem; margin: 16px 0px 8px; overflow-wrap: break-word; padding: 0px; word-break: break-word;"><br /></p><p class="c-article-info-details" data-container-section="info" style="background-color: white; box-sizing: inherit; color: #333333; font-family: -apple-system, BlinkMacSystemFont, "Segoe UI", Roboto, Oxygen-Sans, Ubuntu, Cantarell, "Helvetica Neue", sans-serif; font-size: 1rem; margin: 16px 0px 8px; overflow-wrap: break-word; padding: 0px; word-break: break-word;"><br /></p><p><a href="https://www.sciencedirect.com/science/article/pii/S2352872917300039">https://www.sciencedirect.com/science/article/pii/S2352872917300039</a></p><p>OPEN</p><p>WIDE - RATIONAL & DESIGN</p><p><br /></p><div class="Publication" id="publication" style="-webkit-box-pack: justify; border-bottom: 2px solid rgb(240, 240, 240); box-sizing: border-box; color: #1f1f1f; display: flex; font-family: ElsevierSans, Arial, Helvetica, Roboto, "Lucida Sans Unicode", "Microsoft Sans Serif", "Segoe UI Symbol", STIXGeneral, "Cambria Math", "Arial Unicode MS", sans-serif; font-size: 20px; justify-content: space-between; margin: 0px 0px 8px; min-height: 106px; padding: 0px 0px 12px; width: 656px;"><div class="publication-volume u-text-center" style="-webkit-box-flex: 0; box-sizing: border-box; flex: 0 1 auto; margin: auto; max-width: 500px; padding: 0px 4px; text-align: center !important; vertical-align: middle;"><h2 class="publication-title u-h3" id="publication-title" style="box-sizing: border-box; font-size: 1.2rem !important; font-weight: 400 !important; line-height: var(--sd-ui-line-height) !important; margin: 0px; padding: 0px;"><a class="anchor publication-title-link anchor-navigation" href="https://www.sciencedirect.com/journal/alzheimers-and-dementia-diagnosis-assessment-and-disease-monitoring" style="box-sizing: border-box; color: #1f1f1f; display: inline-block; margin: 0px; padding: 0px; text-decoration-line: none; transition: color 0.3s ease 0s, border-bottom-color 0.3s ease 0s; word-break: break-word;" title="Go to Alzheimer's & Dementia: Diagnosis, Assessment & Disease Monitoring on ScienceDirect"><span class="anchor-text" style="border-bottom: 2px solid transparent; box-sizing: border-box; margin: 0px; padding: 0px; transition: border-bottom-color 0.3s ease 0s;">Alzheimer's & Dementia: Diagnosis, Assessment & Disease Monitoring</span></a></h2><div class="text-xs" style="box-sizing: border-box; font-size: 0.7rem; line-height: var(--sd-ui-line-height); margin: 0px; padding: 0px;"><a class="anchor anchor-default" href="https://www.sciencedirect.com/journal/alzheimers-and-dementia-diagnosis-assessment-and-disease-monitoring/vol/6/suppl/C" style="box-sizing: border-box; color: #0272b1; display: inline-block; margin: 0px; padding: 0px; text-decoration-line: none; transition: color 0.3s ease 0s, border-bottom-color 0.3s ease 0s; word-break: break-word;" title="Go to table of contents for this volume/issue"><span class="anchor-text" style="border-bottom: 2px solid transparent; box-sizing: border-box; margin: 0px; padding: 0px; transition: border-bottom-color 0.3s ease 0s;">Volume 6</span></a>, 2017, Pages 143-151</div></div><div class="publication-cover u-show-from-sm" style="-webkit-box-flex: 0; box-sizing: border-box; flex: 0 1 auto; margin: 0px; min-width: 60px; padding: 0px; text-align: right; vertical-align: top;"><a class="anchor anchor-default" href="https://www.sciencedirect.com/journal/alzheimers-and-dementia-diagnosis-assessment-and-disease-monitoring/vol/6/suppl/C" style="box-sizing: border-box; color: #0272b1; display: inline-block; margin: 0px; padding: 0px; text-decoration-line: none; transition: color 0.3s ease 0s, border-bottom-color 0.3s ease 0s; word-break: break-word;"><span class="anchor-text" style="border-bottom: 2px solid transparent; box-sizing: border-box; margin: 0px; padding: 0px; transition: border-bottom-color 0.3s ease 0s;"><img alt="Alzheimer's & Dementia: Diagnosis, Assessment & Disease Monitoring" class="publication-cover-image" src="https://ars.els-cdn.com/content/image/1-s2.0-S2352872916X00061-cov150h.gif" style="border: 1px solid rgb(184, 184, 184); box-sizing: border-box; display: block; height: auto; margin: 0px; max-height: 88px; max-width: 100%; padding: 0px; width: auto;" /></span></a></div></div><h1 class="Head u-font-serif u-h2 u-margin-s-ver" id="screen-reader-main-title" style="--sd-ui-line-height: calc(1em + 10px); box-sizing: border-box; color: #1f1f1f; font-family: ElsevierGulliver, Georgia, "Times New Roman", Times, STIXGeneral, "Cambria Math", "Lucida Sans Unicode", "Microsoft Sans Serif", "Segoe UI Symbol", "Arial Unicode MS", serif !important; font-size: 1.6rem !important; font-weight: 400 !important; line-height: var(--sd-ui-line-height) !important; margin-bottom: 16px !important; margin-left: 0px; margin-right: 0px; margin-top: 16px !important; padding: 0px; word-break: break-word;"><div class="article-dochead" style="box-sizing: border-box; color: #707070; font-family: ElsevierSans, Arial, Helvetica, Roboto, "Lucida Sans Unicode", "Microsoft Sans Serif", "Segoe UI Symbol", STIXGeneral, "Cambria Math", "Arial Unicode MS", sans-serif; font-size: 0.7rem; line-height: var(--sd-ui-line-height); margin: 0px; padding: 0px;"><span style="box-sizing: border-box; margin: 0px; padding: 0px;">Diagnostic Assessment & Prognosis</span></div><span class="title-text" style="box-sizing: border-box; margin: 0px; padding: 0px;">Alzheimer's biomarkers in daily practice (ABIDE) project: Rationale and design</span></h1><div class="Banner" id="banner" style="box-sizing: border-box; color: #1f1f1f; font-family: ElsevierSans, Arial, Helvetica, Roboto, "Lucida Sans Unicode", "Microsoft Sans Serif", "Segoe UI Symbol", STIXGeneral, "Cambria Math", "Arial Unicode MS", sans-serif; font-size: 20px; margin: 0px 0px 8px; padding: 0px;"><div class="wrapper truncated" style="box-sizing: border-box; margin: 0px; padding: 0px;"><div class="AuthorGroups text-s" style="box-sizing: border-box; font-size: 0.8rem; line-height: var(--sd-ui-line-height); margin: 0px; padding: 0px;"><div class="author-group" id="author-group" style="box-sizing: border-box; margin: 0px; padding: 0px;"><span class="sr-only" style="border: 0px; box-sizing: border-box; clip: rect(0px, 0px, 0px, 0px); height: 1px; margin: -1px; overflow: hidden; padding: 0px; position: absolute; width: 1px;">Author links open overlay panel</span><button class="button-link button-link-primary" data-sd-ui-side-panel-opener="true" data-xocs-content-id="au1" data-xocs-content-type="author" style="appearance: button; border-color: initial; border-radius: 0px; border-style: none; border-width: initial; color: #1f1f1f; cursor: pointer; font-family: inherit; font-size: 16px; font-variant-numeric: lining-nums; line-height: var(--sd-ui-line-height); margin: 0px; overflow: visible; padding: 0px; transition: border-bottom-color 0.3s ease 0s, color 0.3s ease 0s;" type="button"><span class="button-link-text" style="border-bottom: 2px solid rgb(235, 101, 0); box-sizing: border-box; margin: 0px; padding: 0px; transition: border-bottom-color 0.3s ease 0s; vertical-align: middle;"><span class="react-xocs-alternative-link" style="box-sizing: border-box; margin: 0px; padding: 0px; text-underline-position: from-font;"><span class="given-name" style="box-sizing: border-box; margin: 0px; padding: 0px;">Arno</span> <span class="text surname" style="box-sizing: border-box; margin: 0px; padding: 0px;">de Wilde</span> </span><span class="author-ref" id="baff1" style="box-sizing: border-box; margin: 0px; padding: 0px;"><span style="box-sizing: border-box; font-size: 12px; line-height: 0; margin: 0px; padding: 0px; position: relative; top: -0.5em; vertical-align: baseline;">a</span></span></span></button></div></div></div></div><p><br /></p><p><br /></p><p><br /></p><p><br /></p><p><br /></p><p><br /></p><p><br /></p>Brucehttp://www.blogger.com/profile/05149672650241065616noreply@blogger.com0tag:blogger.com,1999:blog-1284112950008922665.post-81587839270911457122024-02-12T15:11:00.000-08:002024-02-13T15:12:25.230-08:00Horgan 2020 (Horizons for Pers. Med) and some Key Citations<p> I really enjoyed a "masterwork" article by David Horgan on biomarker values. I pull a few citations to keep track of them. For my own reference, my own filenames at bottom.</p><p><b><br /></b></p><p><b>Bringing Greater Accuracy to Europe's Healthcare Systems: The Unexploited Potential of Biomarker Testing in Oncology</b></p><p>Denis Horgan</p><p><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7841733/">https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7841733/</a></p><p><br /><b>An index of barriers for the implementation of personalised medicine and pharmacogenomics in Europe (2014 - updated in Bringing Greater Accuracy)<br /></b><br />Denis Horgan </p><p><a href="https://pubmed.ncbi.nlm.nih.gov/25401385/">https://pubmed.ncbi.nlm.nih.gov/25401385/</a></p><p><br /></p><p><b>Value of knowing and knowing value Garrison</b></p><p><a href="https://www.ohe.org/wp-content/uploads/2016/07/WP_EpemedOHE_final.pdf">https://www.ohe.org/wp-content/uploads/2016/07/WP_EpemedOHE_final.pdf</a></p><p>[see also papers by Lou Garrison Jr]</p><p><br /></p><p><b>Value of diagnostic medicine - WURCEL</b></p><p>The Value of Diagnostic Information in Personalised Healthcare: A Comprehensive Concept to Facilitate Bringing This Technology into Healthcare Systems</p><p><a href="https://pubmed.ncbi.nlm.nih.gov/31330522/">https://pubmed.ncbi.nlm.nih.gov/31330522/</a></p><p><br /></p><p><b>Bringing Onco-Innovation to Europe's Healthcare Systems: The Potential of Biomarker Testing, Real World Evidence, Tumour Agnostic Therapies to Empower Personalised Medicine </b> </p><p>Cancers/ BASEL journal 2021</p><p>Denis Horgan</p><p><a href="https://pubmed.ncbi.nlm.nih.gov/33540773/">https://pubmed.ncbi.nlm.nih.gov/33540773/</a></p><p><br /></p><p><b>Biomarker Testing: Piercing the Fog of Alzheimer’s and Related Dementia</b></p><p>Denis Horgan</p><p><a href="https://karger.com/bmh/article-pdf/5/3/1/4031383/000511233.pdf">https://karger.com/bmh/article-pdf/5/3/1/4031383/000511233.pdf</a></p><p><br /></p><p>2020 Biomed Hub 5_183 Horgan Euro and Biomarker Value Oncol.pdf</p><p>2014 Public Health Genom 17_287 Horgan Barriers to Genomics Europe 12p.pdf</p><p>2016 EPEMED UK Garrison Value of Knowing (Wurcel or Horgan) 30pp.pdf</p><p>2019 Public Health Genomics Value of Dx Info_Concept Wurcel 22_8 (fr Horgan).pdf</p><p>2021 Cancers 13_583 Horgan Onco Innovatioin in Europe Biomarkers.pdf</p><div><br /></div><div>2020 Biomed Hub Horgan Piercing the Fog of ALZ Biomarkers.pdf</div><div><br /></div><p><br /></p><p><br /></p>Brucehttp://www.blogger.com/profile/05149672650241065616noreply@blogger.com0tag:blogger.com,1999:blog-1284112950008922665.post-66567206742103136312024-02-12T14:00:00.000-08:002024-02-12T14:00:09.685-08:00Lewis Black on "Sounds Like Chat GPT"<p>Main Blog, <a href="https://www.discoveriesinhealthpolicy.com/2024/02/ai-corner-devilish-version-professor.html">https://www.discoveriesinhealthpolicy.com/2024/02/ai-corner-devilish-version-professor.html</a></p><p><b><br />What would Lewis Black make of the above blog?</b> </p><p>Lewis Black, known for his acerbic wit and capacity to zero in on absurdities within societal and professional arenas, might have a field day with the scenario outlined in the article. Imagine him, eyebrows furrowed and fingers wagging, as he dissects the situation with his characteristic blend of humor and incredulity.</p><p>Firstly, he would likely seize upon the irony of the rejection reason: a manuscript dismissed because it "sounded like Chat GPT" when it wasn't. Black could riff on the existential crisis academics and writers might face in a world where their work's authenticity is questioned based on a resemblance to AI-generated content—highlighting the absurdity of judging human intellect and creativity through the lens of machine output.</p><p>He might also poke fun at the unverifiable nature of such a critique—how it places the accused in a Kafkaesque predicament where proving one's work doesn't sound like it was generated by AI becomes a bizarre, modern-day trial by ordeal. Black could highlight the frustration of the author, having to defend the uniqueness of their human voice against an AI standard that's both arbitrary and nebulous.</p><p>Then, turning to the whimsical solution—the author letting ChatGPT not only read and edit the essay but also translate it and create related content—Black might marvel at the irony. He could joke about the author essentially saying, "You think it sounds like AI? I'll show you AI," using the technology to enhance the essay and expand its reach, thereby turning the critique on its head.</p><p>In this speculative scenario, Lewis Black could underscore the larger conversation about AI's role in creative and academic fields. He might question where we draw the line between human and machine creativity and whether the fear of AI is overshadowing the value of genuine human expression. Through his unique lens, Black could transform a frustrating academic ordeal into a commentary on the absurdities of our increasingly digital world, all while making us laugh and think.</p><p><b>User</b></p><p><b>Can you produce a first person monolog on these lines?</b></p><p><b>ChatGPT</b></p><p><b>Absolutely, let's dive into a first-person monologue inspired by Lewis Black's perspective on the situation:</b></p><p><br /></p><p>I recently stumbled upon a story so ludicrous, it had me spitting out my coffee—and not in a good way. Picture this: a Canadian professor pens an essay, pours their soul into it, only for it to get slapped down by a reviewer. The reason? It "sounded like Chat GPT." I mean, what in the hell does that even mean? Since when did academic critique devolve into comparing scholarly work to the output of a glorified calculator?</p><p>So there I was, fuming, incredulous, but also, let's admit it, a tad amused. The accusation itself is as unfalsifiable as my claim that I could have been a great opera singer. You can't prove it, you can't disprove it, and just like that, you're caught in this absurd dance of justifying your human authenticity to a shadow jury skeptical of your organic brainpower.</p><p>But then, this professor—oh, this professor—decides to take the road less traveled. They go, "You want AI? I'll give you AI." And they let Chat GPT, the heart of the controversy, not just read and edit their essay, but also translate it into French and whip up a couple of illustrations to boot. It's like watching someone accused of witchcraft turn around and summon a unicorn to the courtroom.</p><p>It's a masterstroke, really. They took the critique, flipped it on its head, and in doing so, showcased not just the absurdity of the initial accusation but the potential of AI to complement human creativity, not contest it.</p><p>Now, here's where I come in, shaking my head and laughing, because isn't this just the perfect snapshot of our times? We're living in an era where the line between human and machine, creativity and computation, is getting blurrier by the day. And yet, instead of embracing this new frontier, we're out here playing "Who's the Robot?" in academic journals.</p><p>Let's be clear: I'm not against AI. If anything, I'm all for using it to enhance our work, expand our capabilities. But when we start questioning the humanity behind someone's work simply because it's "too polished" or "too coherent," maybe it's time to step back and ask ourselves: Have we lost sight of what it means to be human in the first place?</p><p>So, to that professor, I say bravo. Not just for defending your work, but for turning a moment of frustration into a profound commentary on creativity, technology, and the essence of human expression. And to the rest of us, maybe it's time to accept that the future is here, and it's filled with AI, humans, and, if we're lucky, a bit of humor to help us navigate the madness.</p><p><b>Channeling Lewis Black's essence, this monologue aims to capture his frustration, humor, and insightful commentary on the absurdities of modern life</b></p><p><b><br /></b></p><p><b></b></p><div class="separator" style="clear: both; text-align: center;"><b><a href="https://blogger.googleusercontent.com/img/a/AVvXsEhm4BDLSoZqhQIpwaOg5trz1yL89pGkkPSXB_xxe-Zzm-jMlPFh_9IyZUIoe59qzNZAUmITyOdsuV9weB1CkRH-xUuYv6yFyXGV9Q2yd-Tlb7BsC68sGGr_AnQ6C-ZAt2IHu3Wa4QdRcINrF4OXolyqFsIFe-T3f5gylp-6w7wabznf5jsuheudm1zsgyc" style="margin-left: 1em; margin-right: 1em;"><img alt="" data-original-height="327" data-original-width="348" height="240" src="https://blogger.googleusercontent.com/img/a/AVvXsEhm4BDLSoZqhQIpwaOg5trz1yL89pGkkPSXB_xxe-Zzm-jMlPFh_9IyZUIoe59qzNZAUmITyOdsuV9weB1CkRH-xUuYv6yFyXGV9Q2yd-Tlb7BsC68sGGr_AnQ6C-ZAt2IHu3Wa4QdRcINrF4OXolyqFsIFe-T3f5gylp-6w7wabznf5jsuheudm1zsgyc" width="255" /></a></b></div><b><br /><br /></b><p></p>Brucehttp://www.blogger.com/profile/05149672650241065616noreply@blogger.com0tag:blogger.com,1999:blog-1284112950008922665.post-88981499239576189582024-02-11T16:09:00.000-08:002024-02-13T15:35:08.596-08:00Helmer's Seven Powers (Marketing) & Other Frameworks (Via ILMN History)<p>Three Frameworks</p><p>HELMER 7 POWERS (Market, Strategy, Profit):</p><p></p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/a/AVvXsEgoWoA0nhtB5gGpn1tysnUWlzPdL-J0nTA0NJgP7yeByzw2Si3YD6Z6GKa7JE197Kd6YOhzM7o1ezkSi479k5UDoXUk8bWTqQg3mQ_3_LqIGt7yD196BLtHK2xYTUR0n2dYN10utK7tPrwzXnn7zb58vi9ZHfepIrV6W5cTtGMunFy-wCthyT04s9jOvBE" style="margin-left: 1em; margin-right: 1em;"><img alt="" data-original-height="363" data-original-width="405" height="342" src="https://blogger.googleusercontent.com/img/a/AVvXsEgoWoA0nhtB5gGpn1tysnUWlzPdL-J0nTA0NJgP7yeByzw2Si3YD6Z6GKa7JE197Kd6YOhzM7o1ezkSi479k5UDoXUk8bWTqQg3mQ_3_LqIGt7yD196BLtHK2xYTUR0n2dYN10utK7tPrwzXnn7zb58vi9ZHfepIrV6W5cTtGMunFy-wCthyT04s9jOvBE=w381-h342" width="381" /></a></div><br />These may be more interesting when embedded in their framework: haven't studied yet.<div>It seems like the gray boxes have potential strategies and products in them; haven't tried to drill out.<br /><p></p><p><br /></p><p>TEN TYPES OF INNOVATION Keeley 2013</p><p><a href="https://www.amazon.com/Ten-Types-Innovation-Discipline-Breakthroughs/dp/1118504240">https://www.amazon.com/Ten-Types-Innovation-Discipline-Breakthroughs/dp/1118504240</a></p><p>May be co branded with Deloitte</p><p><a href="https://www.hypeinnovation.com/blog/using-the-ten-types-of-innovation-framework">https://www.hypeinnovation.com/blog/using-the-ten-types-of-innovation-framework</a></p><p><a href="https://www.hypeinnovation.com/about">Our Story | HYPE Innovation</a></p><p><br /></p><p></p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/a/AVvXsEhvurYi5Wf3WPeYAoO3w0uBtpAZ6CghB8Bps2XKmeHqBBA-jIs0PgKtF12KxdCTG1cuoWf_l-JtAHyRcULSYxOxq-Wxs3HcRbQTD430G918BdYyETbIRGF9P8t0IpVLNZMmoUhMcsQUCgueJ-34eoBBld88D0yzlapDLEfx4YRDXIwm-6LJ1kmZgXYk2ys" style="margin-left: 1em; margin-right: 1em;"><img alt="" data-original-height="338" data-original-width="560" height="260" src="https://blogger.googleusercontent.com/img/a/AVvXsEhvurYi5Wf3WPeYAoO3w0uBtpAZ6CghB8Bps2XKmeHqBBA-jIs0PgKtF12KxdCTG1cuoWf_l-JtAHyRcULSYxOxq-Wxs3HcRbQTD430G918BdYyETbIRGF9P8t0IpVLNZMmoUhMcsQUCgueJ-34eoBBld88D0yzlapDLEfx4YRDXIwm-6LJ1kmZgXYk2ys=w431-h260" width="431" /></a></div><br /><br /><p></p><p>TEN OR TWELVE TYPES OF HC VALUE - Lou Garrison Jr</p><p><a href="https://www.jmcp.org/doi/pdf/10.18553/jmcp.2020.26.4.400">https://www.jmcp.org/doi/pdf/10.18553/jmcp.2020.26.4.400</a></p><p></p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/a/AVvXsEhpvsZ_zXuUBbqjAxPBkMULvKGqu45zjIrQBWLxwKqZpqmtBfxFFyN8uHlpADKDAAj0Azz5gPCwTvLCz-oxUKJ4YcCy-o4pYDQ7X2_xtvZRTMzxAvYL0wo8qoJtv7TkmbeZM1K7zCGGgAY9sPLZ3vkPjhlWyB-laVq6bjkAJwbOGQcF31lCtSQDCZXXBI4" style="margin-left: 1em; margin-right: 1em;"><img alt="" data-original-height="476" data-original-width="526" height="240" src="https://blogger.googleusercontent.com/img/a/AVvXsEhpvsZ_zXuUBbqjAxPBkMULvKGqu45zjIrQBWLxwKqZpqmtBfxFFyN8uHlpADKDAAj0Azz5gPCwTvLCz-oxUKJ4YcCy-o4pYDQ7X2_xtvZRTMzxAvYL0wo8qoJtv7TkmbeZM1K7zCGGgAY9sPLZ3vkPjhlWyB-laVq6bjkAJwbOGQcF31lCtSQDCZXXBI4" width="265" /></a></div><br /><br /><p></p><p><br /></p><p>##<br />I stumbled into some blogs on history of sequencing tech and someone used HELMER 7 POWERS to frame a history of ILMN tech strategy and barriers.</p><p>##</p><p><br /></p><p> I was reading Nephron's 14-page article about AGBT 2024, with the title:<br /><b>AGBT: ILMN is Under Siege from All Sides</b> (Jack Meehan, February 8, 2024)</p><p>(Subscription)</p><p>There, Nephron hosted a session with Keith Robison of <b>OMICS OMICS</b>.</p><p>##</p><p>AGBT 2024 was a poor showing by Illumina in that it was virtually non-existent with investors.
Unlike prior years, Illumina did not have any new product introductions or investor events. Illumina’s
lack of promotional presence was in stark contrast to the sequencing competition. The company
was a “contributing sponsor” (vs Ultima at Gold, Element a Silver sponsor amongst others, and PacBio
a bronze sponsor amongst others). As such, the company did not have a dedicated speaking slot to
promote its products to the conference attendees. </p><p>One of the four Nephron events we hosted was a session with <b>Keith Robison (Omics Omics blog)</b>
on Tuesday, who helped to shine a longer-term perspective on the NGS industry. ABI was the initial
dominant sequencing provider with Sanger, though they ultimately got leapfrogged by Illumina for a
number of reasons. </p><p><a href="https://omicsomics.blogspot.com/">https://omicsomics.blogspot.com/</a></p><p>The history of the industry should serve as a cautionary tale for Illumina as the
company makes hard decisions around retaining top talent and cutting costs. The sequencing
newcomers are going to make the most of whatever opportunity to jump in that Illumina gives them.
Illumina’s track record with regulatory oversight of M&A means internal investment should get
prioritized. We think Illumina needs to innovate more (vs iterate) when it comes to R&D.</p><p>##</p><p>There, at <b>omics omics,</b> an article on <b>ILMN's "Moats Past and Present."</b></p><p><a href="https://omicsomics.blogspot.com/2024/01/on-illuminas-moats-past-present.html">https://omicsomics.blogspot.com/2024/01/on-illuminas-moats-past-present.html</a></p><p>That led to an article at <b>ASEQ NEWSLETTER by Nava Whiteford.</b> It's apparently part 7 of 8 of a review by Nava, of a different blog called CENTURY OF BIOLOGY. CENTURY apparently wrote an article called "Illumina: The Measurement Monopoly," by someone named Elliott. For example, number 7 of 8 is here:</p><p><a href="https://aseq.substack.com/p/everything-wrong-with-illumina-the-672">https://aseq.substack.com/p/everything-wrong-with-illumina-the-672</a></p><p>Where she talks about Elliott using the <b>HELMERS</b> SEVEN POWERS framework.</p><p>Here is CENTURY of BIOLOGY, which Nava was critiqueing (I'll come right back to HELMERS).</p><p>Here is Century of Biology by Elliot Hersberg</p><p><a href="https://centuryofbio.com/">https://centuryofbio.com/</a></p><p><b><br /></b></p><p><b>Here is its Illumina article at Century</b>: "The Measurement Monopoly". 30pp as PDF.</p><p><a href="https://centuryofbio.com/p/illumina">https://centuryofbio.com/p/illumina</a></p><p>In the long article, here's how E<b>lliott leads into Helmer 7 Powers:</b></p><p>Strategic analysis</p><p>After years of successful active equity investing and business consulting, Hamilton Helmer developed a “simple but not simplistic” framework for analyzing strategic competitiveness. In 2016, Helmer shared these insights with the world in a book called 7 Powers: The Foundations of Business Strategy. This book has become a cornerstone in the field of Strategy, which Helmer defines as “the study of the fundamental determinants of potential business value.”</p><p><br /></p><p>##</p><p>Two long blogs on <b>HELMER</b> are here:</p><p><a href="https://tyastunggal.com/p/7-powers-the-foundations-of-business">https://tyastunggal.com/p/7-powers-the-foundations-of-business</a></p><p><a href="https://jacobwallenberg.medium.com/notes-on-7-powers-b0f107663501">https://jacobwallenberg.medium.com/notes-on-7-powers-b0f107663501</a></p><p>My downloads of all the above are here:</p><p>2023 Wallenbergs Book Notes on HELMER 7 POWERS (16pp).pdf</p><p>2023 TYAS TYNGAL 30pp on HELMERS 7 POWERS.pdf</p><p>2024 NEPHRON 08 14p AGBT ILMN is Under Siege from All Sides.pdf</p><p>2024 CEntury of Biology ILMN Measurement Monopoly 25pp.pdf</p><p>2024 ASEQ NEWSLETTER 0107 Pt 7 of 8 re ILMN at CENT of BIOL.pdf</p><p>2024 OMICS OMICS 0129 On ILMN MOats (re ASEQ NEWSLTR).pdf</p><div>##</div><div>CHAT GPT4</div><div>on the long CENTURY OF BIOLOGY article.</div><div><br /></div><p>The article details Illumina's journey to becoming a dominant force in the genomics industry, focusing on its innovative DNA sequencing technologies and strategic business moves. It highlights Illumina's founding, its pivotal acquisition of Solexa to advance next-generation sequencing (NGS), and how it established a monopoly in genomics measurement through strategic patents, technological advancements, and a focus on scale and branding. The piece also discusses the broader impact of Illumina's work on biotech and genomics, suggesting that the company's success story offers valuable lessons for entrepreneurs and investors in the technology and biology sectors.</p><p><br /></p><p>On the two adjacent articles OMICS "On Monopoly" and ASEQ (critique).</p><p>The two articles provide critical perspectives and counterarguments to the original article's portrayal of Illumina's dominance in the genomics industry. They dissect Illumina's claimed competitive advantages, such as cornered resources, switching costs, network economies, scale economies, and branding, offering a more nuanced view. </p><p>One article argues that Illumina's success is primarily due to its intellectual property and not necessarily the other factors mentioned. It also challenges the notion of switching costs, suggesting genome centers are keen on adopting new technologies. The analysis further questions the impact of network and scale economies and Illumina's pricing power, suggesting that the landscape is evolving with new competitors. </p><p>These critiques suggest that while Illumina has been a dominant player, the dynamics of the genomics industry are changing, and there may be more room for competition than previously thought.</p><p></p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/a/AVvXsEjSWHvBAdp1QCgtP5UBtIgiU28TTJagaCHcOxWxSsvlCNqsfIU-yJBjbqrRuE9_3t0k7SiarxFZabGm6P7296XkgY6pMY2i2HzUXreFmzg7h7HQYW75-9n0HKESKEOzpx3HRJe3qvPxwWOkK0P_8XQxCw1XHrilgfGOI5UTOHDd851PmJR6Y715sj96-g8" style="margin-left: 1em; margin-right: 1em;"><img alt="" data-original-height="538" data-original-width="615" height="289" src="https://blogger.googleusercontent.com/img/a/AVvXsEjSWHvBAdp1QCgtP5UBtIgiU28TTJagaCHcOxWxSsvlCNqsfIU-yJBjbqrRuE9_3t0k7SiarxFZabGm6P7296XkgY6pMY2i2HzUXreFmzg7h7HQYW75-9n0HKESKEOzpx3HRJe3qvPxwWOkK0P_8XQxCw1XHrilgfGOI5UTOHDd851PmJR6Y715sj96-g8=w330-h289" width="330" /></a></div><br /><br /><p></p><p><br /></p><p><br /></p><p><br /></p></div>Brucehttp://www.blogger.com/profile/05149672650241065616noreply@blogger.com0tag:blogger.com,1999:blog-1284112950008922665.post-79115785142228207632024-02-05T10:26:00.000-08:002024-02-05T10:26:52.365-08:00MolDx: Coverage in DEX not in "LCD Billing Articles"<p><a href="https://www.palmettogba.com/palmetto/moldxv2.nsf/DID/GYKVYV7FV3" target="_blank"> https://www.palmettogba.com/palmetto/moldxv2.nsf/DID/GYKVYV7FV3</a></p><p>2 5 2024</p><h1 class="localTitle" style="background-color: white; box-sizing: border-box; font-family: Elena; font-size: 36px; font-weight: 500; line-height: 1.1; margin: 0em; padding: 0em;">Notice Regarding Recent Changes in Billing and Coding Article Tables</h1><div id="articleInfo" style="align-items: center; background-color: white; box-sizing: border-box; display: flex; font-family: Elena, Cambria, "Hoefler Text", "Liberation Serif", Times, "Times New Roman", serif; font-size: 17.5px; justify-content: space-between; margin: 0.2em 0em 0.5em; padding: 0em;"><div class="date" style="box-sizing: border-box; color: var(--darkGray); font-size: 14px; font-style: italic; margin-right: 1em;">Published 05/12/2023</div><div id="articleControls" style="box-sizing: border-box;"><button class="bookmark" style="appearance: button; background-attachment: initial; background-clip: initial; background-image: none; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border-color: initial; border-style: none; 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background-attachment: initial; background-clip: initial; background-image: none; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial; border-color: initial; border-style: none; border-width: initial; cursor: pointer; font: inherit; margin: 0px; opacity: 0.5; overflow: visible;"><img alt="increase font size" src="https://www.palmettogba.com/palmetto/moldxv2.nsf/fontplus.png" style="border: 0px; box-sizing: border-box; vertical-align: middle;" /></button></div></div><p></p><div class="embeddedTools" style="background-color: white; box-sizing: border-box; font-family: Elena, Cambria, "Hoefler Text", "Liberation Serif", Times, "Times New Roman", serif; font-size: 17.5px;"></div><p></p><div class="introText" id="" style="-webkit-text-stroke-width: 0px; background-color: white; box-sizing: border-box; color: black; font-family: Elena, Cambria, "Hoefler Text", "Liberation Serif", Times, "Times New Roman", serif; font-size: 17.5px; font-style: normal; font-variant-caps: normal; font-variant-ligatures: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-decoration-color: initial; text-decoration-style: initial; text-decoration-thickness: initial; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px;"><p style="box-sizing: border-box; margin: 0in 0in 8pt;">MolDX has recently made modifications to certain Billing and Coding Articles that contained tables with lists of specific tests and services. Specifically, these tables contain information regarding services that had successfully been evaluated for compliance with stated coverage information in the associated policy and are now in process of being removed.</p><p style="box-sizing: border-box; margin: 0in 0in 8pt;">The removal of these tables should not be interpreted as a change in coverage or reimbursement for such services. These tables are being removed because coverage information on explicit services that have met coverage criteria can be readily found in the<span> </span><a href="https://app.dexzcodes.com/login" style="background-color: transparent; box-sizing: border-box; color: var(--linkColor); cursor: pointer !important; text-decoration: none;">DEX™ Registry</a>, and these tables required excessive resources for upkeep, revision, and coordination with other MolDX partner MACs.</p><p style="box-sizing: border-box; margin: 0in 0in 8pt;">Feel free to contact us at<span> </span><a href="mailto:moldx@palmettogba.com" style="background-color: transparent; box-sizing: border-box; color: var(--linkColor); cursor: pointer !important; text-decoration: none;">moldx@palmettogba.com</a><span> </span>if you have any questions.</p></div>Brucehttp://www.blogger.com/profile/05149672650241065616noreply@blogger.com0tag:blogger.com,1999:blog-1284112950008922665.post-33181240693213766012024-02-05T10:25:00.000-08:002024-02-05T10:25:44.506-08:00Chat GPT; Excel; Extract First Letter of Second Name in a Cell<p> Help me please with an Excel problem. I have a two-column table with rows. </p><p></p><ul style="text-align: left;"><li>Column A is names (John Smith, Mary Jones, Tom Williams...) </li><li>Column B is emails (John@johnco, Mary@maryville, Tom@tomland, etc). </li></ul><p></p><p><br /></p><p>I want to sort the rows by the LAST name of the people in Column A. (Sorting by one letter is OK). Now, one crude way is to make a Column C and manually put the first letter of the last name into it. This would take about 20 minutes, at 10 rows per minute and 200 rows. Can EXCEL identify the first letter of the second word (or, the same, the first letter of the last word) and place it alone in Column C? What do you think?</p><p>ChatGPT</p><p>Yes, Excel can help you automate the process of extracting the first letter of the last name in Column A and placing it in Column C without manually typing out each letter. You can achieve this using a formula that extracts the first letter of the last word (assuming the last word in each cell of Column A is the last name). Here is how you can do it:</p><p><br /></p><p>Formula Using RIGHT, LEFT, and FIND Functions:</p><p><br /></p><p>If your names start in cell A1, you can use the following formula in cell C1 and drag it down to apply it to all rows:</p><p><b>excel</b></p><p><b>Copy code</b></p><p>=LEFT(TRIM(RIGHT(SUBSTITUTE(A1, " ", REPT(" ", 100)), 100)), 1)</p><p>This formula works by replacing each space " " with a large number of spaces (100 in this case), so the last word (last name) is pushed to the right-most part of the string. Then, it extracts the last 100 characters (which will now start with the last name due to the padding), trims these to remove the leading spaces, and finally takes the leftmost character (the first letter of the last name).</p><p><b>Sorting by the Extracted Letter:</b></p><p><br /></p><p>After you have the first letter of the last name in Column C, you can sort your table by Column C. To do this:</p><p>Select your data range, including the headers.</p><p>Go to the Data tab on the Ribbon.</p><p>Click on "Sort." In the Sort dialog, choose to sort by Column C (or your corresponding label for this column), and select either Ascending or Descending order based on your preference.</p><p>This approach is much faster than manually typing the first letter of the last name for each row and can be completed in a matter of seconds, even with hundreds of rows.</p><p><br /></p><p>##<br />To sort by 2 letters of last name (John Smith = SM)</p><p>=LEFT(TRIM(RIGHT(SUBSTITUTE(A1, " ", REPT(" ", 100)), 100)),<b> 2)</b></p><div><br /></div>Brucehttp://www.blogger.com/profile/05149672650241065616noreply@blogger.com0tag:blogger.com,1999:blog-1284112950008922665.post-73732154972516192512024-01-31T16:07:00.000-08:002024-01-31T16:07:19.785-08:00Chat GPT Fixes HTML in "Chat GPT to Blogger" cut pasteWhen I cut and paste text into BLOGGER, it overruns the right margin of my blog IF the text comes from Chat GPT. If the text comes from other sources, it usually doesn't.
I can avoid this by copying with no formatting, but that loses helpful formatting like bolding that I have to restore manually.<div><br /></div><div>GPT4 looked at my HTML and providing a quick fix, as below. I include Before After screen shots at bottom.</div><div><br /></div><div># # # #</div><div><br /></div><div><div><i>The HTML content you've provided does include inline CSS, specifically <b><span style="color: red;">setting the width of a main content division</span></b> to<b> <span style="color: red;">695.455px</span></b>. If this width is greater than the space available within the parent container due to the presence of the sidebar, it could be causing the overlap.</i></div><div><i><br /></i></div><div><i>To fix this issue, you could try reducing the width of this division. However, without seeing the full context of the surrounding HTML and CSS, this is a speculative fix. Here's what you could try:</i></div><div><i><br /></i></div><div><i>Find the division (div) that has the inline style width: 695.455px; and decrease this width to a smaller value that fits your blog's layout. <b>For example, if the total width available for your content area is 600px, you could change it to <span style="color: red;">width: 600px;.</span></b></i></div><div><i><br /></i></div><div><i>Make sure you back up your original template before making any changes, so you can revert if something doesn't work as expected.</i></div><div><i><br /></i></div><div><i>If you're not comfortable making these changes yourself, I would recommend consulting someone with HTML/CSS experience or using Blogger's built-in layout adjustment tools which can automatically manage these settings for you.</i></div></div><div><i><br /></i></div><div><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEizAG1-071htxMna32gPkkvIElu9jaAxAQFJ3NWzdCwangOyG9Mub48pFAEueXRotTomjgp4J-LEZ2oC7J7iS_xtYw6qaQhr4CxwgozAo7nQcKV_nyoG0CNya98cJYc5GV7opa4XeeL08KWFyVzfVyKDXybNNiLXuux8qQ7fuL5GdJ_IJSPscQoAvGnlT4/s935/blog%20fix.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="586" data-original-width="935" height="243" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEizAG1-071htxMna32gPkkvIElu9jaAxAQFJ3NWzdCwangOyG9Mub48pFAEueXRotTomjgp4J-LEZ2oC7J7iS_xtYw6qaQhr4CxwgozAo7nQcKV_nyoG0CNya98cJYc5GV7opa4XeeL08KWFyVzfVyKDXybNNiLXuux8qQ7fuL5GdJ_IJSPscQoAvGnlT4/w387-h243/blog%20fix.png" width="387" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjD5d_RN5ZMWUw1n1i69mtaKX2QTIf1Q6XT85ryniIeUwLl2E7yjKhbSuP1gV7PyxPZ2IjJYu-vg3bTu-HgPon5d9NNYJhyphenhyphenCNbVdJhrXlkuBUo9XNsW3SkQtwnb6j2Ig0fYBUq9bFp65kwCDQHY1ZIAxjGlqLijtvTVkz6ko5Dq3T5sdmKZ_JQ6bBPKb-M/s1048/blog%20overlap.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="662" data-original-width="1048" height="232" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjD5d_RN5ZMWUw1n1i69mtaKX2QTIf1Q6XT85ryniIeUwLl2E7yjKhbSuP1gV7PyxPZ2IjJYu-vg3bTu-HgPon5d9NNYJhyphenhyphenCNbVdJhrXlkuBUo9XNsW3SkQtwnb6j2Ig0fYBUq9bFp65kwCDQHY1ZIAxjGlqLijtvTVkz6ko5Dq3T5sdmKZ_JQ6bBPKb-M/w367-h232/blog%20overlap.png" width="367" /></a></div><br /><i><br /></i></div>Brucehttp://www.blogger.com/profile/05149672650241065616noreply@blogger.com0