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As a result of this stakeholder emphasis, CMS proposed to weight the CAHPS Hospice Survey Index as twice that of other inputs, so that it accounts for 40 percent of the proposed algorithm score among providers with CAHPS Hospice Survey data

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doi: 10.1007/s10456-017-9562-9
The gut-brain axis is complex, and altering gut hormone signaling can have downstream effects on neurotransmitter systems that influence mood and emotional regulation