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The text included the terms “health equity benchmark adjustment,” “Health Equity Benchmark Adjustment (HEBA) scaler,” and “HEBA.” In the CY 2025 PFS final rule, we noted the limitations of benchmarks based on historically observed spending, as they could be set too low if they are based on the spending of a population of underserved communities
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What’s interesting is that many of these issues aren’t just about awareness of DSCSA requirements—they’re often the result of gaps in how systems enforce sourcing, serialization, and verification in day-to-day workflows
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