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Reynolds, maker of Newport, Camel and Pall Mall, replied

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The Oregon Nurses Association at the time found tobacco companies had spent $16 million in the past decade to influence Oregon policy

MVP development would need to include examination of approaches to add additional quality and cost measures to MIPS

So should I be thinking that, for calendar 25, its roughly one-third of your book of business that has some type of new reimbursement metrics that are tied to reimbursement