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This includes everything from the heavily scrutinized referral acceptance procedure to ensure `profitable' patients are chosen over `non-profitable' patients and the rationing of care based on what the data shows to create profit from decreasing direct care costs. Response: Our previous response related to margins suggests that, as some commenters have claimed, HHAs may be strategically admitting or denying beneficiaries based to maximize their margins

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[DOI] [PMC free article] [PubMed] [Google Scholar] 6.Kazandjieva J, Tsankov N