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Thus, many studies have explored WM alterations in aging brains and have identified WM atrophy (Lemaitre et al., 2005), WM tract disruption (Shenkin et al., 2005), vessel impairments (Pantoni, 2002), increased inflammation (Sloane et al., 1999), and loss of myelination (Marner et al., 2003)

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We are proposing two changes to current policies related to data submission, reporting, and validation: (1) Modification of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Survey Measure beginning with the CY 2025 reporting period/FY 2027 payment determination