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A commenter expressed support for the exclusions of observation stays from numerator components (3) and (4) but ( sought clarity regarding cases where observation stays lead to inpatient admission

This reflects a broader access problem that disproportionately affects lupus patients because their indication for these medications (managing corticosteroid-induced weight gain and reducing cardiovascular risk in an autoimmune condition) does not fit neatly into approved indication categories

Athira failed to disclose allegations of research misconduct to the National Institutes of Health in grant applications that referenced the manipulated papers, including a grant NIH funded in 2019