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The commenters noted that while the hospital market basket update is an improvement over previous methods, evidence indicates it may not accurately reflect ASCs' actual cost structure, and MedPAC has recommended since 2010 that CMS collect ASC cost data to develop an ASC-specific market basket

It is thought to influence the sleep-wake cycle by affecting neurotransmitter activity, including that of gamma-aminobutyric acid (GABA) and serotonin