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In June 2026, CMS released its most consequential 1115 guidance to date: a State Medicaid Director Letter detailing how the CMS Chief Actuary must certify before any new, renewed or amended waiver is approved on or after Jan

No significant differences were found between the diet groups for AgRP mRNA levels ANOVA [ F (3,27) = 0.57

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For example, in terms of data streaming, use cases include device monitoring and control at the meter premise, demand response, DER dispatch, and settlement and interfacing with on premise devices (e.g., building management systems) or offering energy management and related services