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Marginalized likelihood Treating the latent variables as missing data, we can express the complete joint likelihood based on our model as follows: At this point, we could formulate a variational inference algorithm with mean-field factorization by optimizing an evidence lower bound of the marginal likelihood with respect to the model parameters 40

In the CY 2026 OPPS/ASC proposed rule, we did solicit comments on revising our complexity adjustment methodology, which is summarized below in section II.B.2