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CMS may consider suppressing Overall Hospital Quality Star Rating for subsection (d) hospitals only under extenuating circumstances that affect numerous hospitals (as in, not an individualized or localized issue) as determined by CMS, or when CMS is at fault, including but not limited to when: (i) There is an Overall Hospital Quality Star Rating calculation error by CMS

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This annotation suggests that the use of Bayesian methods in the design of trials and the analysis of the findings provides several potential benefits, which may be particularly applicable in areas of T&O surgery (in which incidence is low and treatment pathways are heterogenous)