Response: We support policies that facilitate appropriate home-based dialysis care when clinically appropriate
We thank the commenter for their suggestion to convene a stakeholder group to evaluate the use and display of allowed amounts within the MRF and to continue to allow flexibility until we do, but decline the commenter's suggestion at this time as we believe we have received sufficient feedback on encoding allowed amounts within the MRF via the public comment period on the proposed rule as well as in response to the CMS Hospital Price Transparency Accuracy and Completeness Request for Information (the public comment period for which closed on July 21, 2025), in which commenters recommended hospital MRFs should list a precise dollar amount for items and services whenever possible
It is best thought of as one tool inside a medical plan, not a proven anti-aging cure
A clinician may consider discussing MOTS-c when the bigger pattern includes: Early insulin resistance markers or metabolic syndrome risk factors Weight gain paired with fatigue, despite stable routines Training that creates soreness, but not adaptation Sleep disruption that keeps the nervous system in high alert This is where a plan should be built with guardrails
Keep them in the back of the fridge where temperatures are most stable, not in the door where temperature fluctuates every time you open it
Discard any solution that appears cloudy, discolored, or shows particulate matter
