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The examples CMS cites in its noticesuch as non-medical in-home services, internet access for rural healthcare providers, and workforce development initiativesoften represent state-led innovations designed to address local community needs efficiently, especially in rural and underserved areas where healthcare resources are already strained

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doi: 10.1056/NEJMoa0810440 495 TingW-HChienM-NLoF-SWangC-HHuangC-YLinC-Let al

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