Now CMS is proposing a rule that gives dialysis centers an extra incentive to under-treat patients by saying that the lower-level trigger point of 10 to administer ESAs should be eliminated.
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When it finalizes its proposed rule, CMS should listen to Medicare experts and especially to the concerns of patient and physician groups who say that reinstating the lower-level hemoglobin trigger point of 10 will guard against under-treatment of anemia for dialysis patients.
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Only when the trouble was over did the authorities reduce the level that would trigger restrictions.
He questioned why the government set the 2% trigger level if they were not happy for councils to go up to that figure.
Prof Edgerton speculated that "we are activating the spinal cord to a critical level" close to the level which would trigger movement, and a small signal from "the brain pushes it over" leading to movement.
It could pave the way for a new test to identify people at risk, so action could be taken to prevent the loss of hypocretin neurons before they fell to a level low enough to trigger narcolepsy symptoms.
Public defaults, where legally possible at the municipal level, may be a trigger.
Mac experts, for instance, can be seen using keystrokes and multi-touch gestures to move from app to app and trigger other OS-level actions.
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None of these conditions, an overbought market technically, a high level of bullish investor sentiment, a high level of insider selling, can trigger a sell signal.
The strategy is to nibble with the stock above its 200-day moving average, buying half of a planned position, with a tight stop or sell trigger at that level.
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The science here is thin: nobody knows what level of greenhouse gases in the atmosphere would trigger such a calamity.
It would even apparently incorporate a noise meter that could automatically trigger various options when the ambient noise hits a certain level.
If this were to trigger I would use the 50 day moving average as my stop level.
Starting off with additional yen strength, Japan finally pulled the trigger on currency intervention after a 6-year respite and defended the level around 83.00 admirably.
But can the level of fear be adequate to engender such a change of heart while not so powerful as to trigger panic?
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