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The cards feature hand-colored lithographic portraits of prominent Native leaders, each labeled with their name, capturing a mix of historical and romanticized imagery

Specific recommendations include shifting the focus of public health campaigns away from patient blaming and emphasizing clinician-level empathic communication interventions

However, we may consider reopening the initial determination for the performance year upon the ACO's request for a reopening if the improper payments are anticipated to result in significant adjustment to the ACO's initial determination upon recalculation