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Revenue generated through hospital-specific federally authorized provider taxes, or the Medicaid Enhancement Tax (MET) in New Hampshire, is used by 46 states to finance a portion of Medicaid expenditures, thereby drawing down additional federal Medicaid matching funds that are typically returned to providers to support patient care

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Good patient-centred decision making around the use of dietary supplements requires multidisciplinary care, involving oncologists, integrative medicine providers, clinical pharmacists, dietitians and nursing to monitor and mitigate risk as well as to fully document all supplement uses and be aware how they may interact with conventional therapy (239)