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Further, Tribes have their own system of government, known as Tribal sovereignty, and it is equally important to understand when designing tools for Tribal policy implementation

In contrast, Captain Black Regular has Black Cavendish and Burley, while Captain Black Royal has Black Cavendish and Gold Cavendish

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fewer solo practitioners with negative payment adjustments have a final score near the performance threshold and an increase in the final score of these MIPS eligible clinicians will reduce the size of their negative payment adjustment but is less likely to shift their final scores above the performance threshold in the manner described earlier