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Effective timing: For IDRs initiated on or after January 1, 2026, applicable fees (CMS administrative and/or arbitration fees) will be billed quarterly, beginning with May 2026 invoices under Additional Items. Bradford Regional Medical Center Closing Facility closure details: Bradford Regional Medical Centers 20bed inpatient unit and emergency department will close on May 17, 2026 , following acquisition of the campus by LECOM

This means that food stays in the stomach longer, which can cause discomfort and nausea

Second, it directly signals your brain to turn off hunger cues