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The government effort comes as leading tobacco companies increase their focus on snuff, chewing tobacco and electronic cigarettes amid tax hikes, smoking bans, health concerns and social stigma that continue to erode cigarette sales

Gathering her thoughts

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Scores falling below one-quarter of the performance threshold receive a negative adjustment of minus 9 percent, while scores between one-quarter of the performance threshold and the performance threshold receive a negative payment adjustment less than 0 percent and up to minus 9 percent based on a linear sliding scale