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Medical providers should be honest about the "relatively sparse clinical evidence for these peptides," says Dr

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These commenters noted that exceptions and exclusions already apply in MIPS for other performance categories and could easily be applied to ACOs reporting eCQMs, MIPS CQMs, and Medicare CQMs, and that making these changes in the Shared Savings Program could allow ACOs to maintain participation among small and specialty practices that cannot comply with these changes without undue costs and burdens