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In the CY 2022 PFS final rule, we stated our intent to assess the performance of clinicians participating in subgroups in the Promoting Interoperability performance category using subgroup level data to the extent that it is operationally feasible (86 FR 39371 and 39372)

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we can already see a significant association in young adulthood. Long-term Monitoring Hedman and her colleagues will continue to monitor the people taking part in the study

PMID 7866221