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The jury is still out on exactly how these devices could affect health

Currently, if we determine that data for a MIPS eligible clinician were not submitted during the MIPS data submission period for reasons outside the clinician's control, we assign the clinician a score of zero for the performance category or categories for which data were not submitted

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In it, the recently hired editor George Lundberg, who had eagerly asked Fletcher to submit the article, conveyed to the journals staff that they were under high-level pressure to exercise caution in articles dealing with particularly sensitive political questions