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Most MS studies utilize structural MRI for identifying lesions and determining if they are active based on gadolinium enhancement ( Materials and Methods Overview of Study Written informed consent, approved by the Institutional Review Board of Thomas Jefferson University, was obtained from all subjects and the study was registered on clinicaltrials.gov with the following identifier: NCT03032601

57 , R93r108 (2016)

The commenters expressed their concerns that applying ASM requirements to QPs undermines MACRA's intent, imposes unnecessary burdens, and risks discouraging participation in APMs, particularly among specialists Response: We appreciate commenters for their feedback supporting ASM overlap with other Innovation Center models