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A commenter expressed concern that including spending on necessary services in EBCMs could inadvertently reward clinicians for reducing spending on essential care, potentially leading to worse patient outcomes that may not be reflected in quality measures, noting that average spending on patients could increase due to factors outside a clinician's control, such as rising drug prices or services ordered by other physicians, which could unfairly penalize clinicians

This is crucial for healing, as new vessels supply oxygen, nutrients, and reparative cells to damaged tissue

Cumulative tissue repair requires time, and early symptomatic improvements may underestimate the full potential of ongoing treatment