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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

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Improved Fat Loss and Lean Muscle Retention CJC-1295, Ipamorelin , and Fragment 176-191 (modified segment of growth hormone) all work on fat loss programs without affecting muscle mass