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The degree to which the participants will be incentivized to alter their behavior will depend on the magnitude of the payment adjustments, and the magnitude of the payment adjustment, including whether it is positive or negative, depends on the distribution of final scores used in the payment adjustment calculation

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Funding This work was supported by the National Natural Science Foundation of China (grant number: 82000086), the Shanghai Sailing Program (grant number: 20YF1440300) for WG, the National Natural Science Foundation of China (grant number: 81870064, 82070086) for QL, and the Shanghai Jiao Tong University Medical & Engineering Cross Fund (grant number: YG2019QNA65) for HH

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