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Comment: A few commenters expressed concern that the proposed low back pain EBCM may not align with the quality measures for the ASM low back pain cohort or that the low back pain EBCM may not accurately reflect the quality of care provided by ASM participants

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Several ( commenters stated that geographic adjustments would create access disparities, particularly harming rural and underserved communities where patients may have greater needs but providers face lower reimbursement rates