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View image online ( man taking a dip of chewing tobacco or snuff You might think smokeless tobacco is safer than inhaled alternatives

In other words, high-performing ACOs could earn lower measure achievement points relative to comparable MIPS groups because the Medicare CQM benchmarking pool is comprised of higher-than-average performance data-in effect, creating a tournament approach to scoring Medicare CQMs wherein ACOs must compete with other ACOs to earn measure achievement points

In order for this measure to be available at the individual clinician level, the measure would need to be tested at the individual clinician level to establish validity, reliability, and risk adjustments at the individual clinician level

Chewing tobacco and related products continue to be hugely popular here, despite programmes by governments and non-government organisations to discourage their use