Nate Apathy was funded by the National Library of Medicine under Grant No. T15LM012502. Jordan Everson received support from the Agency for Healthcare Research and Quality (AHRQ) under Award No. 5K12HS026395-02. The authors acknowledge the assistance of Audrey Cheng, Department of Health Policy, Vanderbilt University Medical Center, in researching Merit-based Incentive Payment System scoring policies and final rule interpretation. The opinions expressed in this document are those of the authors and do not reflect the official position of AHRQ or the Department of Health and Human Services.

