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Animal studies show protection against stomach ulcers from NSAIDs, alcohol, stress, ischemia-reperfusion, and cysteamine

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The commenter stated that Iowa ranks 47th out of 50 states for total GPCI, leading to inequitable payment for providers in the region

Additionally, the commenter recommended that CMS engage with specialists to ensure scoring adjustment aligns with the realities of clinician practices and does not inadvertently penalize high-quality care