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Several commenters asserted that removing the measure would signal a retreat from CMS' stated goals of reducing disparities and improving care for vulnerable populations, including those with severe mental illness, racial and ethnic minorities, rural populations, those with low socioeconomic status, and dual eligible beneficiaries

PMID 2546112

That cost difference is the entire point, and its what youre paying for

It all begs the question: Why such a huge increase in the use of a procedure that has limited benefit