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The findings were published recently in Nature Communications

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For example, if there were a months-long network outage in a large national Health Information Exchange or TEFCA QHIN, such case could result in MIPS eligible clinicians, eligible hospitals, and CAHs having to choose between claiming a hardship (if an available option for the MIPS eligible clinician, eligible hospital, or CAH) or failing to meet the requirements of the MIPS Promoting Interoperability performance category or the Medicare Promoting Interoperability Program if their primary means of fulfilling the Health Information Exchange objective were unavailable