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[733] Second, patient-level driver of health data through screening is essential in the long-term to encourage meaningful collaboration among clinicians and community-based organizations, and implement and evaluate related innovations in healthcare and social service delivery

MVPs are a reporting option under MIPS, which is one of the two primary ways a clinician may participate in the CMS Quality Payment Program

These conditions could include but are not limited to, obesity, a family history of CVD, a history of high blood pressure, a history of high cholesterol, a history of smoking/ ( alcohol/drug use, pre-diabetes, or diabetes

For example, patient information is often stored across multiple databases, depending on the systems used by a patients health care providers, pharmacies, and insurers