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Does removing financial incentives lead to declines in performance? A controlled interrupted time series analysis of Medicare Advantage Star Ratings programme performance

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  • Funding This work was supported through a contract funded by the Centers for Medicare & Medicaid Services (HHSM-500-2016-00079G).

  • Disclaimer The content and opinions expressed in this publication are solely the responsibility of the authors and do not reflect the official position of the Centers for Medicare & Medicaid Services or the US Department of Health and Human Services.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Data availability statement All study data are are publically available on

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