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Inverse variance weighting (as main analysis), weighted median estimate, robust adjusted profile score, MR-Egger, and MR-PRESSO (sensitivity analyses) were performed to calculate causal estimates

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Comment: A few commenters requested that CMS consider either defining exclusion criteria for complex ED encounters (for example, specialized care pathways, specialty consultations, forensic patients, or patients requiring advanced imaging) or adding exclusionary language for each of the numerator components