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Dr. Karmakar reported employment and stock options with Amgen after the conduct of the study. Dr. Ayanian reported receiving grants from the National Institutes of Health, the Michigan Department of Health and Human Services, the Centers for Medicare and Medicaid Services, and the Merck Foundation, as well as consulting fees from the JAMA Network and the University of Massachusetts Medical School during the conduct of the study. Dr. Langa reported receiving grants from the National Institutes of Health and the US Alzheimer\u2019s Association during the conduct of the study. 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