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For example, participants in primary care models have indicated difficulty investing in and maintaining primary care redesign activities due to a range of challenges

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CMS will use the higher of the ACO's health equity adjusted quality performance score or the equivalent of the 40th percentile MIPS Quality performance category score across all MIPS Quality performance category scores, excluding entities/providers eligible for facility-based scoring, for the relevant performance year when (i) For performance year 2024, if an ACO reports all of the required measures, meeting the data completeness requirement at 414.1340 of this subchapter for each measure in the APP quality measure set and receiving a MIPS Quality performance category score as described at 414.1380(b)(1) of this subchapter and the ACO meets either of the following: (A) The ACO's total available measure achievement points used to calculate the ACO's MIPS Quality performance category score are reduced under 414.1380(b)(1)(vii)(A) of this subchapter

It is because your partner has an adverse influence on you