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In response to commenters urging that CMS not further reduce the number of performance years an ACO may remain under a one-sided model to be less than 5 years, we note that we continue to believe that maintaining a participation option for eligible ACOs inexperienced with performance-based risk Medicare ACO initiatives to enter and remain under a one-sided model for 5 years, is an important means for attracting participation by ACOs that may need to gain experience with the accountable care model

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CMS has established automatic reweighting criteria of the Promoting Interoperability category in MIPS at 414.1380(c)(2)(i)(C)(9) for certain MIPS eligible clinicians, such as hospital-based clinicians and Ambulatory Surgical Center-based clinicians, and for clinicians in small practices as defined in 414.1305

Acetic acid water has no bacteriostat, so multi-draw use raises contamination risk significantly

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