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Additionally, any measure that is identified as topped out is not subject to the scoring cap described at 414.1380(b)(1)(iv)

Historical benchmark calculations for establishing the benchmark for ACOs beginning new agreement periods on January 1, 2025, or in subsequent years with a benchmark year that has SAHS billing activity (refer to 425.652(a))

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We are implementing MVPs in MIPS to encourage clinicians to report on measures that are directly relevant to their clinical practice and connect the performance categories to better measure the value of care and support care improvements (86 FR 39351)