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QPs will continue to be excluded from MIPS reporting and payment adjustments for the applicable year

However, for those switching directly from strong cigarettes, even the highest ZYN strength might feel a little too mild in the early days

++ Determining national growth rates that are used as part of the blended growth rates used to trend forward BY1 and BY2 expenditures to BY3 according to 425.601(a)(5)(ii) and 425.652(a)(5)(ii) and as part of the blended growth rates used to update the benchmark according to 425.601(b)(2) and 425.652(b)(2)(i)

CMS proposes to update 425.630(g)(5) to state that if an ACO notifies CMS that it no longer wants to participate in the advance investment payment option but does want to continue its participation in the Shared Savings Program, the ACO must repay all outstanding advance investment payments it received