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(b) Proposal To Establish a Complex Organization Adjustment for Virtual Groups and APM Entities To account for the organizational complexities faced by Virtual Groups and APM Entities, including Shared Savings Program ACOs, when reporting eCQMs, in section IV.A.4.f.(1)(b)(iii) of this proposed rule, we are proposing to establish a Complex Organization Adjustment beginning in the CY 2025 performance period/2027 MIPS payment year

These results were robust to various sensitivity analyses, including restricting data point inclusion based on exposure definitions and sample sizes (Fig

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G., Hochalter, J