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Furthermore, the use of any form of tobacco is harmful

Specifically, before applying this cost measure exclusion policy, we are proposing that CMS would empirically assess the affected cost measure to determine the extent to which the changes or errors impact the calculation of a cost measure score such that calculating the cost measure score would lead to misleading or inaccurate results that negatively impact the measure's ability to reliably assess performance

In the CY 2024 PFS final rule (88 FR 80042 through 80047), we finalized The Value in Primary Care Merit-based Incentive Payment System (MIPS) Value Pathway (MVP), which focuses on the clinical theme of promoting quality care for patients in order to reduce the risk of diseases, disabilities, and death