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If we were to determine that a cost measure would be unlikely to be scored moving forwards due to insufficient number of MIPS eligible clinicians meeting the case minimum, we believe that the first factor we are proposing (that is, it is not feasible to implement the measure specifications) would be applicable for removal

++ Under 425.652(a)(8)(ii), if an ACO is not eligible to receive a prior savings adjustment under 425.658(b)(3)(i), and the regional adjustment, expressed as a single value as described in 425.656(d), is positive, the ACO will receive an adjustment to its benchmark equal to the positive regional adjustment amount

Specifically, CMS is proposing to codify with limited modification policies set forth in guidance for the Medicare Prescription Drug Inflation Rebate Program by adding new parts 427 and 428 to title 42, chapter IV of the Code of Federal Regulations for Part B and Part D, respectively, and welcomes comments on these proposals