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VELO has pouches for novices and the most experienced users, while ZYN caps the strength of its products at 11 mg per pouch

New Entrant ACOs had declines in gross spending but these declines were similar to those of providers within their same markets

In aggregate, the estimated decrease in the number of quality measure submissions will result in an adjustment of 83 hours (15 measure submissions 5.5 hr/measure submission) at a cost of $18,215 (15 measure submissions $1,214.35/measure submission) for the CY 2025 performance period/2027 MIPS payment year

If a MIPS eligible clinician's average cost per episode for the measure is $1,104 (about $135 above the median), the MIPS eligible clinician's cost falls within Benchmark Decile 2, for which the MIPS eligible clinician may receive between 2.0 and 2.9 achievement points

In section IV.A.4.g.(2)(c) of this proposed rule, we are proposing to again set the performance threshold at 75