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Rural families with lower incomes now have increased access to bidis due to the flourishing, low-cost bidi businesses

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In contrast, this project tracked participants over a period long enough to document not just early signs of illness but final outcomes, including heart failure, stroke and premature death

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We are adding new paragraph (c)(3)(iv) to 425.512 to establish for performance year 2025 and subsequent performance years, if CMS determines the ACO meets the requirements of the Extreme and Uncontrollable Circumstances policy and the ACO reports the APP Plus quality measure set, meets the data completeness requirement, and receives a MIPS Quality performance category score, CMS will calculate the ACO's quality score as the higher of the ACO's health equity adjusted quality performance score or the equivalent of the 40th percentile MIPS Quality performance category score across all MIPS Quality performance category scores, excluding entities/providers eligible for facility-based scoring, for the relevant performance year