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(2) Supply Pack Pricing Update Interested parties previously notified CMS that they identified numerous discrepancies between the aggregated cost of some supply packs and the individual item components contained within

We next determine the cap on regional risk score growth (refer to 425.655(e)), [541] and then determine if the ACO's regional risk score growth is subject to a cap and apply a regional risk score growth cap adjustment factor for each Medicare enrollment type, as applicable (refer to 425.655(f))

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This may have led to final scores that were not wholly representative of performance for all MIPS eligible clinicians

Assignment is updated quarterly based on the most recent 12 or 24 months of data, as applicable, under the methodology described in 425.402 and 425.404 ( 425.400(a)(2)(ii))