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We then propose to update this estimate to account for increased MVP participation due to the ( proposed addition of six new MVPs

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We award the achievement points (including partial points) based on which benchmark decile range the MIPS eligible clinician's performance on the measure is between

We note that an ACO may use prepaid shared savings for staffing, healthcare infrastructure and direct beneficiary services in a manner that complies with the beneficiary incentives provision at 425.304(a), (b), and newly proposed (d) as discussed in section III.G.5.i of this proposed rule, and all other applicable laws and regulations