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(2) Removing the Health Equity Adjustment Applied to an ACO's Quality Score In the CY 2026 PFS proposed rule (90 FR 32677 through 32679), we stated that after further consideration and experience implementing the eCQM/MIPS reporting incentive and the Complex Organization Adjustment, in conjunction with the previous policies we have finalized with respect to the health equity adjustment, we have concluded that the eCQM/MIPS CQM reporting incentive and the Complex Organization Adjustment provide duplicative incentives to the health equity adjustment for ACOs to meet the quality performance standard under the Shared Savings Program

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