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As we stated in the CY 2026 PFS proposed rule (90 FR 32679), we believe that removing the health equity adjustment applied to an ACO's quality score would simplify our quality scoring methodology for ACOs, while maintaining sufficient support for ACOs to meet the quality performance standard through the application of the eCQM/MIPS CQM reporting incentive, the Complex Organization Adjustment, and use of flat benchmarks for Medicare CQMs

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