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(c) Establishing the Performance Threshold for the CY 2025 Performance Period/2027 MIPS Payment Year We believe using the mean of 75 points from the CY 2017 performance period/2019 MIPS payment year continues to be the most appropriate option for establishing the performance threshold for the CY 2025 performance period/2027 MIPS payment year for various reasons described in this section, including: providing consistency for MIPS eligible clinicians while allowing additional time for more recent data to become available, continuing to provide opportunities for MIPS eligible clinicians to gain experience with cost measure scoring (particularly if the methodology proposed in section IV.A.4.f.(1)(d)(ii)(B) of this proposed rule is finalized), and ensuring that we do not inadvertently disadvantage certain clinician types, such as small practices and solo practitioners, as we increase the performance threshold

Since 1990, population growth and aging have contributed to a substantial increase in the number of people using alcohol (15)

And for the first time, they analyzed consumption of smokeless tobacco products in addition to smoked tobacco products

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