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We continue to believe that it is important to maintain CMS' sole discretion in determining whether to reopen a payment determination

But without the right supplies, these tests can be ineffective or even dangerous

For this reason, we are proposing that beginning with the CY 2025 performance period/2027 MIPS payment year CMS could remove the 7-point cap for certain topped out measures that we would select based on evaluating the factors discussed below