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Comments provided were overall supportive of our proposal to continue to define immediate availability to include availability through virtual means, stating that it will benefit healthcare providers while greatly enhancing patient access to quality care, particularly in underserved areas

Changes to the Shared Savings Program finalized in the CY 2023 CY 2024 PFS final rules were already projected to increase program participation among ACOs with higher spending and provide more opportunities for improving care and reducing spending (see 87 FR 70191 through 70196, and 88 FR 79494 and 79495)

Due to this change, we also propose to adjust the estimated weighted average time required for each QCDR to submit a QCDR measure from 0.75 hours (10 existing QCDR measures 0.5 hr + 2 new QCDR measures 2 hr) 12 total QCDR measures) to 0.82 hours (11 existing QCDR measures 0.5 hours + 3 new QCDR measures 2 hours) 14 total QCDR measures)