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We recognize flat benchmarks may provide more assurance to ACOs than the extension of the MIPS CQMs and as such, after considering public comments, we are finalizing in section IV.A.4.f.(1)(c)(i) of this final rule that, beginning in the CY 2025 performance period/2027 MIPS payment year, measures of the Medicare CQM collection type will be scored using flat benchmarks for their first two performance periods in MIPS

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