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This was because the self-expansion activated the major reward region of the brain more than non-self-expanding activities

(a) Simplified Qualified Registry Self-Nomination Process For this proposed rule, we estimate that 76 qualified registries will complete the simplified self-nomination process in CY 2025 performance period/2027 MIPS payment year

Additionally, although such a beneficiary may still voluntarily identify an ACO professional participating in a Shared Savings Program ACO as their primary clinician and seek care from any clinician, the beneficiary would not be assigned to a Shared Savings Program ACO even if the designated primary clinician is an ACO professional in a Shared Savings Program ACO