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In light of these concerns, which are supported by our analysis of cost performance category scores as discussed in section IV.A.4.f.(1)(d)(ii) of this proposed rule, we believe that maintaining a performance threshold of 75 points for the CY 2025 performance period/2027 MIPS payment year would provide stability for MIPS eligible ( clinicians as they become acquainted with the cost performance category (particularly if the scoring methodology proposed in section IV.A.4.f.(1)(d)(ii)(B) of this proposed rule is finalized) without unfairly and negatively impacting their final scores and MIPS payment adjustments

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