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We are adding a new paragraph (a)(5)(ii)(A) to 425.512 to indicate that an ACO will meet the alternative quality performance standard for performance year 2024 if the ACO reports quality data on the APP quality measure set established under 414.1367 according to the method of submission established by CMS and achieves a quality performance score equivalent to or higher than the 10th percentile of the performance benchmark on at least one of the four outcome measures in the APP quality measure set

(3) Derivation of the Detailed Operating Cost Weights To further divide the All Other residual cost weight estimated from the 2022 Medicare cost report data into more detailed cost categories, we propose to use the 2017 Benchmark Input-Output (I-O) Use Tables/Before Redefinitions/Purchaser Value for NAICS 621100, Offices of Physicians, published by the Bureau of Economic Analysis (BEA)

in 2016, a reported 3.4% of adults aged 18-plus used smokeless tobacco

utilizing family members, significant others, caregivers, and/or friends to help resolve the crisis