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Nature 596 , 583

After consideration of public comments received and for reasons discussed elsewhere in this final rule, we are finalizing our proposed regulation text changes as follows: We are finalizing as proposed to sunset the requirement that ACOs must submit quality data via the APP to satisfactorily report on behalf of the eligible clinicians who bill under the TIN of an ACO participant for purposes of the MIPS Quality performance category of the Quality Payment Program, and to revise 425.508(b) to indicate that the requirement will be applicable for performance years beginning in 2021-2024