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We solicited comment on whether a potential revised ENHANCED track should retain the existing symmetric MSR/MLR selection options that currently exist for ACOs in a two-sided risk model under 425.610(b)(1)

However, in the CY 2025 PFS proposed rule, we stated that using benchmarks based in the performance period is a better approach for the cost performance category than using benchmarks based on historical data because different payment policies may apply during the historical period than during the performance period, which may affect the cost of care for patients treated by MIPS eligible clinicians

Symptoms of Vitamin B12 deficiency include fatigue, weakness, dizziness, pale skin, numbness or tingling in the hands and feet, difficulty walking, and memory problems

In making such a determination, associated factors such as resilience and community social capital would have to be taken into account (Clay and Abramson, 2021)