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If the scaling factor is above 1.0 but is less than or equal to 3.0, then the MIPS payment adjustment factor for a final score of 100 will be greater than 9 percent

With the MSR and MLR adjustments finalized in the December 2018 final rule, we developed protections against issues with the benchmark calculation for ACOs with fewer assigned beneficiaries, which provide adequate protection against variability in the short term

A Laspeyres price index measures the change in price, over time, of the same mix of goods and services purchased in the base period

These exclusions, like other features of each episode-based measure, are developed with extensive clinician and interested parties' engagement