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Due to this change, we propose to adjust the estimated weighted average time required for each QCDR to submit a QCDR measure from 0.75 hours to 0.82 hours [((3 new QCDR measures 2 hr) + (11 existing or borrowed QCDR measures 0.5 hr)) total # of QCDR measures (14)]

Summaries of the public comment period and clinician expert workgroup meetings organized by the measure development contractor are also available on the QPP Cost Measure Information page at

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The Recommendation Group also acknowledged that the measure is already specified to adjust for expected differences in medication costs based on whether a patient is enrolled in Medicare Part D (that is, stratifying the measure by Part D enrollment), furthering supporting the scientific acceptability of this measure