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After evaluating the possible values for mean and median shown in Table 72 and our prior policies for consistently selecting a performance threshold value of 75 points for the CY 2022 performance period/2024 MIPS payment year through the CY 2024 performance period/2026 MIPS payment year, we believe that using the mean as our methodology for the 2027 through 2029 MIPS payment years would offer the most consistent and predictable approach for MIPS eligible clinicians

M.D., special communication to Tobacco Control Young : As soon as Congress passed the rule banning smoking on flights of two hours or less, American Airlines went in and made flights longer

Early Intervention: Intervene early to prevent tobacco experimentation and initiation among young people