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(c) Modifications to Improvement Activities Scoring and Reporting Policies As discussed in section IV.A.4.e.(3)(b)(iv)., we are proposing two scoring and reporting policy changes for the improvement activities performance category effective for the CY 2025 performance period/2027 MIPS payment year and subsequent years

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How any related impact on performance year expenditures may compare to the impact on the ACO's updated historical benchmark (which could include considering the impact on benchmark year expenditures and factors used to establish, adjust and update the benchmark)