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(b) Establishing a Complex Organization Adjustment for Virtual Groups and APM Entities To account for the organizational complexities faced by Virtual Groups and APM Entities, including Shared Savings Program ACOs, when reporting eCQMs, in section IV.A.4.f.(1)(b)(iii) of the CY 2025 PFS proposed rule, we proposed to establish a Complex Organization Adjustment beginning in the CY 2025 performance period/2027 MIPS payment year (89 FR 61859)

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