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Under the current methodology, the adjustment that will apply in the establishment of benchmarks for ACOs entering an agreement period beginning on January 1, 2024, and in subsequent years, is calculated as follows: Step 1: Calculate capped regional adjustment expressed as a single dollar value as specified in 425.656

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The data in this ranking reflects that dynamic in real time

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As described previously in this section of this proposed rule, we currently assign a score for any data submitted for the MIPS performance categories and have implemented operational measures to limit unintentional overriding of an approved reweighting or existing scorable data submitted for a MIPS performance category