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The significant health risks of cigarette smoking are well established, with over 400,000 attributable deaths estimated to occur in the USA each year [34]

The proposed changes to the Shared Savings Program include the following: Proposed changes to the quality performance standard and other quality reporting requirements, including to (1) require Shared Savings Program ACOs to report the APP Plus quality measure set that would incrementally grow to comprise of 11 measures, consisting of the 6 measures in the existing APP quality measure set and 5 newly proposed measures from the Adult Universal Foundation measure set that would be incrementally incorporated into the APP Plus quality measure set over performance years 2025 through 2028, (2) focus the collection types available to Shared Savings Program ACOs for reporting the APP Plus quality measure set to all payer/all patient eCQMs and Medicare CQMs, (3) require Shared Savings Program ACOs that report the APP Plus quality measure set, to report on all measures in the APP Plus quality measure set, as applicable, (4) establish a Complex Organization Adjustment for Virtual Groups and APM Entities, including Shared Savings Program ACOs, when reporting eCQMs, (5) score Medicare CQMs using flat benchmarks in their first 2 performance periods in MIPS, and (6) extend the eCQM reporting incentive in order to promote the adoption of eCQMs

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