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CMS will only immediately require an ACO to repay prepaid shared savings if the ACO is at the end of its agreement period, or if the ACO or CMS terminates its participation agreement mid-agreement period, under 425.640(g)(3)

Therefore, we proposed in the CY 2025 PFS proposed rule (89 FR 62020 and 62021) that starting in the CY 2025 performance period/2027 MIPS payment year, MVP Participants would be required to submit one improvement activity to achieve 40 points, or full credit, whereas in traditional MIPS clinicians will be required to submit two improvement activities to achieve full credit for the improvement activities performance category

"Xi Jinping: China's New Boss And The 'L' Word"

Which is why Im adding another old wives tale to the list