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(2) Proposed Revisions This section of this proposed rule includes a proposed change to the provision specifying CMS' discretion to reopen payment determinations under 425.315(a)(4) (as described in section III.G.7.c.(2).(a) of this proposed rule)
Specifically, section 304(a)(2) of the CAA, 2024, amended section 1833(z)(2) of the Act to continue the QP payment amount thresholds that applied in payment year 2025 (performance period 2023) to payment year 2026 (performance period 2024)
Additionally, we established practices for the removal of such measures, such as establishing the topped out measure lifecycle, to continue to drive quality improvement in areas where such improvement is possible and necessary
115-123), further amended section 1899 of the Act to provide for the following: expanded use of telehealth services by physicians or practitioners participating in an applicable ACO to furnish services to prospectively assigned beneficiaries
