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We are also finalizing our proposed amendment to the regulation text at 414.1380(b)(2) to use the term benchmark range in lieu of decile and percentile distribution. We did not propose any modifications to the remainder of the language currently at 414.1380(b)(2), which provides that, for each cost measure attributed to a MIPS eligible clinician, the clinician receives one to ten achievement points based on the clinician's performance on the measure during the performance period compared to the measure's benchmark

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It would also be inequitable to allow other ACOs whose assigned populations were less affected by SAHS billing to benefit from the inclusion of these expenditures in benchmark update factors

Retrieved from NCBI, February 20, 2026