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After consideration of public comments, we are finalizing to modify the definition of an MVP participant at 414.1305 as proposed to provide that, for the CY 2026 performance period/2028 MIPS payment year and future years, MVP Participant means an individual MIPS eligible clinician, single-specialty group, multispecialty group that meets the requirements of a small practice, subgroup, or APM Entity that is assessed on an MVP in accordance with 414.1365 for all MIPS performance categories

It is used as a laboratory research diluent in controlled laboratory and in-vitro research environments

The commenter, therefore, recommended that patients classified as New York Heart Association (NYHA) stage D be systematically excluded by CMS from all proposed quality measures

Homocysteine, B vitamins, and cognitive impairment