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Removing the Health Equity Adjustment Applied to an ACO's Quality Score and Revising Certain Terminology in the Shared Savings Program Regulations (1) Background In the CY 2026 PFS proposed rule (90 FR 32676 and 32677), we stated that in the CY 2023 PFS final rule (87 FR 69838 through 69857), we finalized a health equity adjustment that, for performance year 2023 and subsequent performance years, would be available to an ACO that reports the three eCQMs/MIPS CQMs in the APP quality measure set, meeting the data completeness requirement at 414.1340 for all three eCQMs/MIPS CQMs, and administers the CAHPS for MIPS survey

Instead, the agency has issued guidance distinguishing between legitimate 503A compounding pharmacies (which operate under state pharmacy boards) and unlicensed manufacturers operating illegally as 503B facilities

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