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We extended the analysis by Fisher et al

[176] Chronic kidney disease is generally defined as the presence of two factors (glomerular filtration rate [GFR] less than 60 mL/min and albumin greater than 30 mg per gram of creatinine) along with abnormalities of kidney structure or function for greater than three months

We are proposing this effective date to provide relief to MIPS eligible clinicians, whose circumstances meet all requirements set forth in this proposed reweighting policy, as soon as feasible

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We would then use these adjusted expenditure calculations as new inputs along with other original calculations that were not adjusted for the impact of improper payments (such as the ACO's historical benchmark for PY 2022) to recalculate the ACO's financial performance for PY 2022, following the standard financial methodology described in 425.605 (for ACOs participating in the BASIC track) or 425.610 (for ACOs participating in the ENHANCED track), as applicable