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instead, we are finalizing our proposal to create the APP Plus quality measure set that will be optional for MIPS eligible clinicians, groups, and APM Entities (not including Medicare Shared Savings Program ACOs) meeting the reporting requirements under the APP starting with the CY 2025 performance period/2027 MIPS payment year

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Its only a matter of time before they end up on the edge of bankruptcy again. British water companies have underinvested in fixing our creaking sewage infrastructure, pumping 12.7 million hours of untreated sewage into English waterways between 2019 and 2023

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