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(3) Changes to Regulation Text In the CY 2025 PFS proposed rule, we proposed to extend the eCQM reporting incentive to performance year 2025 and subsequent performance years to support ACOs in meeting the Shared Savings Program quality performance standard for sharing in savings at the maximum rate under its track (89 FR 61863)

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It can take many years (approx 20) to develop a deficiency disease in those altering their diet to one lacking in B12 due to reabsorbtion however, if failure to absorb leads to B12 deficiency disease occur within a few years (3-4)

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Despite encouraging progress, significant gaps remain, including variable preparation methods, limited high-quality randomized trials, and inadequate long-term data