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After consideration of public comments, we are finalizing these rates as proposed

In the Framingham Offspring Study, 39% of participants had low B12 levels, either a clear deficiency or a borderline deficiency

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As the commenters noted, for the 2023 performance year, this resulted in some Shared Savings Program ACOs effectively not being scored on the MCC measure and having greater weight placed on the remaining measures in the APP quality measure set because when the denominator for a quality measure is reduced to zero, the measure is removed from the performance category score

Our goal is to expand COA access across the full catalog as production capacity grows