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Had the Complex Organization Adjustment been applied in performance year 2024, the average MIPS quality performance category score for these 18 ACOs would have been 6 percentage points on average as compared to an average increase of 3 percentage points that these ACOs earned through the application of the health equity adjustment bonus points, thus increasing the likelihood that these ACOs would meet the quality performance standard by achieving a quality score that is equivalent to or higher than the 40th percentile across all MIPS quality performance category scores, excluding entities/providers eligible for facility-based scoring

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