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( ( In the CY 2026 PFS proposed rule (90 FR 32667), we explained that we have used our authority under section 1899(i)(3) of the Act to establish the two-sided payment models of the BASIC track and ENHANCED track, including the current approach to calculating the loss recoupment limits (based on the ACO's assigned beneficiary person years for the performance year)

Performance Category Scores (1) Background Sections 1848(q)(1)(A)(i) and (ii) and (5)(A) of the Act provide, in relevant part, that the Secretary shall develop a methodology for assessing the total performance of each MIPS eligible clinician according to certain specified performance standards and, using such methodology, provide for a final score for each MIPS eligible clinician

This receptor-binding mechanism forms the foundation of how peptide signaling works

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