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We recognize the need to provide, consistent with statutory requirements, equitable opportunities to achieve QP status for participants in Advanced APMs that have different focus areas, goals, scopes, and design features

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The modest strength of the association coupled with heterogeneity present in the underlying data across all nine riskoutcome pairs analyzed resulted in a body of evidence rated as weak under the proposed BPRF rating system (one and two stars), despite the relatively large number of studies included for some of the outcomes

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