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Accordingly, we proposed to update 414.1380(b)(1)(vii) to state a MIPS eligible clinician's quality performance category score is the sum of all the measure achievement points assigned for the measures required for the quality performance category criteria plus the measure bonus points in paragraph (b)(1)(v) and Complex Organization Adjustment in paragraph (b)(1)(vii)(C)

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Similar cautionary perspectives have been documented regarding the safety, efficacy, and harms of e-cigarettes, emphasizing concerns around their role as potential gateway products to tobacco use, and highlighting significant apprehension about dual use patterns [5, 18]