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We finalized in the CY 2023 PFS final rule (87 FR 69842) and the CY 2024 final rule (88 FR 79109 and 79110) that, for performance year 2024 and subsequent performance years, if the ACO's health equity adjusted quality performance score was equivalent to or higher than the 40th percentile across all MIPS quality performance category scores, excluding entities/providers eligible for facility-based scoring, then the ACO was determined to have met the quality performance standard under the Shared Savings Program and was eligible to receive maximum shared savings and avoid maximum shared losses (if applicable)